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Provider 1184663965

NPI: 1184663965Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,337,607

Total Claims

320K

Beneficiaries

179K

1.8 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+104%
2019
$2.9M
-23%
2020
$2.3M
+20%
2021
$2.7M
-17%
2022
$2.3M
+42%
2023
$3.2M
-54%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 51% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$8.4M

175K claims · 51.2%

Your Cost: $47.77/claim|Median: $35.30
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$2.9M

34K claims · 17.5%

Your Cost: $84.61/claim|Median: $67.32
1.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$2.0M

38K claims · 12.3%

Your Cost: $52.15/claim|Median: $43.85
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.7M

48K claims · 10.1%

Your Cost: $34.38/claim|Median: $23.99
1.4× median
99497Top 10%

$218K

4,267 claims · 1.3%

Your Cost: $51.18/claim|Median: $10.99
4.7× median
99220Normal range

$217K

2,343 claims · 1.3%

Your Cost: $92.43/claim|Median: $73.56
1.3× median
99291Normal range

Critical care, first 30-74 minutes

$205K

3,667 claims · 1.3%

Your Cost: $55.79/claim|Median: $101.24
0.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$200K

1,894 claims · 1.2%

Your Cost: $105.84/claim|Median: $85.65
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$191K

2,544 claims · 1.2%

Your Cost: $75.01/claim|Median: $51.25
1.5× median
99284Normal range

Emergency dept visit, high complexity

$138K

2,017 claims · 0.8%

Your Cost: $68.61/claim|Median: $69.51
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$92K

2,315 claims · 0.6%

Your Cost: $39.64/claim|Median: $37.22
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$73K

1,648 claims · 0.4%

Your Cost: $44.47/claim|Median: $42.48
1.0× median
99217Normal range

$36K

1,045 claims · 0.2%

Your Cost: $34.80/claim|Median: $31.89
1.1× median
99226Top 25%

$29K

469 claims · 0.2%

Your Cost: $62.26/claim|Median: $34.09
1.8× median
93010Top 5%

Electrocardiogram, interpretation and report only

$19K

1,204 claims · 0.1%

Your Cost: $15.96/claim|Median: $5.60
2.8× median
99219Top 10%

$17K

154 claims · 0.1%

Your Cost: $108.83/claim|Median: $63.35
1.7× median
99282Normal range

Emergency dept visit, low complexity

$5K

173 claims · 0.0%

Your Cost: $26.03/claim|Median: $37.72
0.7× median
99221Normal range

Initial hospital care, straightforward/low

$3K

88 claims · 0.0%

Your Cost: $29.86/claim|Median: $39.96
0.7× median
99499Normal range

Unlisted evaluation and management service

$3K

81 claims · 0.0%

Your Cost: $31.63/claim|Median: $30.88
1.0× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$2K

62 claims · 0.0%

Your Cost: $35.51/claim|Median: $16.77
2.1× median
99225Top 10%

$1K

27 claims · 0.0%

Your Cost: $54.08/claim|Median: $20.96
2.6× median
99218Normal range

$695

27 claims · 0.0%

Your Cost: $25.73/claim|Median: $51.50
0.5× median
99307Normal range

$62

12 claims · 0.0%

Your Cost: $5.13/claim|Median: $6.57
0.8× median
99053Normal range

$0

513 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38
G8427Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
12002Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $68.89
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