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SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC

Emergency Medicine, Emergency Medical Services·KALAMAZOO, MI·NPI: 1013021310Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.6M

$26,554,319

Total Claims

498K

Beneficiaries

452K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$3.5M
-2%
2019
$3.4M
-5%
2020
$3.2M
+14%
2021
$3.7M
+10%
2022
$4.0M
+11%
2023
$4.4M
-3%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 35% of total spending.

99284Normal range

Emergency dept visit, high complexity

$9.2M

157K claims · 34.6%

Your Cost: $58.46/claim|Median: $69.51
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$8.5M

120K claims · 32.0%

Your Cost: $71.03/claim|Median: $85.65
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$6.3M

113K claims · 23.9%

Your Cost: $56.11/claim|Median: $42.48
1.3× median
99291Normal range

Critical care, first 30-74 minutes

$1.6M

13K claims · 5.9%

Your Cost: $123.07/claim|Median: $101.24
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$270K

64K claims · 1.0%

Your Cost: $4.24/claim|Median: $5.60
0.8× median
99282Normal range

Emergency dept visit, low complexity

$140K

2,770 claims · 0.5%

Your Cost: $50.70/claim|Median: $37.72
1.3× median
10061Normal range

$124K

1,373 claims · 0.5%

Your Cost: $89.96/claim|Median: $101.03
0.9× median
12001Normal range

$94K

3,644 claims · 0.4%

Your Cost: $25.77/claim|Median: $64.99
0.4× median
12011Normal range

$76K

2,352 claims · 0.3%

Your Cost: $32.22/claim|Median: $67.02
0.5× median
12002Normal range

$74K

2,169 claims · 0.3%

Your Cost: $33.97/claim|Median: $68.89
0.5× median
31500Top 25%

$65K

812 claims · 0.2%

Your Cost: $79.46/claim|Median: $62.71
1.3× median
10060Normal range

Incision and drainage of abscess, simple

$55K

1,166 claims · 0.2%

Your Cost: $47.44/claim|Median: $75.72
0.6× median
64400Normal range

$32K

1,468 claims · 0.1%

Your Cost: $21.99/claim|Median: $114.91
0.2× median
99292Normal range

$29K

403 claims · 0.1%

Your Cost: $71.55/claim|Median: $57.64
1.2× median
12013Normal range

$6K

161 claims · 0.0%

Your Cost: $34.84/claim|Median: $63.36
0.5× median
26600Normal range

$3K

25 claims · 0.0%

Your Cost: $134.91/claim|Median: $161.96
0.8× median
99217Normal range

$2K

63 claims · 0.0%

Your Cost: $38.47/claim|Median: $31.89
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$1K

18 claims · 0.0%

Your Cost: $82.64/claim|Median: $51.25
1.6× median
99156Normal range

$1K

38 claims · 0.0%

Your Cost: $38.02/claim|Median: $41.68
0.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$975

19 claims · 0.0%

Your Cost: $51.33/claim|Median: $37.22
1.4× median
28470Normal range

$936

12 claims · 0.0%

Your Cost: $78.04/claim|Median: $175.99
0.4× median
99053Normal range

$537

15K claims · 0.0%

Your Cost: $0.03/claim|Median: $0.38
0.1× median
99152Normal range

$71

12 claims · 0.0%

Your Cost: $5.94/claim|Median: $7.34
0.8× median
G8952Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
G9744Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
G8427Normal range

$0

126 claims · 0.0%

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

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