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Provider 1942298153

NPI: 1942298153Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,138,170

Total Claims

502K

Beneficiaries

436K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-17%
2019
$2.1M
-25%
2020
$1.5M
+34%
2021
$2.1M
+24%
2022
$2.6M
-2%
2023
$2.5M
-23%
2024
$1.9M

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 13% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.0M

57K claims · 13.5%

Your Cost: $36.13/claim|Median: $69.51
0.5× median
0450Top 25%

Emergency room visit

$1.3M

9,267 claims · 8.7%

Your Cost: $141.32/claim|Median: $44.95
3.1× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

12K claims · 7.6%

Your Cost: $99.10/claim|Median: $21.76
4.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$775K

2,169 claims · 5.1%

Your Cost: $357.38/claim|Median: $65.76
5.4× median
80053Top 25%

Comprehensive metabolic panel

$613K

31K claims · 4.0%

Your Cost: $20.02/claim|Median: $7.24
2.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$610K

20K claims · 4.0%

Your Cost: $30.74/claim|Median: $7.50
4.1× median
70450Top 25%

CT head/brain without contrast

$561K

3,399 claims · 3.7%

Your Cost: $165.13/claim|Median: $45.53
3.6× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$555K

6,560 claims · 3.7%

Your Cost: $84.68/claim|Median: $39.70
2.1× median
99070Normal range

$489K

29K claims · 3.2%

Your Cost: $16.70/claim|Median: $8.08
2.1× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$460K

6,964 claims · 3.0%

Your Cost: $65.99/claim|Median: $14.92
4.4× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$391K

37K claims · 2.6%

Your Cost: $10.71/claim|Median: $4.71
2.3× median
99199Top 10%

Unlisted special service, procedure, or report

$384K

6,176 claims · 2.5%

Your Cost: $62.21/claim|Median: $5.39
11.5× median
Z7502Normal range

$355K

9,521 claims · 2.3%

Your Cost: $37.34/claim|Median: $37.17
1.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$300K

6,618 claims · 2.0%

Your Cost: $45.38/claim|Median: $9.56
4.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$281K

1,339 claims · 1.9%

Your Cost: $210.00/claim|Median: $60.19
3.5× median
87811Top 1%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$240K

3,535 claims · 1.6%

Your Cost: $67.80/claim|Median: $30.53
2.2× median
96365Top 25%

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

$208K

1,643 claims · 1.4%

Your Cost: $126.44/claim|Median: $54.77
2.3× median
71045Top 25%

Chest X-ray, single view

$199K

10K claims · 1.3%

Your Cost: $19.68/claim|Median: $4.93
4.0× median
59050Normal range

$177K

1,381 claims · 1.2%

Your Cost: $128.49/claim|Median: $68.34
1.9× median
83880Top 5%

$174K

4,168 claims · 1.1%

Your Cost: $41.67/claim|Median: $11.81
3.5× median
96360Normal range

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

$167K

1,546 claims · 1.1%

Your Cost: $108.15/claim|Median: $61.57
1.8× median
J3490Normal range

Unclassified drugs

$158K

23K claims · 1.0%

Your Cost: $6.85/claim|Median: $5.70
1.2× median
84484Top 25%

Troponin, quantitative

$156K

11K claims · 1.0%

Your Cost: $14.35/claim|Median: $4.84
3.0× median
96361Normal range

IV infusion, hydration, each additional hour

$152K

3,520 claims · 1.0%

Your Cost: $43.14/claim|Median: $38.92
1.1× median
71046Top 10%

Chest X-ray, 2 views

$142K

4,091 claims · 0.9%

Your Cost: $34.75/claim|Median: $8.92
3.9× median
80306Top 25%

$120K

4,249 claims · 0.8%

Your Cost: $28.24/claim|Median: $10.29
2.7× median
99221Top 5%

Initial hospital care, straightforward/low

$110K

389 claims · 0.7%

Your Cost: $283.54/claim|Median: $39.96
7.1× median
81001Top 25%

Urinalysis, automated, with microscopy

$105K

19K claims · 0.7%

Your Cost: $5.51/claim|Median: $2.03
2.7× median
83690Top 10%

$104K

9,379 claims · 0.7%

Your Cost: $11.10/claim|Median: $3.35
3.3× median
87275Top 25%

$102K

8,239 claims · 0.7%

Your Cost: $12.34/claim|Median: $10.59
1.2× median
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