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Provider 1487811048

NPI: 1487811048Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,872,895

Total Claims

211K

Beneficiaries

203K

1.0 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+1%
2019
$1.6M
-19%
2020
$1.3M
+19%
2021
$1.5M
+39%
2022
$2.1M
-6%
2023
$2.0M
-16%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 46% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$5.5M

60K claims · 46.0%

Your Cost: $90.53/claim|Median: $85.65
1.1× median
99284Normal range

Emergency dept visit, high complexity

$5.2M

76K claims · 43.5%

Your Cost: $68.06/claim|Median: $69.51
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$867K

24K claims · 7.3%

Your Cost: $36.85/claim|Median: $42.48
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$117K

1,105 claims · 1.0%

Your Cost: $106.14/claim|Median: $101.24
1.0× median
99053Normal range

$100K

20K claims · 0.8%

Your Cost: $5.08/claim|Median: $0.38
13.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$99K

29K claims · 0.8%

Your Cost: $3.37/claim|Median: $5.60
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$31K

321 claims · 0.3%

Your Cost: $96.58/claim|Median: $67.32
1.4× median
99236Normal range

Observation care same day admit and discharge

$21K

163 claims · 0.2%

Your Cost: $130.55/claim|Median: $128.23
1.0× median
99217Normal range

$5K

118 claims · 0.0%

Your Cost: $41.80/claim|Median: $31.89
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$4K

70 claims · 0.0%

Your Cost: $54.10/claim|Median: $37.22
1.5× median
99292Normal range

$2K

27 claims · 0.0%

Your Cost: $67.37/claim|Median: $57.64
1.2× median
93042Normal range

$191

173 claims · 0.0%

Your Cost: $1.10/claim|Median: $2.53
0.4× median
71045Normal range

Chest X-ray, single view

$144

62 claims · 0.0%

Your Cost: $2.33/claim|Median: $4.93
0.5× median
71046Normal range

Chest X-ray, 2 views

$84

27 claims · 0.0%

Your Cost: $3.10/claim|Median: $8.92
0.3× median
G9744Normal range

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
G8952Normal range

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
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