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Provider 1003869652

NPI: 1003869652Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.7M

$7,694,147

Total Claims

281K

Beneficiaries

263K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+32%
2019
$1.5M
-18%
2020
$1.2M
-8%
2021
$1.1M
-13%
2022
$996K
-8%
2023
$916K
-17%
2024
$758K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 64% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$4.9M

76K claims · 63.9%

Your Cost: $64.40/claim|Median: $85.65
0.8× median
99284Normal range

Emergency dept visit, high complexity

$1.8M

37K claims · 23.2%

Your Cost: $47.90/claim|Median: $69.51
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$474K

16K claims · 6.2%

Your Cost: $28.88/claim|Median: $42.48
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$299K

5,994 claims · 3.9%

Your Cost: $49.87/claim|Median: $101.24
0.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$218K

43K claims · 2.8%

Your Cost: $5.04/claim|Median: $5.60
0.9× median
99282Normal range

Emergency dept visit, low complexity

$202

15 claims · 0.0%

Your Cost: $13.50/claim|Median: $37.72
0.4× median
99281Normal range

Emergency dept visit, minimal complexity

$190

23 claims · 0.0%

Your Cost: $8.26/claim|Median: $52.03
0.2× median
4004FNormal range

$0

350 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G8427Normal range

$0

37K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G9529Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.66
G9530Normal range

$0

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.66
99053Normal range

$0

3,422 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38
G8950Normal range

$0

2,743 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
G8952Normal range

$0

27K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
G8785Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.19
G8428Normal range

$0

168 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
G8783Normal range

$0

7,636 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
G9744Normal range

$0

22K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
1036FNormal range

$0

1,000 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
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