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FPA HOSPITAL BASED

Emergency Medicine·NEW YORK, NY·NPI: 1427398676Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $71.1M is at the 50th percentile among 11 Emergency Medicine providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$71.1M

$71,083,508

Total Claims

727K

Beneficiaries

704K

1.0 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$10.1M
+4%
2019
$10.5M
-18%
2020
$8.7M
+47%
2021
$12.8M
-2%
2022
$12.6M
-13%
2023
$10.9M
-49%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 42% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$29.6M

181K claims · 41.6%

Your Cost: $163.28/claim|Median: $85.65
1.9× median
99284Top 25%

Emergency dept visit, high complexity

$28.0M

243K claims · 39.3%

Your Cost: $114.93/claim|Median: $69.51
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$11.5M

173K claims · 16.1%

Your Cost: $66.36/claim|Median: $42.48
1.6× median
99291Top 10%

Critical care, first 30-74 minutes

$1.1M

5,306 claims · 1.5%

Your Cost: $199.69/claim|Median: $101.24
2.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$619K

111K claims · 0.9%

Your Cost: $5.58/claim|Median: $5.60
1.0× median
99213Top 25%

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

$83K

1,407 claims · 0.1%

Your Cost: $58.64/claim|Median: $37.81
1.6× median
99214Top 25%

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

$82K

1,026 claims · 0.1%

Your Cost: $79.48/claim|Median: $53.41
1.5× median
99282Normal range

Emergency dept visit, low complexity

$59K

1,681 claims · 0.1%

Your Cost: $35.17/claim|Median: $37.72
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$55K

1,622 claims · 0.1%

Your Cost: $33.93/claim|Median: $25.06
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$31K

657 claims · 0.0%

Your Cost: $46.70/claim|Median: $40.11
1.2× median
10060Normal range

Incision and drainage of abscess, simple

$30K

309 claims · 0.0%

Your Cost: $95.87/claim|Median: $75.72
1.3× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$23K

378 claims · 0.0%

Your Cost: $61.96/claim|Median: $35.80
1.7× median
76705Normal range

Ultrasound, abdominal, limited

$15K

494 claims · 0.0%

Your Cost: $30.39/claim|Median: $23.81
1.3× median
12001Normal range

$15K

260 claims · 0.0%

Your Cost: $57.23/claim|Median: $64.99
0.9× median
12011Normal range

$12K

181 claims · 0.0%

Your Cost: $64.36/claim|Median: $67.02
1.0× median
99497Top 1%

$3K

38 claims · 0.0%

Your Cost: $86.02/claim|Median: $10.99
7.8× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$2K

26 claims · 0.0%

Your Cost: $87.12/claim|Median: $59.38
1.5× median
99204Top 25%

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

$1K

13 claims · 0.0%

Your Cost: $113.15/claim|Median: $84.03
1.3× median
A9552Normal range

$1K

13 claims · 0.0%

Your Cost: $95.44/claim|Median: $89.01
1.1× median
99217Top 5%

$1K

15 claims · 0.0%

Your Cost: $75.77/claim|Median: $31.89
2.4× median
99281Normal range

Emergency dept visit, minimal complexity

$1K

71 claims · 0.0%

Your Cost: $14.93/claim|Median: $52.03
0.3× median
88304Normal range

$992

66 claims · 0.0%

Your Cost: $15.03/claim|Median: $12.88
1.2× median
76604Normal range

$971

37 claims · 0.0%

Your Cost: $26.24/claim|Median: $16.47
1.6× median
99292Normal range

$833

13 claims · 0.0%

Your Cost: $64.04/claim|Median: $57.64
1.1× median
99203Normal range

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

$622

16 claims · 0.0%

Your Cost: $38.88/claim|Median: $57.85
0.7× median
99053Normal range

$220

3,764 claims · 0.0%

Your Cost: $0.06/claim|Median: $0.38
0.2× median
99051Normal range

$14

15 claims · 0.0%

Your Cost: $0.94/claim|Median: $7.89
0.1× median
99499Normal range

Unlisted evaluation and management service

$0

166 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.88
99080Normal range

$0

232 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.15
99429Normal range

$0

1,171 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.58