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Provider 1497790539

NPI: 1497790539Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,291,402

Total Claims

293K

Beneficiaries

286K

1.0 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-1%
2019
$2.3M
-6%
2020
$2.2M
+6%
2021
$2.3M
-4%
2022
$2.2M
+19%
2023
$2.6M
-6%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 53% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$8.7M

99K claims · 53.1%

Your Cost: $87.52/claim|Median: $85.65
1.0× median
99284Normal range

Emergency dept visit, high complexity

$4.8M

80K claims · 29.3%

Your Cost: $59.95/claim|Median: $69.51
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$1.3M

33K claims · 8.0%

Your Cost: $39.14/claim|Median: $42.48
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$724K

6,214 claims · 4.4%

Your Cost: $116.52/claim|Median: $101.24
1.2× median
93010Top 5%

Electrocardiogram, interpretation and report only

$659K

58K claims · 4.0%

Your Cost: $11.36/claim|Median: $5.60
2.0× median
93042Top 10%

$100K

13K claims · 0.6%

Your Cost: $8.01/claim|Median: $2.53
3.2× median
99223Normal range

Initial hospital care, per day, high complexity

$28K

461 claims · 0.2%

Your Cost: $60.49/claim|Median: $67.32
0.9× median
99406Normal range

$24K

2,720 claims · 0.1%

Your Cost: $8.77/claim|Median: $6.53
1.3× median
93308Normal range

$8K

320 claims · 0.0%

Your Cost: $24.89/claim|Median: $20.08
1.2× median
76705Normal range

Ultrasound, abdominal, limited

$6K

330 claims · 0.0%

Your Cost: $16.73/claim|Median: $23.81
0.7× median
99292Normal range

$4K

48 claims · 0.0%

Your Cost: $76.57/claim|Median: $57.64
1.3× median
99213Normal range

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

$2K

81 claims · 0.0%

Your Cost: $27.39/claim|Median: $37.81
0.7× median
76604Normal range

$2K

110 claims · 0.0%

Your Cost: $13.72/claim|Median: $16.47
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$1K

15 claims · 0.0%

Your Cost: $69.21/claim|Median: $51.25
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$484

25 claims · 0.0%

Your Cost: $19.34/claim|Median: $25.06
0.8× median
G9744Normal range

$124

475 claims · 0.0%

Your Cost: $0.26/claim|Median: $0.09
2.9× median
G8950Normal range

$0

88 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
G9745Normal range

$0

35 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
G8783Normal range

$0

64 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
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