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Provider 1952613416

NPI: 1952613416Share
Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$8.5M

$8,470,330

Total Claims

199K

Beneficiaries

163K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-14%
2019
$3.2M
-66%
2020
$1.1M
-86%
2021
$149K
+7%
2022
$160K
-29%
2023
$113K
-22%
2024
$88K

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 18% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$1.6M

10K claims · 18.5%

Your Cost: $150.31/claim|Median: $42.48
3.5× median
99284Top 25%

Emergency dept visit, high complexity

$1.1M

7,594 claims · 12.6%

Your Cost: $140.89/claim|Median: $69.51
2.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$947K

6,409 claims · 11.2%

Your Cost: $147.75/claim|Median: $85.65
1.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$877K

3,565 claims · 10.4%

Your Cost: $246.09/claim|Median: $38.92
6.3× median
99282Top 10%

Emergency dept visit, low complexity

$358K

2,327 claims · 4.2%

Your Cost: $153.96/claim|Median: $37.72
4.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$345K

1,496 claims · 4.1%

Your Cost: $230.66/claim|Median: $65.76
3.5× median
70450Top 25%

CT head/brain without contrast

$287K

1,820 claims · 3.4%

Your Cost: $157.87/claim|Median: $45.53
3.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$255K

4,594 claims · 3.0%

Your Cost: $55.51/claim|Median: $39.33
1.4× median
43239Top 10%

Upper GI endoscopy with biopsy

$241K

474 claims · 2.8%

Your Cost: $509.15/claim|Median: $151.68
3.4× median
96365Top 25%

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

$165K

1,370 claims · 2.0%

Your Cost: $120.66/claim|Median: $54.77
2.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$151K

2,590 claims · 1.8%

Your Cost: $58.46/claim|Median: $24.49
2.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$134K

3,919 claims · 1.6%

Your Cost: $34.17/claim|Median: $35.43
1.0× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$120K

1,705 claims · 1.4%

Your Cost: $70.35/claim|Median: $21.41
3.3× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$104K

940 claims · 1.2%

Your Cost: $110.66/claim|Median: $10.88
10.2× median
71046Top 25%

Chest X-ray, 2 views

$100K

5,594 claims · 1.2%

Your Cost: $17.85/claim|Median: $8.92
2.0× median
96360Top 25%

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

$99K

806 claims · 1.2%

Your Cost: $123.09/claim|Median: $61.57
2.0× median
59025Top 5%

Fetal non-stress test

$95K

465 claims · 1.1%

Your Cost: $203.43/claim|Median: $26.45
7.7× median
74176Top 10%

CT abdomen and pelvis without contrast

$85K

293 claims · 1.0%

Your Cost: $289.50/claim|Median: $60.19
4.8× median
76705Top 5%

Ultrasound, abdominal, limited

$78K

573 claims · 0.9%

Your Cost: $135.45/claim|Median: $23.81
5.7× median
45380Normal range

Colonoscopy with biopsy

$74K

258 claims · 0.9%

Your Cost: $285.83/claim|Median: $200.68
1.4× median
G0378Normal range

Hospital observation service, per hour

$70K

3,089 claims · 0.8%

Your Cost: $22.68/claim|Median: $99.39
0.2× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$63K

72 claims · 0.7%

Your Cost: $871.01/claim|Median: $233.73
3.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$62K

14K claims · 0.7%

Your Cost: $4.52/claim|Median: $4.71
1.0× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$57K

645 claims · 0.7%

Your Cost: $88.11/claim|Median: $65.45
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$52K

1,141 claims · 0.6%

Your Cost: $45.18/claim|Median: $39.70
1.1× median
70551Top 5%

MRI brain without contrast

$47K

103 claims · 0.6%

Your Cost: $459.13/claim|Median: $85.39
5.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$44K

2,157 claims · 0.5%

Your Cost: $20.58/claim|Median: $37.56
0.5× median
99212Top 5%

Office/outpatient visit, low complexity

$41K

295 claims · 0.5%

Your Cost: $140.52/claim|Median: $25.06
5.6× median
76642Top 25%

$40K

441 claims · 0.5%

Your Cost: $90.29/claim|Median: $32.06
2.8× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$37K

210 claims · 0.4%

Your Cost: $178.51/claim|Median: $58.55
3.0× median
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