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Provider 1053351593

NPI: 1053351593Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,419,714

Total Claims

203K

Beneficiaries

186K

1.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$751K
+214%
2019
$2.4M
-32%
2020
$1.6M
-15%
2021
$1.4M
-14%
2022
$1.2M
-15%
2023
$983K
+226%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 51% of total spending.

99284Normal range

Emergency dept visit, high complexity

$5.8M

91K claims · 51.0%

Your Cost: $63.81/claim|Median: $69.51
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.4M

40K claims · 29.9%

Your Cost: $85.81/claim|Median: $85.65
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$2.1M

57K claims · 18.8%

Your Cost: $37.59/claim|Median: $42.48
0.9× median
99053Normal range

$13K

13K claims · 0.1%

Your Cost: $1.01/claim|Median: $0.38
2.7× median
99282Normal range

Emergency dept visit, low complexity

$6K

290 claims · 0.1%

Your Cost: $20.57/claim|Median: $37.72
0.5× median
99281Normal range

Emergency dept visit, minimal complexity

$5K

354 claims · 0.0%

Your Cost: $14.70/claim|Median: $52.03
0.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$2K

1,239 claims · 0.0%

Your Cost: $1.67/claim|Median: $5.60
0.3× median
10061Normal range

$2K

13 claims · 0.0%

Your Cost: $120.63/claim|Median: $101.03
1.2× median
12001Normal range

$2K

54 claims · 0.0%

Your Cost: $28.76/claim|Median: $64.99
0.4× median
99291Normal range

Critical care, first 30-74 minutes

$605

14 claims · 0.0%

Your Cost: $43.23/claim|Median: $101.24
0.4× median
99406Normal range

$7

100 claims · 0.0%

Your Cost: $0.07/claim|Median: $6.53
0.0× median
G9530Normal range

$0

26 claims · 0.0%

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