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Provider 1942276423

NPI: 1942276423Share
Active Billing Period:2018-01→2024-12(71 months)

Total Paid

$9.6M

$9,551,763

Total Claims

360K

Beneficiaries

318K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$12K
-60%
2019
$5K
+11975%
2020
$579K
+593%
2021
$4.0M
-50%
2022
$2.0M
-17%
2023
$1.7M
-23%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 11% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.0M

16K claims · 10.9%

Your Cost: $63.26/claim|Median: $42.48
1.5× median
99284Normal range

Emergency dept visit, high complexity

$770K

8,669 claims · 8.1%

Your Cost: $88.80/claim|Median: $69.51
1.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$740K

9,555 claims · 7.7%

Your Cost: $77.46/claim|Median: $63.08
1.2× median
G0378Normal range

Hospital observation service, per hour

$629K

2,392 claims · 6.6%

Your Cost: $263.13/claim|Median: $99.39
2.6× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$510K

14K claims · 5.3%

Your Cost: $36.94/claim|Median: $121.16
0.3× median
99282Normal range

Emergency dept visit, low complexity

$453K

14K claims · 4.7%

Your Cost: $31.84/claim|Median: $37.72
0.8× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$428K

1,724 claims · 4.5%

Your Cost: $248.09/claim|Median: $144.30
1.7× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$306K

1,081 claims · 3.2%

Your Cost: $283.08/claim|Median: $169.17
1.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$270K

9,377 claims · 2.8%

Your Cost: $28.78/claim|Median: $12.93
2.2× median
74177Normal range

CT abdomen and pelvis with contrast

$266K

1,678 claims · 2.8%

Your Cost: $158.37/claim|Median: $65.76
2.4× median
X0592Normal range

$216K

7,844 claims · 2.3%

Your Cost: $27.60/claim|Median: $37.76
0.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$208K

8,959 claims · 2.2%

Your Cost: $23.19/claim|Median: $21.76
1.1× median
90837Top 10%

Psychotherapy, 60 minutes

$205K

1,437 claims · 2.1%

Your Cost: $142.91/claim|Median: $85.66
1.7× median
X0616Normal range

$200K

1,129 claims · 2.1%

Your Cost: $177.21/claim|Median: $182.02
1.0× median
80053Normal range

Comprehensive metabolic panel

$196K

25K claims · 2.1%

Your Cost: $7.98/claim|Median: $7.24
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$161K

1,749 claims · 1.7%

Your Cost: $91.89/claim|Median: $85.65
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$153K

1,533 claims · 1.6%

Your Cost: $99.58/claim|Median: $100.62
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$147K

3,609 claims · 1.5%

Your Cost: $40.65/claim|Median: $37.81
1.1× median
X0621Normal range

$127K

660 claims · 1.3%

Your Cost: $192.98/claim|Median: $212.75
0.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$115K

5,823 claims · 1.2%

Your Cost: $19.78/claim|Median: $15.76
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$111K

27K claims · 1.2%

Your Cost: $4.04/claim|Median: $4.71
0.9× median
70450Normal range

CT head/brain without contrast

$93K

1,700 claims · 1.0%

Your Cost: $54.82/claim|Median: $45.53
1.2× median
80050Top 25%

General health panel

$84K

1,831 claims · 0.9%

Your Cost: $45.72/claim|Median: $25.59
1.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$71K

4,361 claims · 0.7%

Your Cost: $16.17/claim|Median: $14.92
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$65K

8,614 claims · 0.7%

Your Cost: $7.50/claim|Median: $7.50
1.0× median
64615Normal range

$61K

746 claims · 0.6%

Your Cost: $81.40/claim|Median: $82.82
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$58K

1,481 claims · 0.6%

Your Cost: $38.92/claim|Median: $35.43
1.1× median
74176Normal range

CT abdomen and pelvis without contrast

$57K

771 claims · 0.6%

Your Cost: $74.13/claim|Median: $60.19
1.2× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$49K

1,216 claims · 0.5%

Your Cost: $40.45/claim|Median: $36.70
1.1× median
71045Normal range

Chest X-ray, single view

$44K

6,754 claims · 0.5%

Your Cost: $6.54/claim|Median: $4.93
1.3× median
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