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DEGARA APP, PLLC

Emergency Medicine·LANSING, MI·NPI: 1265976971Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.8M is at the 50th percentile among 11 Emergency Medicine providers.

Active Billing Period:2018-01→2023-07(67 months)
Billing appears to have stoppedLast active: 2023-07

Total Paid

$35.8M

$35,815,331

Total Claims

640K

Beneficiaries

588K

1.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$5.2M
+49%
2019
$7.8M
-18%
2020
$6.4M
+6%
2021
$6.8M
-9%
2022
$6.1M
-42%
2023
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 33% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$12.0M

167K claims · 33.5%

Your Cost: $71.66/claim|Median: $85.65
0.8× median
99284Normal range

Emergency dept visit, high complexity

$11.7M

200K claims · 32.7%

Your Cost: $58.60/claim|Median: $69.51
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$8.5M

170K claims · 23.8%

Your Cost: $50.07/claim|Median: $42.48
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$2.0M

18K claims · 5.6%

Your Cost: $111.33/claim|Median: $101.24
1.1× median
99282Normal range

Emergency dept visit, low complexity

$467K

8,910 claims · 1.3%

Your Cost: $52.42/claim|Median: $37.72
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$195K

48K claims · 0.5%

Your Cost: $4.04/claim|Median: $5.60
0.7× median
10061Normal range

$193K

2,027 claims · 0.5%

Your Cost: $95.06/claim|Median: $101.03
0.9× median
99281Normal range

Emergency dept visit, minimal complexity

$148K

2,625 claims · 0.4%

Your Cost: $56.40/claim|Median: $52.03
1.1× median
12001Normal range

$122K

4,909 claims · 0.3%

Your Cost: $24.86/claim|Median: $64.99
0.4× median
31500Normal range

$90K

1,259 claims · 0.3%

Your Cost: $71.13/claim|Median: $62.71
1.1× median
12002Normal range

$86K

2,651 claims · 0.2%

Your Cost: $32.41/claim|Median: $68.89
0.5× median
12011Normal range

$84K

2,729 claims · 0.2%

Your Cost: $30.82/claim|Median: $67.02
0.5× median
99292Normal range

$56K

852 claims · 0.2%

Your Cost: $65.60/claim|Median: $57.64
1.1× median
10060Normal range

Incision and drainage of abscess, simple

$56K

1,042 claims · 0.2%

Your Cost: $53.52/claim|Median: $75.72
0.7× median
64400Normal range

$21K

867 claims · 0.1%

Your Cost: $24.36/claim|Median: $114.91
0.2× median
29125Normal range

$14K

849 claims · 0.0%

Your Cost: $15.91/claim|Median: $28.04
0.6× median
12013Normal range

$10K

324 claims · 0.0%

Your Cost: $30.96/claim|Median: $63.36
0.5× median
99406Normal range

$10K

1,549 claims · 0.0%

Your Cost: $6.34/claim|Median: $6.53
1.0× median
36556Normal range

$7K

167 claims · 0.0%

Your Cost: $41.21/claim|Median: $43.51
0.9× median
29515Normal range

$2K

87 claims · 0.0%

Your Cost: $20.34/claim|Median: $33.24
0.6× median
93042Normal range

$2K

572 claims · 0.0%

Your Cost: $2.83/claim|Median: $2.53
1.1× median
76705Normal range

Ultrasound, abdominal, limited

$635

39 claims · 0.0%

Your Cost: $16.29/claim|Median: $23.81
0.7× median
21310Normal range

$418

28 claims · 0.0%

Your Cost: $14.93/claim|Median: $29.14
0.5× median
71045Normal range

Chest X-ray, single view

$232

61 claims · 0.0%

Your Cost: $3.80/claim|Median: $4.93
0.8× median
99152Normal range

$84

12 claims · 0.0%

Your Cost: $7.04/claim|Median: $7.34
1.0× median
99053Normal range

$14

4,420 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38
0.0× median
36410Normal range

$2

26 claims · 0.0%

Your Cost: $0.08/claim|Median: $5.72
0.0× median

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