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Provider 1003861386

NPI: 1003861386Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.6M

$10,603,674

Total Claims

149K

Beneficiaries

127K

1.2 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-4%
2019
$1.4M
-15%
2020
$1.2M
+27%
2021
$1.6M
+17%
2022
$1.8M
-12%
2023
$1.6M
-9%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 46% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$4.9M

49K claims · 46.4%

Your Cost: $99.94/claim|Median: $85.65
1.2× median
99284Normal range

Emergency dept visit, high complexity

$4.4M

56K claims · 41.7%

Your Cost: $79.15/claim|Median: $69.51
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$1.1M

26K claims · 10.4%

Your Cost: $42.72/claim|Median: $42.48
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$75K

17K claims · 0.7%

Your Cost: $4.37/claim|Median: $5.60
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$64K

541 claims · 0.6%

Your Cost: $119.09/claim|Median: $101.24
1.2× median
99214Normal range

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

$11K

196 claims · 0.1%

Your Cost: $58.49/claim|Median: $53.41
1.1× median
99213Normal range

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

$2K

56 claims · 0.0%

Your Cost: $40.91/claim|Median: $37.81
1.1× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$2K

17 claims · 0.0%

Your Cost: $113.37/claim|Median: $84.03
1.3× median
G8708Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
G8709Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02