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Provider 1528171840

NPI: 1528171840Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.2M

$9,184,592

Total Claims

118K

Beneficiaries

98K

1.2 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$360K
-24%
2019
$275K
+333%
2020
$1.2M
+43%
2021
$1.7M
+3%
2022
$1.7M
+22%
2023
$2.1M
-16%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 61% of total spending.

99284Normal range

Emergency dept visit, high complexity

$5.6M

64K claims · 60.7%

Your Cost: $86.57/claim|Median: $69.51
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.9M

26K claims · 31.9%

Your Cost: $112.78/claim|Median: $85.65
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$302K

5,283 claims · 3.3%

Your Cost: $57.19/claim|Median: $42.48
1.3× median
99282Normal range

Emergency dept visit, low complexity

$151K

4,699 claims · 1.6%

Your Cost: $32.07/claim|Median: $37.72
0.9× median
G8427Top 10%

$131K

11K claims · 1.4%

Your Cost: $11.75/claim|Median: $0.02
587.5× median
99291Normal range

Critical care, first 30-74 minutes

$75K

1,346 claims · 0.8%

Your Cost: $55.85/claim|Median: $101.24
0.6× median
G8783Top 10%

$22K

1,491 claims · 0.2%

Your Cost: $14.61/claim|Median: $0.04
365.4× median
G9744Normal range

$3K

1,996 claims · 0.0%

Your Cost: $1.37/claim|Median: $0.09
15.2× median
G8950Top 25%

$1K

1,485 claims · 0.0%

Your Cost: $1.00/claim|Median: $0.05
20.0× median
G8428Normal range

$0

58 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
99053Normal range

$0

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38