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Provider 1962412486

NPI: 1962412486Share
Active Billing Period:2018-01→2023-10(66 months)
Billing appears to have stoppedLast active: 2023-10

Total Paid

$11.7M

$11,655,773

Total Claims

155K

Beneficiaries

123K

1.3 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+7%
2019
$1.4M
+61%
2020
$2.3M
+51%
2021
$3.5M
-11%
2022
$3.1M
-96%
2023
$109K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (8888888 (Not classified)) accounts for 79% of total spending.

8888888Normal range

Not classified

$9.2M

23K claims · 79.2%

Your Cost: $401.25/claim|Median: $365.77
1.1× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$345K

10K claims · 3.0%

Your Cost: $34.11/claim|Median: $4.71
7.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$262K

5,785 claims · 2.2%

Your Cost: $45.27/claim|Median: $21.76
2.1× median
99283Normal range

Emergency dept visit, moderate complexity

$236K

5,762 claims · 2.0%

Your Cost: $40.89/claim|Median: $42.48
1.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$204K

1,633 claims · 1.8%

Your Cost: $124.98/claim|Median: $91.47
1.4× median
80050Top 10%

General health panel

$115K

1,299 claims · 1.0%

Your Cost: $88.82/claim|Median: $25.59
3.5× median
99284Normal range

Emergency dept visit, high complexity

$115K

7,257 claims · 1.0%

Your Cost: $15.85/claim|Median: $69.51
0.2× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$107K

781 claims · 0.9%

Your Cost: $136.69/claim|Median: $9.56
14.3× median
99282Normal range

Emergency dept visit, low complexity

$79K

1,583 claims · 0.7%

Your Cost: $49.69/claim|Median: $37.72
1.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$75K

4,084 claims · 0.6%

Your Cost: $18.33/claim|Median: $14.92
1.2× median
96365Normal range

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

$71K

1,271 claims · 0.6%

Your Cost: $55.87/claim|Median: $54.77
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$59K

4,599 claims · 0.5%

Your Cost: $12.82/claim|Median: $85.65
0.1× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$54K

4,058 claims · 0.5%

Your Cost: $13.27/claim|Median: $0.91
14.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$39K

2,326 claims · 0.3%

Your Cost: $16.83/claim|Median: $35.43
0.5× median
J2704Top 10%

$39K

2,532 claims · 0.3%

Your Cost: $15.39/claim|Median: $0.76
20.2× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$34K

5,547 claims · 0.3%

Your Cost: $6.10/claim|Median: $0.58
10.5× median
96361Normal range

IV infusion, hydration, each additional hour

$33K

3,284 claims · 0.3%

Your Cost: $10.18/claim|Median: $38.92
0.3× median
81001Top 25%

Urinalysis, automated, with microscopy

$32K

5,352 claims · 0.3%

Your Cost: $6.02/claim|Median: $2.03
3.0× median
J3010Top 10%

$31K

2,692 claims · 0.3%

Your Cost: $11.59/claim|Median: $0.55
21.1× median
70450Normal range

CT head/brain without contrast

$29K

1,230 claims · 0.3%

Your Cost: $23.91/claim|Median: $45.53
0.5× median
J1100Top 5%

$27K

1,896 claims · 0.2%

Your Cost: $14.49/claim|Median: $0.52
27.9× median
71046Top 25%

Chest X-ray, 2 views

$26K

1,397 claims · 0.2%

Your Cost: $18.52/claim|Median: $8.92
2.1× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$23K

674 claims · 0.2%

Your Cost: $34.13/claim|Median: $34.62
1.0× median
J7120Top 10%

Ringer's lactate infusion, up to 1000 cc

$23K

1,129 claims · 0.2%

Your Cost: $20.32/claim|Median: $1.51
13.5× median
80053Normal range

Comprehensive metabolic panel

$22K

8,732 claims · 0.2%

Your Cost: $2.55/claim|Median: $7.24
0.4× median
85027Top 5%

Complete blood count (CBC), automated

$21K

726 claims · 0.2%

Your Cost: $29.39/claim|Median: $3.72
7.9× median
82330Top 10%

$20K

1,188 claims · 0.2%

Your Cost: $16.91/claim|Median: $4.93
3.4× median
71045Top 25%

Chest X-ray, single view

$20K

1,961 claims · 0.2%

Your Cost: $10.00/claim|Median: $4.93
2.0× median
84702Normal range

$19K

2,918 claims · 0.2%

Your Cost: $6.38/claim|Median: $8.25
0.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$18K

598 claims · 0.2%

Your Cost: $30.60/claim|Median: $35.80
0.9× median
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