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Provider 1962808733

NPI: 1962808733Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.5M

$10,530,039

Total Claims

119K

Beneficiaries

107K

1.1 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-11%
2019
$1.4M
-48%
2020
$748K
-20%
2021
$600K
+150%
2022
$1.5M
+68%
2023
$2.5M
-16%
2024
$2.1M

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 19% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$2.0M

8,343 claims · 19.3%

Your Cost: $243.08/claim|Median: $85.65
2.8× median
G0463Top 10%

Hospital outpatient clinic visit

$1.5M

15K claims · 14.3%

Your Cost: $97.24/claim|Median: $26.41
3.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

11K claims · 12.8%

Your Cost: $117.96/claim|Median: $42.48
2.8× median
99284Top 10%

Emergency dept visit, high complexity

$1.3M

7,483 claims · 12.1%

Your Cost: $170.30/claim|Median: $69.51
2.4× median
Y7506Normal range

Healthcare procedure, code Y7506

$1.3M

13K claims · 12.0%

Your Cost: $100.51/claim|Median: $146.80
0.7× median
X4011Normal range

Healthcare procedure, code X4011

$954K

6,007 claims · 9.1%

Your Cost: $158.78/claim|Median: $268.66
0.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$271K

8,454 claims · 2.6%

Your Cost: $32.04/claim|Median: $4.71
6.8× median
80053Top 10%

Comprehensive metabolic panel

$256K

7,564 claims · 2.4%

Your Cost: $33.80/claim|Median: $7.24
4.7× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$221K

8,427 claims · 2.1%

Your Cost: $26.19/claim|Median: $11.48
2.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$196K

2,021 claims · 1.9%

Your Cost: $96.88/claim|Median: $97.61
1.0× median
87804Top 1%

Influenza virus detection, rapid test

$144K

1,195 claims · 1.4%

Your Cost: $120.31/claim|Median: $12.59
9.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$132K

1,177 claims · 1.2%

Your Cost: $111.77/claim|Median: $91.47
1.2× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$85K

1,515 claims · 0.8%

Your Cost: $56.09/claim|Median: $53.41
1.1× median
87081Top 10%

Culture screening for pathogenic organisms

$84K

3,764 claims · 0.8%

Your Cost: $22.33/claim|Median: $5.09
4.4× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$83K

705 claims · 0.8%

Your Cost: $117.68/claim|Median: $21.76
5.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$73K

1,753 claims · 0.7%

Your Cost: $41.70/claim|Median: $37.81
1.1× median
71046Top 5%

Chest X-ray, 2 views

$73K

1,086 claims · 0.7%

Your Cost: $67.13/claim|Median: $8.92
7.5× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$51K

1,129 claims · 0.5%

Your Cost: $45.03/claim|Median: $7.50
6.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$45K

163 claims · 0.4%

Your Cost: $276.37/claim|Median: $65.76
4.2× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$44K

1,568 claims · 0.4%

Your Cost: $28.02/claim|Median: $39.63
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$40K

3,216 claims · 0.4%

Your Cost: $12.29/claim|Median: $25.06
0.5× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$37K

544 claims · 0.4%

Your Cost: $68.38/claim|Median: $9.56
7.2× median
71045Top 5%

Chest X-ray, single view

$37K

728 claims · 0.3%

Your Cost: $50.55/claim|Median: $4.93
10.3× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$32K

1,233 claims · 0.3%

Your Cost: $26.22/claim|Median: $30.04
0.9× median
87400Top 25%

$16K

835 claims · 0.2%

Your Cost: $19.52/claim|Median: $8.40
2.3× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$16K

251 claims · 0.2%

Your Cost: $64.15/claim|Median: $12.06
5.3× median
99281Normal range

Emergency dept visit, minimal complexity

$15K

183 claims · 0.1%

Your Cost: $80.37/claim|Median: $52.03
1.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$14K

133 claims · 0.1%

Your Cost: $104.13/claim|Median: $67.32
1.5× median
81003Top 5%

Urinalysis, automated without microscopy

$13K

1,346 claims · 0.1%

Your Cost: $9.70/claim|Median: $1.48
6.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$12K

1,837 claims · 0.1%

Your Cost: $6.62/claim|Median: $63.08
0.1× median
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