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Provider 1962508259

NPI: 1962508259Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.6M

$15,625,725

Total Claims

507K

Beneficiaries

458K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-10%
2019
$1.2M
+45%
2020
$1.8M
+45%
2021
$2.6M
+4%
2022
$2.7M
+24%
2023
$3.3M
-16%
2024
$2.8M

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 21% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$3.3M

23K claims · 21.1%

Your Cost: $145.27/claim|Median: $42.48
3.4× median
99284Top 10%

Emergency dept visit, high complexity

$2.4M

11K claims · 15.2%

Your Cost: $221.97/claim|Median: $69.51
3.2× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.1M

1,166 claims · 7.2%

Your Cost: $971.48/claim|Median: $763.43
1.3× median
99282Top 25%

Emergency dept visit, low complexity

$972K

10K claims · 6.2%

Your Cost: $96.61/claim|Median: $37.72
2.6× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$862K

2,755 claims · 5.5%

Your Cost: $312.74/claim|Median: $85.65
3.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$793K

8,501 claims · 5.1%

Your Cost: $93.28/claim|Median: $21.76
4.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$512K

2,924 claims · 3.3%

Your Cost: $175.14/claim|Median: $65.76
2.7× median
97110Normal range

Therapeutic exercises, each 15 min

$511K

15K claims · 3.3%

Your Cost: $34.01/claim|Median: $24.49
1.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$430K

6,794 claims · 2.8%

Your Cost: $63.25/claim|Median: $63.08
1.0× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$290K

3,629 claims · 1.9%

Your Cost: $79.82/claim|Median: $100.62
0.8× median
96361Normal range

IV infusion, hydration, each additional hour

$249K

7,418 claims · 1.6%

Your Cost: $33.58/claim|Median: $38.92
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$205K

6,364 claims · 1.3%

Your Cost: $32.16/claim|Median: $14.92
2.2× median
99291Top 5%

Critical care, first 30-74 minutes

$204K

445 claims · 1.3%

Your Cost: $458.65/claim|Median: $101.24
4.5× median
71046Top 10%

Chest X-ray, 2 views

$176K

4,609 claims · 1.1%

Your Cost: $38.24/claim|Median: $8.92
4.3× median
71045Top 10%

Chest X-ray, single view

$175K

4,280 claims · 1.1%

Your Cost: $40.87/claim|Median: $4.93
8.3× median
70450Normal range

CT head/brain without contrast

$130K

1,791 claims · 0.8%

Your Cost: $72.47/claim|Median: $45.53
1.6× median
80061Normal range

Lipid panel

$130K

12K claims · 0.8%

Your Cost: $10.82/claim|Median: $8.41
1.3× median
96360Normal range

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

$124K

1,233 claims · 0.8%

Your Cost: $100.79/claim|Median: $61.57
1.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$120K

13K claims · 0.8%

Your Cost: $9.12/claim|Median: $9.87
0.9× median
99281Normal range

Emergency dept visit, minimal complexity

$118K

1,763 claims · 0.8%

Your Cost: $66.70/claim|Median: $52.03
1.3× median
76705Top 25%

Ultrasound, abdominal, limited

$113K

1,576 claims · 0.7%

Your Cost: $71.55/claim|Median: $23.81
3.0× median
76830Normal range

Ultrasound, transvaginal

$110K

1,591 claims · 0.7%

Your Cost: $69.13/claim|Median: $57.47
1.2× median
96365Normal range

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

$109K

1,171 claims · 0.7%

Your Cost: $93.25/claim|Median: $54.77
1.7× median
G0378Top 25%

Hospital observation service, per hour

$108K

352 claims · 0.7%

Your Cost: $305.65/claim|Median: $99.39
3.1× median
80053Normal range

Comprehensive metabolic panel

$107K

29K claims · 0.7%

Your Cost: $3.72/claim|Median: $7.24
0.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$100K

1,670 claims · 0.6%

Your Cost: $60.13/claim|Median: $39.33
1.5× median
C9803Normal range

$98K

5,638 claims · 0.6%

Your Cost: $17.44/claim|Median: $13.20
1.3× median
76856Normal range

Ultrasound, pelvic, complete

$93K

1,361 claims · 0.6%

Your Cost: $68.00/claim|Median: $47.58
1.4× median
74176Normal range

CT abdomen and pelvis without contrast

$83K

731 claims · 0.5%

Your Cost: $113.51/claim|Median: $60.19
1.9× median
36415Normal range

Collection of venous blood by venipuncture

$83K

43K claims · 0.5%

Your Cost: $1.94/claim|Median: $1.57
1.2× median
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