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Provider 1124574520

NPI: 1124574520Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$16,958,464

Total Claims

318K

Beneficiaries

292K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-3%
2019
$2.5M
-9%
2020
$2.3M
+4%
2021
$2.4M
+5%
2022
$2.5M
-1%
2023
$2.5M
-11%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 39% of total spending.

99284Normal range

Emergency dept visit, high complexity

$6.6M

114K claims · 39.0%

Your Cost: $57.92/claim|Median: $69.51
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$5.1M

93K claims · 30.1%

Your Cost: $55.10/claim|Median: $42.48
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.5M

53K claims · 20.6%

Your Cost: $65.21/claim|Median: $85.65
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$1.0M

8,759 claims · 6.1%

Your Cost: $118.26/claim|Median: $101.24
1.2× median
99282Normal range

Emergency dept visit, low complexity

$331K

6,069 claims · 2.0%

Your Cost: $54.52/claim|Median: $37.72
1.4× median
10061Normal range

$94K

1,091 claims · 0.6%

Your Cost: $85.94/claim|Median: $101.03
0.9× median
12001Normal range

$74K

2,949 claims · 0.4%

Your Cost: $25.25/claim|Median: $64.99
0.4× median
12011Normal range

$49K

1,514 claims · 0.3%

Your Cost: $32.13/claim|Median: $67.02
0.5× median
12002Normal range

$45K

1,360 claims · 0.3%

Your Cost: $32.98/claim|Median: $68.89
0.5× median
93042Normal range

$41K

13K claims · 0.2%

Your Cost: $3.22/claim|Median: $2.53
1.3× median
99281Normal range

Emergency dept visit, minimal complexity

$27K

574 claims · 0.2%

Your Cost: $47.40/claim|Median: $52.03
0.9× median
31500Normal range

$12K

163 claims · 0.1%

Your Cost: $76.10/claim|Median: $62.71
1.2× median
99292Normal range

$11K

154 claims · 0.1%

Your Cost: $72.34/claim|Median: $57.64
1.3× median
10060Normal range

Incision and drainage of abscess, simple

$11K

252 claims · 0.1%

Your Cost: $41.87/claim|Median: $75.72
0.6× median
64400Normal range

$7K

178 claims · 0.0%

Your Cost: $39.35/claim|Median: $114.91
0.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$3K

195 claims · 0.0%

Your Cost: $17.78/claim|Median: $36.79
0.5× median
99152Normal range

$1K

195 claims · 0.0%

Your Cost: $6.66/claim|Median: $7.34
0.9× median
93308Normal range

$1K

95 claims · 0.0%

Your Cost: $12.63/claim|Median: $20.08
0.6× median
36556Normal range

$538

14 claims · 0.0%

Your Cost: $38.45/claim|Median: $43.51
0.9× median
76705Normal range

Ultrasound, abdominal, limited

$206

13 claims · 0.0%

Your Cost: $15.81/claim|Median: $23.81
0.7× median
99053Normal range

$20

1,251 claims · 0.0%

Your Cost: $0.02/claim|Median: $0.38
0.0× median
G8708Normal range

$0

7,055 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
0.0× median
G8712

$0

1,658 claims · 0.0%

3210FNormal range

$0

1,159 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G9530Normal range

$0

2,533 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.66
G9529Normal range

$0

2,400 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.66
G9533Normal range

$0

54 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.90
G9350Normal range

$0

54 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.74
G8806Normal range

$0

2,042 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.65
G9596

$0

135 claims · 0.0%

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