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Provider 1932146461

NPI: 1932146461Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.6M

$8,633,554

Total Claims

110K

Beneficiaries

94K

1.2 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-21%
2019
$1.6M
-42%
2020
$939K
+49%
2021
$1.4M
-11%
2022
$1.2M
-40%
2023
$747K
-13%
2024
$649K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99281 (Emergency dept visit, minimal complexity)) accounts for 27% of total spending.

99281Top 25%

Emergency dept visit, minimal complexity

$2.4M

19K claims · 27.5%

Your Cost: $127.89/claim|Median: $52.03
2.5× median
99284Top 10%

Emergency dept visit, high complexity

$1.2M

5,884 claims · 14.2%

Your Cost: $209.04/claim|Median: $69.51
3.0× median
99283Top 10%

Emergency dept visit, moderate complexity

$905K

6,113 claims · 10.5%

Your Cost: $148.01/claim|Median: $42.48
3.5× median
99282Top 25%

Emergency dept visit, low complexity

$524K

3,870 claims · 6.1%

Your Cost: $135.41/claim|Median: $37.72
3.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$517K

1,682 claims · 6.0%

Your Cost: $307.13/claim|Median: $85.65
3.6× median
80053Top 10%

Comprehensive metabolic panel

$222K

6,442 claims · 2.6%

Your Cost: $34.52/claim|Median: $7.24
4.8× median
84484Top 5%

Troponin, quantitative

$202K

3,705 claims · 2.3%

Your Cost: $54.39/claim|Median: $4.84
11.2× median
G0378Top 25%

Hospital observation service, per hour

$198K

424 claims · 2.3%

Your Cost: $467.76/claim|Median: $99.39
4.7× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$193K

11K claims · 2.2%

Your Cost: $18.24/claim|Median: $4.71
3.9× median
84702Top 5%

$167K

3,157 claims · 1.9%

Your Cost: $52.88/claim|Median: $8.25
6.4× median
87490Top 1%

$146K

960 claims · 1.7%

Your Cost: $151.78/claim|Median: $15.09
10.1× median
71045Top 10%

Chest X-ray, single view

$144K

3,733 claims · 1.7%

Your Cost: $38.67/claim|Median: $4.93
7.8× median
87590Top 1%

$134K

952 claims · 1.6%

Your Cost: $140.74/claim|Median: $16.62
8.5× median
87798Top 10%

Infectious agent detection, nucleic acid, not otherwise specified

$106K

1,009 claims · 1.2%

Your Cost: $105.10/claim|Median: $26.72
3.9× median
80048Top 10%

Basic metabolic panel

$105K

3,993 claims · 1.2%

Your Cost: $26.37/claim|Median: $5.78
4.6× median
70450Normal range

CT head/brain without contrast

$105K

1,486 claims · 1.2%

Your Cost: $70.51/claim|Median: $45.53
1.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$90K

547 claims · 1.0%

Your Cost: $165.03/claim|Median: $169.17
1.0× median
76830Top 1%

Ultrasound, transvaginal

$90K

283 claims · 1.0%

Your Cost: $318.37/claim|Median: $57.47
5.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$88K

955 claims · 1.0%

Your Cost: $91.66/claim|Median: $97.61
0.9× median
71046Top 5%

Chest X-ray, 2 views

$83K

1,360 claims · 1.0%

Your Cost: $61.36/claim|Median: $8.92
6.9× median
87661Top 1%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$80K

780 claims · 0.9%

Your Cost: $101.99/claim|Median: $21.08
4.8× median
74176Normal range

CT abdomen and pelvis without contrast

$76K

737 claims · 0.9%

Your Cost: $103.48/claim|Median: $60.19
1.7× median
87905Top 1%

$73K

793 claims · 0.8%

Your Cost: $92.35/claim|Median: $9.68
9.5× median
83690Top 5%

$66K

3,280 claims · 0.8%

Your Cost: $20.15/claim|Median: $3.35
6.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$66K

4,086 claims · 0.8%

Your Cost: $16.17/claim|Median: $7.50
2.2× median
76856Top 5%

Ultrasound, pelvic, complete

$63K

248 claims · 0.7%

Your Cost: $252.70/claim|Median: $47.58
5.3× median
0223UTop 10%

$57K

153 claims · 0.7%

Your Cost: $375.23/claim|Median: $192.77
1.9× median
87581Top 5%

$52K

525 claims · 0.6%

Your Cost: $99.53/claim|Median: $17.13
5.8× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$46K

972 claims · 0.5%

Your Cost: $47.22/claim|Median: $10.88
4.3× median
87086Top 5%

Urine culture, colony count, with identification

$42K

809 claims · 0.5%

Your Cost: $52.20/claim|Median: $5.31
9.8× median
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