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Provider 1972564730

NPI: 1972564730Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.4M

$18,354,765

Total Claims

665K

Beneficiaries

606K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-4%
2019
$2.4M
-8%
2020
$2.2M
+39%
2021
$3.0M
-6%
2022
$2.8M
+6%
2023
$3.0M
-19%
2024
$2.4M

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 19% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.4M

27K claims · 18.6%

Your Cost: $125.13/claim|Median: $42.48
2.9× median
99284Top 10%

Emergency dept visit, high complexity

$3.4M

19K claims · 18.5%

Your Cost: $181.48/claim|Median: $69.51
2.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.3M

9,262 claims · 12.6%

Your Cost: $250.07/claim|Median: $85.65
2.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

13K claims · 6.0%

Your Cost: $85.85/claim|Median: $21.76
3.9× median
G0378Top 25%

Hospital observation service, per hour

$668K

1,176 claims · 3.6%

Your Cost: $567.87/claim|Median: $99.39
5.7× median
74177Normal range

CT abdomen and pelvis with contrast

$587K

4,276 claims · 3.2%

Your Cost: $137.18/claim|Median: $65.76
2.1× median
99282Normal range

Emergency dept visit, low complexity

$559K

7,015 claims · 3.0%

Your Cost: $79.68/claim|Median: $37.72
2.1× median
96365Normal range

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

$391K

4,988 claims · 2.1%

Your Cost: $78.34/claim|Median: $54.77
1.4× median
70450Top 25%

CT head/brain without contrast

$328K

3,932 claims · 1.8%

Your Cost: $83.30/claim|Median: $45.53
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$303K

12K claims · 1.7%

Your Cost: $26.11/claim|Median: $38.92
0.7× median
G0463Normal range

Hospital outpatient clinic visit

$301K

5,466 claims · 1.6%

Your Cost: $55.12/claim|Median: $26.41
2.1× median
96360Normal range

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

$293K

3,424 claims · 1.6%

Your Cost: $85.45/claim|Median: $61.57
1.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$281K

11K claims · 1.5%

Your Cost: $26.34/claim|Median: $14.92
1.8× median
71046Top 10%

Chest X-ray, 2 views

$246K

7,191 claims · 1.3%

Your Cost: $34.27/claim|Median: $8.92
3.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$232K

5,086 claims · 1.3%

Your Cost: $45.56/claim|Median: $63.08
0.7× median
71045Top 10%

Chest X-ray, single view

$194K

6,083 claims · 1.1%

Your Cost: $31.95/claim|Median: $4.93
6.5× median
74176Normal range

CT abdomen and pelvis without contrast

$194K

1,960 claims · 1.1%

Your Cost: $98.89/claim|Median: $60.19
1.6× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$187K

855 claims · 1.0%

Your Cost: $218.29/claim|Median: $54.68
4.0× median
59025Top 25%

Fetal non-stress test

$168K

1,767 claims · 0.9%

Your Cost: $94.82/claim|Median: $26.45
3.6× median
97110Normal range

Therapeutic exercises, each 15 min

$156K

6,581 claims · 0.8%

Your Cost: $23.63/claim|Median: $24.49
1.0× median
99291Top 5%

Critical care, first 30-74 minutes

$140K

364 claims · 0.8%

Your Cost: $384.30/claim|Median: $101.24
3.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$133K

2,668 claims · 0.7%

Your Cost: $49.88/claim|Median: $39.33
1.3× median
86900Top 10%

$124K

3,209 claims · 0.7%

Your Cost: $38.55/claim|Median: $2.55
15.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$112K

16K claims · 0.6%

Your Cost: $7.15/claim|Median: $9.87
0.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$111K

6,252 claims · 0.6%

Your Cost: $17.76/claim|Median: $24.95
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$109K

6,251 claims · 0.6%

Your Cost: $17.51/claim|Median: $23.39
0.7× median
80061Normal range

Lipid panel

$103K

10K claims · 0.6%

Your Cost: $9.89/claim|Median: $8.41
1.2× median
80053Normal range

Comprehensive metabolic panel

$96K

38K claims · 0.5%

Your Cost: $2.52/claim|Median: $7.24
0.3× median
76705Top 25%

Ultrasound, abdominal, limited

$94K

1,696 claims · 0.5%

Your Cost: $55.45/claim|Median: $23.81
2.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$92K

8,160 claims · 0.5%

Your Cost: $11.27/claim|Median: $35.43
0.3× median
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