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Provider 1972589489

NPI: 1972589489Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,762,708

Total Claims

481K

Beneficiaries

420K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-13%
2019
$1.1M
+29%
2020
$1.4M
+57%
2021
$2.1M
-4%
2022
$2.1M
+2%
2023
$2.1M
-12%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 23% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.7M

14K claims · 23.2%

Your Cost: $193.57/claim|Median: $69.51
2.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

16K claims · 16.6%

Your Cost: $125.49/claim|Median: $42.48
3.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.2M

4,025 claims · 10.3%

Your Cost: $300.15/claim|Median: $85.65
3.5× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$845K

8,618 claims · 7.2%

Your Cost: $98.09/claim|Median: $21.76
4.5× median
99282Normal range

Emergency dept visit, low complexity

$466K

6,471 claims · 4.0%

Your Cost: $72.00/claim|Median: $37.72
1.9× median
97110Normal range

Therapeutic exercises, each 15 min

$403K

15K claims · 3.4%

Your Cost: $26.77/claim|Median: $24.49
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$399K

2,768 claims · 3.4%

Your Cost: $144.08/claim|Median: $65.76
2.2× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$366K

6,286 claims · 3.1%

Your Cost: $58.16/claim|Median: $60.05
1.0× median
96365Normal range

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

$209K

2,221 claims · 1.8%

Your Cost: $93.94/claim|Median: $54.77
1.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$206K

2,189 claims · 1.8%

Your Cost: $94.29/claim|Median: $100.62
0.9× median
G0463Normal range

Hospital outpatient clinic visit

$186K

3,195 claims · 1.6%

Your Cost: $58.07/claim|Median: $26.41
2.2× median
71046Top 10%

Chest X-ray, 2 views

$173K

4,606 claims · 1.5%

Your Cost: $37.57/claim|Median: $8.92
4.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$146K

7,066 claims · 1.2%

Your Cost: $20.73/claim|Median: $14.92
1.4× median
96361Normal range

IV infusion, hydration, each additional hour

$134K

4,647 claims · 1.1%

Your Cost: $28.74/claim|Median: $38.92
0.7× median
99281Normal range

Emergency dept visit, minimal complexity

$110K

2,693 claims · 0.9%

Your Cost: $40.84/claim|Median: $52.03
0.8× median
U0002Normal range

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

$105K

3,658 claims · 0.9%

Your Cost: $28.73/claim|Median: $34.62
0.8× median
86900Top 10%

$87K

2,482 claims · 0.7%

Your Cost: $35.09/claim|Median: $2.55
13.8× median
76705Top 25%

Ultrasound, abdominal, limited

$87K

1,470 claims · 0.7%

Your Cost: $59.21/claim|Median: $23.81
2.5× median
70450Normal range

CT head/brain without contrast

$87K

1,812 claims · 0.7%

Your Cost: $47.86/claim|Median: $45.53
1.1× median
80061Normal range

Lipid panel

$84K

6,882 claims · 0.7%

Your Cost: $12.24/claim|Median: $8.41
1.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$83K

1,783 claims · 0.7%

Your Cost: $46.30/claim|Median: $39.33
1.2× median
97140Normal range

Manual therapy techniques, per 15 minutes

$80K

5,870 claims · 0.7%

Your Cost: $13.63/claim|Median: $16.79
0.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$75K

4,388 claims · 0.6%

Your Cost: $17.13/claim|Median: $15.76
1.1× median
96360Normal range

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

$73K

714 claims · 0.6%

Your Cost: $101.85/claim|Median: $61.57
1.7× median
71045Top 10%

Chest X-ray, single view

$72K

1,805 claims · 0.6%

Your Cost: $39.73/claim|Median: $4.93
8.1× median
36415Normal range

Collection of venous blood by venipuncture

$62K

39K claims · 0.5%

Your Cost: $1.60/claim|Median: $1.57
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$58K

516 claims · 0.5%

Your Cost: $111.99/claim|Median: $60.19
1.9× median
G0472Top 25%

$56K

2,223 claims · 0.5%

Your Cost: $25.41/claim|Median: $14.24
1.8× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$56K

398 claims · 0.5%

Your Cost: $140.18/claim|Median: $75.28
1.9× median
80053Normal range

Comprehensive metabolic panel

$54K

25K claims · 0.5%

Your Cost: $2.17/claim|Median: $7.24
0.3× median
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