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Provider 1952954307

NPI: 1952954307Share
Active Billing Period:2020-01→2024-12(56 months)

Total Paid

$10.0M

$10,000,757

Total Claims

69K

Beneficiaries

61K

1.1 claims/patient

Avg Cost/Claim

$145

Monthly Spending Trend

Yearly Spending

2020
$389K
+641%
2021
$2.9M
-32%
2022
$2.0M
+33%
2023
$2.6M
-17%
2024
$2.2M

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 38% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$3.8M

14K claims · 38.1%

Your Cost: $275.54/claim|Median: $69.51
4.0× median
99283Top 5%

Emergency dept visit, moderate complexity

$3.3M

18K claims · 32.8%

Your Cost: $186.45/claim|Median: $42.48
4.4× median
G0378Top 1%

Hospital observation service, per hour

$1.7M

705 claims · 17.3%

Your Cost: $2,453.48/claim|Median: $99.39
24.7× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$294K

5,452 claims · 2.9%

Your Cost: $53.96/claim|Median: $121.16
0.4× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$225K

160 claims · 2.3%

Your Cost: $1,407.90/claim|Median: $120.85
11.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$145K

159 claims · 1.5%

Your Cost: $914.01/claim|Median: $331.68
2.8× median
54161Normal range

$125K

341 claims · 1.2%

Your Cost: $365.32/claim|Median: $252.63
1.4× median
14040Top 5%

$88K

64 claims · 0.9%

Your Cost: $1,375.09/claim|Median: $311.85
4.4× median
69436Normal range

Tympanostomy, general anesthesia

$51K

110 claims · 0.5%

Your Cost: $464.73/claim|Median: $205.50
2.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$37K

527 claims · 0.4%

Your Cost: $71.02/claim|Median: $100.62
0.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$31K

125 claims · 0.3%

Your Cost: $244.14/claim|Median: $85.65
2.9× median
D1120Top 1%

Prophylaxis, adult

$27K

108 claims · 0.3%

Your Cost: $249.33/claim|Median: $33.86
7.4× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$24K

175 claims · 0.2%

Your Cost: $139.43/claim|Median: $75.28
1.9× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$24K

80 claims · 0.2%

Your Cost: $304.72/claim|Median: $1,587.53
0.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$19K

3,511 claims · 0.2%

Your Cost: $5.55/claim|Median: $4.71
1.2× median
54360Top 25%

$14K

12 claims · 0.1%

Your Cost: $1,164.00/claim|Median: $609.21
1.9× median
54300Normal range

$11K

43 claims · 0.1%

Your Cost: $265.67/claim|Median: $588.34
0.5× median
U0003Top 10%

Infectious disease detection (COVID-19)

$11K

105 claims · 0.1%

Your Cost: $104.02/claim|Median: $63.08
1.6× median
80053Normal range

Comprehensive metabolic panel

$10K

1,109 claims · 0.1%

Your Cost: $8.82/claim|Median: $7.24
1.2× median
92523Normal range

Evaluation of speech sound production with language comprehension

$6K

67 claims · 0.1%

Your Cost: $90.37/claim|Median: $110.87
0.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$5K

169 claims · 0.0%

Your Cost: $29.17/claim|Median: $12.93
2.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$5K

14 claims · 0.0%

Your Cost: $323.04/claim|Median: $151.68
2.1× median
99291Top 10%

Critical care, first 30-74 minutes

$4K

16 claims · 0.0%

Your Cost: $241.23/claim|Median: $101.24
2.4× median
82728Normal range

Ferritin

$4K

339 claims · 0.0%

Your Cost: $11.27/claim|Median: $6.00
1.9× median
87631Top 5%

Respiratory virus detection, 3-5 targets, multiplex

$3K

13 claims · 0.0%

Your Cost: $208.08/claim|Median: $65.45
3.2× median
85045Top 25%

$2K

471 claims · 0.0%

Your Cost: $4.78/claim|Median: $1.64
2.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$2K

72 claims · 0.0%

Your Cost: $22.74/claim|Median: $14.92
1.5× median
82306Normal range

Vitamin D, 25 hydroxy

$2K

63 claims · 0.0%

Your Cost: $25.48/claim|Median: $18.18
1.4× median
96409Normal range

$940

20 claims · 0.0%

Your Cost: $47.02/claim|Median: $72.14
0.7× median
82947Normal range

Blood glucose level test

$885

281 claims · 0.0%

Your Cost: $3.15/claim|Median: $2.38
1.3× median
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