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Provider 1376573378

NPI: 1376573378Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.1M

$9,114,751

Total Claims

134K

Beneficiaries

129K

1.0 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-4%
2019
$1.6M
-29%
2020
$1.1M
+17%
2021
$1.3M
-1%
2022
$1.3M
+5%
2023
$1.3M
-26%
2024
$978K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 58% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$5.3M

45K claims · 57.8%

Your Cost: $116.95/claim|Median: $85.65
1.4× median
99284Normal range

Emergency dept visit, high complexity

$1.7M

20K claims · 18.6%

Your Cost: $85.46/claim|Median: $69.51
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$1.2M

25K claims · 12.7%

Your Cost: $45.85/claim|Median: $42.48
1.1× median
99291Top 25%

Critical care, first 30-74 minutes

$804K

5,737 claims · 8.8%

Your Cost: $140.20/claim|Median: $101.24
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$146K

22K claims · 1.6%

Your Cost: $6.58/claim|Median: $5.60
1.2× median
93042Normal range

$37K

16K claims · 0.4%

Your Cost: $2.32/claim|Median: $2.53
0.9× median
99282Normal range

Emergency dept visit, low complexity

$441

17 claims · 0.0%

Your Cost: $25.96/claim|Median: $37.72
0.7× median
99053Normal range

$384

168 claims · 0.0%

Your Cost: $2.29/claim|Median: $0.38
6.0× median
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