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Provider 1235147117

NPI: 1235147117Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.2M

$13,156,092

Total Claims

242K

Beneficiaries

230K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-5%
2019
$1.9M
-31%
2020
$1.3M
+12%
2021
$1.5M
+35%
2022
$2.0M
+13%
2023
$2.3M
-11%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 43% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$5.7M

67K claims · 43.3%

Your Cost: $85.01/claim|Median: $85.65
1.0× median
99284Normal range

Emergency dept visit, high complexity

$4.8M

66K claims · 36.6%

Your Cost: $72.97/claim|Median: $69.51
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$1.7M

41K claims · 12.6%

Your Cost: $40.85/claim|Median: $42.48
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$260K

2,678 claims · 2.0%

Your Cost: $97.23/claim|Median: $67.32
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$190K

2,000 claims · 1.4%

Your Cost: $95.11/claim|Median: $101.24
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$138K

3,886 claims · 1.0%

Your Cost: $35.45/claim|Median: $23.99
1.5× median
99053Normal range

$105K

24K claims · 0.8%

Your Cost: $4.45/claim|Median: $0.38
11.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$101K

32K claims · 0.8%

Your Cost: $3.19/claim|Median: $5.60
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$72K

1,827 claims · 0.5%

Your Cost: $39.36/claim|Median: $37.22
1.1× median
99217Normal range

$33K

1,046 claims · 0.2%

Your Cost: $31.19/claim|Median: $31.89
1.0× median
99220Top 25%

$32K

324 claims · 0.2%

Your Cost: $98.56/claim|Median: $73.56
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$21K

441 claims · 0.2%

Your Cost: $48.52/claim|Median: $35.30
1.4× median
99236Normal range

Observation care same day admit and discharge

$13K

95 claims · 0.1%

Your Cost: $134.24/claim|Median: $128.23
1.0× median
99282Normal range

Emergency dept visit, low complexity

$7K

277 claims · 0.1%

Your Cost: $25.36/claim|Median: $37.72
0.7× median
99219Top 25%

$6K

68 claims · 0.0%

Your Cost: $90.67/claim|Median: $63.35
1.4× median
99226Normal range

$5K

108 claims · 0.0%

Your Cost: $49.77/claim|Median: $34.09
1.5× median
99225Top 25%

$4K

109 claims · 0.0%

Your Cost: $38.07/claim|Median: $20.96
1.8× median
99224Normal range

$1K

77 claims · 0.0%

Your Cost: $16.76/claim|Median: $17.79
0.9× median
99406Normal range

$9

101 claims · 0.0%

Your Cost: $0.09/claim|Median: $6.53
0.0× median
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