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Provider 1932695525

NPI: 1932695525Share
Active Billing Period:2019-02→2024-12(71 months)

Total Paid

$15.2M

$15,241,358

Total Claims

444K

Beneficiaries

395K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2019
$1.0M
+87%
2020
$1.9M
+56%
2021
$3.0M
+8%
2022
$3.2M
+4%
2023
$3.4M
-20%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 18% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$2.7M

10K claims · 17.7%

Your Cost: $264.98/claim|Median: $69.51
3.8× median
G0463Top 25%

Hospital outpatient clinic visit

$2.2M

26K claims · 14.4%

Your Cost: $83.31/claim|Median: $26.41
3.2× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.0M

5,140 claims · 13.1%

Your Cost: $389.51/claim|Median: $85.65
4.5× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.7M

9,847 claims · 11.1%

Your Cost: $171.74/claim|Median: $42.48
4.0× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$859K

6,688 claims · 5.6%

Your Cost: $128.44/claim|Median: $21.76
5.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$530K

2,612 claims · 3.5%

Your Cost: $202.84/claim|Median: $65.76
3.1× median
97110Normal range

Therapeutic exercises, each 15 min

$454K

13K claims · 3.0%

Your Cost: $33.62/claim|Median: $24.49
1.4× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$417K

6,238 claims · 2.7%

Your Cost: $66.87/claim|Median: $60.05
1.1× median
99282Top 25%

Emergency dept visit, low complexity

$305K

3,092 claims · 2.0%

Your Cost: $98.72/claim|Median: $37.72
2.6× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$254K

2,102 claims · 1.7%

Your Cost: $121.00/claim|Median: $54.77
2.2× median
71046Top 5%

Chest X-ray, 2 views

$248K

4,761 claims · 1.6%

Your Cost: $52.03/claim|Median: $8.92
5.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$204K

1,894 claims · 1.3%

Your Cost: $107.52/claim|Median: $100.62
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$171K

4,557 claims · 1.1%

Your Cost: $37.59/claim|Median: $38.92
1.0× median
43239Top 10%

Upper GI endoscopy with biopsy

$153K

341 claims · 1.0%

Your Cost: $449.84/claim|Median: $151.68
3.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$147K

5,743 claims · 1.0%

Your Cost: $25.59/claim|Median: $14.92
1.7× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$134K

1,008 claims · 0.9%

Your Cost: $132.76/claim|Median: $61.57
2.2× median
80061Top 25%

Lipid panel

$107K

7,887 claims · 0.7%

Your Cost: $13.52/claim|Median: $8.41
1.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$97K

6,477 claims · 0.6%

Your Cost: $14.98/claim|Median: $16.79
0.9× median
86900Top 5%

$95K

1,709 claims · 0.6%

Your Cost: $55.69/claim|Median: $2.55
21.8× median
76705Top 25%

Ultrasound, abdominal, limited

$93K

1,185 claims · 0.6%

Your Cost: $78.28/claim|Median: $23.81
3.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$90K

4,598 claims · 0.6%

Your Cost: $19.58/claim|Median: $24.95
0.8× median
36415Top 25%

Collection of venous blood by venipuncture

$90K

33K claims · 0.6%

Your Cost: $2.71/claim|Median: $1.57
1.7× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$87K

4,476 claims · 0.6%

Your Cost: $19.47/claim|Median: $15.76
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$85K

4,414 claims · 0.6%

Your Cost: $19.33/claim|Median: $23.39
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$83K

1,306 claims · 0.5%

Your Cost: $63.65/claim|Median: $39.33
1.6× median
80053Normal range

Comprehensive metabolic panel

$83K

24K claims · 0.5%

Your Cost: $3.49/claim|Median: $7.24
0.5× median
G0472Top 10%

$80K

2,304 claims · 0.5%

Your Cost: $34.85/claim|Median: $14.24
2.4× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$78K

2,294 claims · 0.5%

Your Cost: $33.80/claim|Median: $34.62
1.0× median
76830Normal range

Ultrasound, transvaginal

$75K

941 claims · 0.5%

Your Cost: $79.56/claim|Median: $57.47
1.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$71K

3,434 claims · 0.5%

Your Cost: $20.79/claim|Median: $35.43
0.6× median
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