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Provider 1376834937

NPI: 1376834937Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,505,208

Total Claims

165K

Beneficiaries

161K

1.0 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$732K
+50%
2019
$1.1M
-17%
2020
$909K
+24%
2021
$1.1M
+8%
2022
$1.2M
+16%
2023
$1.4M
-30%
2024
$996K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 35% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.6M

54K claims · 35.3%

Your Cost: $48.58/claim|Median: $69.51
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.6M

38K claims · 34.2%

Your Cost: $66.87/claim|Median: $85.65
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$1.1M

30K claims · 15.1%

Your Cost: $37.78/claim|Median: $42.48
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$842K

10K claims · 11.2%

Your Cost: $81.65/claim|Median: $101.24
0.8× median
93010Top 10%

Electrocardiogram, interpretation and report only

$226K

22K claims · 3.0%

Your Cost: $10.37/claim|Median: $5.60
1.9× median
99053Top 25%

$75K

7,392 claims · 1.0%

Your Cost: $10.15/claim|Median: $0.38
26.7× median
99406Normal range

$9K

1,331 claims · 0.1%

Your Cost: $6.92/claim|Median: $6.53
1.1× median
71045Normal range

Chest X-ray, single view

$3K

464 claims · 0.0%

Your Cost: $7.33/claim|Median: $4.93
1.5× median
99282Normal range

Emergency dept visit, low complexity

$2K

119 claims · 0.0%

Your Cost: $19.66/claim|Median: $37.72
0.5× median
99220Top 25%

$2K

15 claims · 0.0%

Your Cost: $105.79/claim|Median: $73.56
1.4× median
12001Normal range

$529

14 claims · 0.0%

Your Cost: $37.77/claim|Median: $64.99
0.6× median
G9745Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
G9744Normal range

$0

187 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
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