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Provider 1972503910

NPI: 1972503910Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,782,190

Total Claims

340K

Beneficiaries

291K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+21%
2019
$1.5M
-19%
2020
$1.2M
+47%
2021
$1.7M
+1%
2022
$1.8M
-14%
2023
$1.5M
-37%
2024
$957K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (36415 (Collection of venous blood by venipuncture)) accounts for 26% of total spending.

36415Top 1%

Collection of venous blood by venipuncture

$2.6M

20K claims · 26.2%

Your Cost: $125.48/claim|Median: $1.57
79.9× median
Q9967Top 1%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$779K

3,100 claims · 8.0%

Your Cost: $251.36/claim|Median: $3.42
73.5× median
80053Top 10%

Comprehensive metabolic panel

$648K

21K claims · 6.6%

Your Cost: $30.44/claim|Median: $7.24
4.2× median
A9577Top 5%

$432K

616 claims · 4.4%

Your Cost: $701.35/claim|Median: $8.56
81.9× median
97110Top 25%

Therapeutic exercises, each 15 min

$414K

7,655 claims · 4.2%

Your Cost: $54.11/claim|Median: $24.49
2.2× median
99283Normal range

Emergency dept visit, moderate complexity

$360K

9,690 claims · 3.7%

Your Cost: $37.12/claim|Median: $42.48
0.9× median
99282Normal range

Emergency dept visit, low complexity

$346K

5,727 claims · 3.5%

Your Cost: $60.34/claim|Median: $37.72
1.6× median
81025Top 1%

Urine pregnancy test

$301K

3,596 claims · 3.1%

Your Cost: $83.80/claim|Median: $4.81
17.4× median
99284Normal range

Emergency dept visit, high complexity

$249K

10K claims · 2.5%

Your Cost: $24.29/claim|Median: $69.51
0.3× median
J3490Top 5%

Unclassified drugs

$239K

844 claims · 2.4%

Your Cost: $283.64/claim|Median: $5.70
49.8× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$205K

2,011 claims · 2.1%

Your Cost: $102.16/claim|Median: $35.80
2.9× median
87070Top 1%

Bacterial culture, any source except blood or urine

$191K

1,832 claims · 2.0%

Your Cost: $104.24/claim|Median: $5.89
17.7× median
87081Top 1%

Culture screening for pathogenic organisms

$156K

1,016 claims · 1.6%

Your Cost: $153.45/claim|Median: $5.09
30.1× median
87426Normal range

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

$134K

3,914 claims · 1.4%

Your Cost: $34.36/claim|Median: $30.04
1.1× median
87400Top 5%

$124K

1,446 claims · 1.3%

Your Cost: $85.78/claim|Median: $8.40
10.2× median
87804Top 5%

Influenza virus detection, rapid test

$118K

3,475 claims · 1.2%

Your Cost: $33.93/claim|Median: $12.59
2.7× median
96361Normal range

IV infusion, hydration, each additional hour

$117K

4,347 claims · 1.2%

Your Cost: $26.90/claim|Median: $38.92
0.7× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$111K

2,660 claims · 1.1%

Your Cost: $41.91/claim|Median: $9.56
4.4× median
71046Top 25%

Chest X-ray, 2 views

$108K

3,868 claims · 1.1%

Your Cost: $28.03/claim|Median: $8.92
3.1× median
70450Normal range

CT head/brain without contrast

$100K

2,328 claims · 1.0%

Your Cost: $43.01/claim|Median: $45.53
0.9× median
96360Normal range

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

$96K

1,671 claims · 1.0%

Your Cost: $57.66/claim|Median: $61.57
0.9× median
80048Top 25%

Basic metabolic panel

$95K

5,115 claims · 1.0%

Your Cost: $18.58/claim|Median: $5.78
3.2× median
87481Top 1%

$89K

389 claims · 0.9%

Your Cost: $229.32/claim|Median: $22.38
10.2× median
G0463Normal range

Hospital outpatient clinic visit

$87K

2,231 claims · 0.9%

Your Cost: $38.89/claim|Median: $26.41
1.5× median
81003Top 5%

Urinalysis, automated without microscopy

$79K

11K claims · 0.8%

Your Cost: $7.12/claim|Median: $1.48
4.8× median
87086Top 10%

Urine culture, colony count, with identification

$77K

4,610 claims · 0.8%

Your Cost: $16.67/claim|Median: $5.31
3.1× median
70553Top 5%

MRI brain without contrast, then with contrast

$69K

105 claims · 0.7%

Your Cost: $653.46/claim|Median: $133.68
4.9× median
99212Top 5%

Office/outpatient visit, low complexity

$63K

640 claims · 0.6%

Your Cost: $98.98/claim|Median: $25.06
3.9× median
71260Top 10%

CT chest with contrast

$63K

310 claims · 0.6%

Your Cost: $202.77/claim|Median: $48.36
4.2× median
99213Top 10%

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

$60K

780 claims · 0.6%

Your Cost: $76.32/claim|Median: $37.81
2.0× median
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