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Provider 1982658407

NPI: 1982658407Share
Active Billing Period:2018-012024-10(82 months)

Total Paid

$11.1M

$11,062,044

Total Claims

491K

Beneficiaries

359K

1.4 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$705K
+109%
2019
$1.5M
+2%
2020
$1.5M
+72%
2021
$2.6M
+30%
2022
$3.4M
-61%
2023
$1.3M
-91%
2024
$113K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0257) accounts for 15% of total spending.

G0257Top 10%

$1.6M

4,429 claims · 14.5%

Your Cost: $363.02/claim|Median: $70.95
5.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

22K claims · 12.4%

Your Cost: $63.56/claim|Median: $42.48
1.5× median
99282Normal range

Emergency dept visit, low complexity

$574K

8,608 claims · 5.2%

Your Cost: $66.65/claim|Median: $37.72
1.8× median
Q9967Top 5%

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

$489K

5,305 claims · 4.4%

Your Cost: $92.18/claim|Median: $3.42
27.0× median
G0381Normal range

$464K

7,859 claims · 4.2%

Your Cost: $59.07/claim|Median: $59.47
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$460K

3,775 claims · 4.2%

Your Cost: $121.79/claim|Median: $60.19
2.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$451K

2,519 claims · 4.1%

Your Cost: $178.91/claim|Median: $65.76
2.7× median
99284Normal range

Emergency dept visit, high complexity

$373K

7,950 claims · 3.4%

Your Cost: $46.88/claim|Median: $69.51
0.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$327K

13K claims · 3.0%

Your Cost: $24.90/claim|Median: $21.76
1.1× median
70450Normal range

CT head/brain without contrast

$324K

5,007 claims · 2.9%

Your Cost: $64.78/claim|Median: $45.53
1.4× median
96365Normal range

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

$284K

4,173 claims · 2.6%

Your Cost: $68.15/claim|Median: $54.77
1.2× median
G0378Normal range

Hospital observation service, per hour

$270K

8,655 claims · 2.4%

Your Cost: $31.18/claim|Median: $99.39
0.3× median
43239Normal range

Upper GI endoscopy with biopsy

$269K

1,075 claims · 2.4%

Your Cost: $250.03/claim|Median: $151.68
1.6× median
G0382Normal range

$221K

3,507 claims · 2.0%

Your Cost: $63.10/claim|Median: $80.53
0.8× median
36415Top 5%

Collection of venous blood by venipuncture

$202K

5,920 claims · 1.8%

Your Cost: $34.04/claim|Median: $1.57
21.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$199K

2,936 claims · 1.8%

Your Cost: $67.82/claim|Median: $85.65
0.8× median
71275Normal range

CT angiography, chest, with contrast

$171K

1,322 claims · 1.5%

Your Cost: $129.67/claim|Median: $92.96
1.4× median
80053Normal range

Comprehensive metabolic panel

$167K

35K claims · 1.5%

Your Cost: $4.77/claim|Median: $7.24
0.7× median
96360Normal range

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

$131K

1,565 claims · 1.2%

Your Cost: $83.76/claim|Median: $61.57
1.4× median
C9803Top 10%

$128K

2,335 claims · 1.2%

Your Cost: $54.95/claim|Median: $13.20
4.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$127K

7,218 claims · 1.2%

Your Cost: $17.64/claim|Median: $9.56
1.8× median
G0380Normal range

$118K

2,375 claims · 1.1%

Your Cost: $49.73/claim|Median: $59.26
0.8× median
72125Top 25%

CT cervical spine without contrast

$110K

1,219 claims · 1.0%

Your Cost: $90.56/claim|Median: $32.30
2.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$94K

9,409 claims · 0.9%

Your Cost: $10.04/claim|Median: $14.92
0.7× median
99281Normal range

Emergency dept visit, minimal complexity

$88K

1,446 claims · 0.8%

Your Cost: $61.00/claim|Median: $52.03
1.2× median
82962Top 10%

Blood glucose test by monitoring device

$84K

12K claims · 0.8%

Your Cost: $7.22/claim|Median: $1.40
5.2× median
84484Normal range

Troponin, quantitative

$78K

13K claims · 0.7%

Your Cost: $6.15/claim|Median: $4.84
1.3× median
71046Normal range

Chest X-ray, 2 views

$68K

5,983 claims · 0.6%

Your Cost: $11.33/claim|Median: $8.92
1.3× median
85027Normal range

Complete blood count (CBC), automated

$53K

9,254 claims · 0.5%

Your Cost: $5.72/claim|Median: $3.72
1.5× median
86850Top 10%

$53K

1,995 claims · 0.5%

Your Cost: $26.54/claim|Median: $5.44
4.9× median