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EMERGEORTHO PA

Orthopaedic Surgery·DURHAM, NC·NPI: 1376592964Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.0M

$20,971,510

Total Claims

671K

Beneficiaries

437K

1.5 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+17%
2019
$2.2M
-25%
2020
$1.6M
+84%
2021
$3.0M
+18%
2022
$3.5M
+11%
2023
$3.9M
+26%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 28% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$5.9M

184K claims · 28.1%

Your Cost: $32.15/claim|Median: $37.81
0.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$5.0M

118K claims · 23.8%

Your Cost: $42.20/claim|Median: $53.41
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$2.8M

120K claims · 13.4%

Your Cost: $23.37/claim|Median: $24.49
1.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$2.4M

44K claims · 11.2%

Your Cost: $53.61/claim|Median: $57.85
0.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1.6M

19K claims · 7.8%

Your Cost: $87.14/claim|Median: $84.03
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$438K

23K claims · 2.1%

Your Cost: $19.18/claim|Median: $33.11
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$359K

8,620 claims · 1.7%

Your Cost: $41.68/claim|Median: $35.43
1.2× median
97161Normal range

Physical therapy evaluation, low complexity

$293K

6,366 claims · 1.4%

Your Cost: $46.04/claim|Median: $47.89
1.0× median
64483Normal range

$265K

2,859 claims · 1.3%

Your Cost: $92.77/claim|Median: $124.24
0.7× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$256K

15K claims · 1.2%

Your Cost: $17.03/claim|Median: $20.04
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$200K

9,293 claims · 1.0%

Your Cost: $21.48/claim|Median: $29.03
0.7× median
97140Normal range

Manual therapy techniques, per 15 minutes

$191K

14K claims · 0.9%

Your Cost: $14.11/claim|Median: $16.79
0.8× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$157K

1,719 claims · 0.7%

Your Cost: $91.15/claim|Median: $64.72
1.4× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$129K

1,355 claims · 0.6%

Your Cost: $95.27/claim|Median: $75.26
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$108K

4,783 claims · 0.5%

Your Cost: $22.56/claim|Median: $25.06
0.9× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$74K

5,749 claims · 0.4%

Your Cost: $12.84/claim|Median: $12.06
1.1× median
73110Normal range

X-ray of wrist, complete, minimum three views

$65K

3,968 claims · 0.3%

Your Cost: $16.36/claim|Median: $12.64
1.3× median
95886Normal range

$61K

1,478 claims · 0.3%

Your Cost: $41.07/claim|Median: $67.70
0.6× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$53K

21K claims · 0.3%

Your Cost: $2.49/claim|Median: $2.91
0.9× median
73562Normal range

$47K

2,899 claims · 0.2%

Your Cost: $16.04/claim|Median: $12.28
1.3× median
73610Normal range

X-ray of ankle, complete, minimum three views

$46K

2,958 claims · 0.2%

Your Cost: $15.58/claim|Median: $13.55
1.1× median
73130Normal range

$46K

3,315 claims · 0.2%

Your Cost: $13.83/claim|Median: $10.69
1.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$42K

1,358 claims · 0.2%

Your Cost: $30.91/claim|Median: $40.11
0.8× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$40K

1,021 claims · 0.2%

Your Cost: $39.60/claim|Median: $37.56
1.1× median
A4590Normal range

$37K

2,713 claims · 0.2%

Your Cost: $13.75/claim|Median: $18.45
0.7× median
27096Normal range

$37K

611 claims · 0.2%

Your Cost: $60.49/claim|Median: $89.16
0.7× median
95911Normal range

$31K

344 claims · 0.1%

Your Cost: $90.16/claim|Median: $122.86
0.7× median
Q9966Normal range

$30K

19K claims · 0.1%

Your Cost: $1.62/claim|Median: $0.75
2.2× median
72100Normal range

$24K

1,517 claims · 0.1%

Your Cost: $15.92/claim|Median: $15.14
1.1× median
72110Normal range

$20K

814 claims · 0.1%

Your Cost: $24.85/claim|Median: $21.02
1.2× median
80305Normal range

$18K

2,350 claims · 0.1%

Your Cost: $7.76/claim|Median: $7.44
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$17K

338 claims · 0.1%

Your Cost: $50.23/claim|Median: $74.09
0.7× median
73721Top 25%

MRI joint of lower extremity without contrast

$15K

64 claims · 0.1%

Your Cost: $237.46/claim|Median: $127.34
1.9× median
73140Normal range

$14K

933 claims · 0.1%

Your Cost: $14.99/claim|Median: $11.18
1.3× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$12K

384 claims · 0.1%

Your Cost: $30.32/claim|Median: $42.51
0.7× median
97016Normal range

$10K

1,572 claims · 0.0%

Your Cost: $6.61/claim|Median: $8.30
0.8× median
L4361Normal range

$10K

71 claims · 0.0%

Your Cost: $143.32/claim|Median: $161.24
0.9× median
76942Normal range

$10K

269 claims · 0.0%

Your Cost: $37.80/claim|Median: $24.73
1.5× median
73560Normal range

$7K

971 claims · 0.0%

Your Cost: $7.52/claim|Median: $10.28
0.7× median
73564Normal range

$7K

400 claims · 0.0%

Your Cost: $17.71/claim|Median: $15.00
1.2× median
62321Normal range

$7K

87 claims · 0.0%

Your Cost: $79.96/claim|Median: $132.67
0.6× median
J0702Normal range

$7K

1,427 claims · 0.0%

Your Cost: $4.73/claim|Median: $7.64
0.6× median
99051Top 10%

$6K

252 claims · 0.0%

Your Cost: $24.73/claim|Median: $7.89
3.1× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$5K

110 claims · 0.0%

Your Cost: $47.90/claim|Median: $111.02
0.4× median
76882Normal range

$5K

245 claims · 0.0%

Your Cost: $21.48/claim|Median: $22.22
1.0× median
73100Normal range

$5K

344 claims · 0.0%

Your Cost: $14.32/claim|Median: $13.37
1.1× median
64493Normal range

$5K

140 claims · 0.0%

Your Cost: $34.42/claim|Median: $103.44
0.3× median
L3908Normal range

$5K

248 claims · 0.0%

Your Cost: $18.72/claim|Median: $35.79
0.5× median
20550Normal range

$5K

438 claims · 0.0%

Your Cost: $10.28/claim|Median: $29.96
0.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$4K

44 claims · 0.0%

Your Cost: $94.41/claim|Median: $82.43
1.1× median

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