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Provider 1952643306

NPI: 1952643306Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,494,444

Total Claims

120K

Beneficiaries

115K

1.0 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-8%
2019
$950K
-28%
2020
$684K
+52%
2021
$1.0M
+128%
2022
$2.4M
+17%
2023
$2.8M
-41%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 39% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$4.1M

13K claims · 39.2%

Your Cost: $319.13/claim|Median: $85.65
3.7× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.9M

12K claims · 18.2%

Your Cost: $159.45/claim|Median: $42.48
3.8× median
99284Top 5%

Emergency dept visit, high complexity

$1.8M

7,700 claims · 17.5%

Your Cost: $238.18/claim|Median: $69.51
3.4× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.0M

7,922 claims · 9.7%

Your Cost: $128.85/claim|Median: $21.76
5.9× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$194K

4,278 claims · 1.8%

Your Cost: $45.33/claim|Median: $14.92
3.0× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$162K

1,217 claims · 1.5%

Your Cost: $132.93/claim|Median: $97.61
1.4× median
74177Normal range

CT abdomen and pelvis with contrast

$158K

1,004 claims · 1.5%

Your Cost: $157.01/claim|Median: $65.76
2.4× median
69436Normal range

Tympanostomy, general anesthesia

$156K

324 claims · 1.5%

Your Cost: $480.19/claim|Median: $205.50
2.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$132K

1,099 claims · 1.3%

Your Cost: $120.40/claim|Median: $75.28
1.6× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$131K

43 claims · 1.2%

Your Cost: $3,035.93/claim|Median: $331.68
9.2× median
50590Normal range

$108K

117 claims · 1.0%

Your Cost: $925.15/claim|Median: $655.10
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$97K

15K claims · 0.9%

Your Cost: $6.52/claim|Median: $4.71
1.4× median
80053Normal range

Comprehensive metabolic panel

$85K

9,745 claims · 0.8%

Your Cost: $8.70/claim|Median: $7.24
1.2× median
36415Top 25%

Collection of venous blood by venipuncture

$56K

11K claims · 0.5%

Your Cost: $4.97/claim|Median: $1.57
3.2× median
71045Top 25%

Chest X-ray, single view

$51K

4,159 claims · 0.5%

Your Cost: $12.30/claim|Median: $4.93
2.5× median
70450Normal range

CT head/brain without contrast

$28K

611 claims · 0.3%

Your Cost: $45.51/claim|Median: $45.53
1.0× median
84484Top 10%

Troponin, quantitative

$18K

1,103 claims · 0.2%

Your Cost: $16.26/claim|Median: $4.84
3.4× median
81001Normal range

Urinalysis, automated, with microscopy

$16K

5,604 claims · 0.2%

Your Cost: $2.86/claim|Median: $2.03
1.4× median
81025Top 25%

Urine pregnancy test

$16K

2,237 claims · 0.2%

Your Cost: $7.07/claim|Median: $4.81
1.5× median
83880Top 10%

$15K

470 claims · 0.1%

Your Cost: $32.46/claim|Median: $11.81
2.7× median
83690Normal range

$15K

2,660 claims · 0.1%

Your Cost: $5.62/claim|Median: $3.35
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$14K

1,020 claims · 0.1%

Your Cost: $13.80/claim|Median: $11.48
1.2× median
80306Normal range

$12K

854 claims · 0.1%

Your Cost: $14.38/claim|Median: $10.29
1.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$12K

2,292 claims · 0.1%

Your Cost: $5.33/claim|Median: $7.50
0.7× median
96367Normal range

$10K

372 claims · 0.1%

Your Cost: $26.84/claim|Median: $29.27
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$10K

128 claims · 0.1%

Your Cost: $77.68/claim|Median: $54.68
1.4× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$9K

227 claims · 0.1%

Your Cost: $39.04/claim|Median: $164.22
0.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$7K

92 claims · 0.1%

Your Cost: $76.75/claim|Median: $65.64
1.2× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$7K

16 claims · 0.1%

Your Cost: $438.19/claim|Median: $268.70
1.6× median
G0463Normal range

Hospital outpatient clinic visit

$7K

770 claims · 0.1%

Your Cost: $8.50/claim|Median: $26.41
0.3× median
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