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Provider 1073012696

NPI: 1073012696Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$16.7M

$16,736,929

Total Claims

269K

Beneficiaries

213K

1.3 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$260K
+597%
2019
$1.8M
+67%
2020
$3.0M
-6%
2021
$2.9M
+9%
2022
$3.1M
+11%
2023
$3.5M
-37%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 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

$7.8M

84K claims · 46.5%

Your Cost: $92.45/claim|Median: $85.65
1.1× median
99284Normal range

Emergency dept visit, high complexity

$5.8M

86K claims · 34.9%

Your Cost: $67.69/claim|Median: $69.51
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$1.4M

11K claims · 8.3%

Your Cost: $124.18/claim|Median: $101.24
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$1.1M

35K claims · 6.3%

Your Cost: $30.50/claim|Median: $42.48
0.7× median
99053Top 25%

$374K

45K claims · 2.2%

Your Cost: $8.25/claim|Median: $0.38
21.7× median
10061Normal range

$64K

680 claims · 0.4%

Your Cost: $93.82/claim|Median: $101.03
0.9× median
12001Normal range

$62K

1,456 claims · 0.4%

Your Cost: $42.56/claim|Median: $64.99
0.7× median
12011Normal range

$53K

1,160 claims · 0.3%

Your Cost: $45.90/claim|Median: $67.02
0.7× median
99282Normal range

Emergency dept visit, low complexity

$41K

1,836 claims · 0.2%

Your Cost: $22.47/claim|Median: $37.72
0.6× median
31500Normal range

$25K

434 claims · 0.2%

Your Cost: $58.65/claim|Median: $62.71
0.9× median
12002Normal range

$23K

554 claims · 0.1%

Your Cost: $41.51/claim|Median: $68.89
0.6× median
99292Top 25%

$18K

190 claims · 0.1%

Your Cost: $97.08/claim|Median: $57.64
1.7× median
25600Normal range

$1K

22 claims · 0.0%

Your Cost: $56.86/claim|Median: $193.19
0.3× median
93042Normal range

$1K

1,305 claims · 0.0%

Your Cost: $0.88/claim|Median: $2.53
0.3× median
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