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Provider 1528333101

NPI: 1528333101Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.5M

$9,463,011

Total Claims

236K

Beneficiaries

227K

1.0 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$764K
+84%
2019
$1.4M
-8%
2020
$1.3M
+9%
2021
$1.4M
+11%
2022
$1.6M
+5%
2023
$1.7M
-18%
2024
$1.4M

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 47% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$4.4M

70K claims · 46.6%

Your Cost: $63.24/claim|Median: $85.65
0.7× median
99284Normal range

Emergency dept visit, high complexity

$2.4M

48K claims · 25.7%

Your Cost: $50.50/claim|Median: $69.51
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$1.1M

14K claims · 11.3%

Your Cost: $75.66/claim|Median: $101.24
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$820K

20K claims · 8.7%

Your Cost: $40.17/claim|Median: $42.48
0.9× median
93010Top 25%

Electrocardiogram, interpretation and report only

$573K

62K claims · 6.1%

Your Cost: $9.21/claim|Median: $5.60
1.6× median
99053Top 25%

$90K

12K claims · 1.0%

Your Cost: $7.36/claim|Median: $0.38
19.4× median
71045Normal range

Chest X-ray, single view

$29K

7,216 claims · 0.3%

Your Cost: $4.08/claim|Median: $4.93
0.8× median
99213Normal range

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

$12K

536 claims · 0.1%

Your Cost: $23.09/claim|Median: $37.81
0.6× median
99282Normal range

Emergency dept visit, low complexity

$12K

455 claims · 0.1%

Your Cost: $26.32/claim|Median: $37.72
0.7× median
99220Normal range

$9K

113 claims · 0.1%

Your Cost: $83.91/claim|Median: $73.56
1.1× median
31500Normal range

$2K

69 claims · 0.0%

Your Cost: $34.78/claim|Median: $62.71
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$2K

62 claims · 0.0%

Your Cost: $26.11/claim|Median: $67.32
0.4× median
99406Normal range

$112

13 claims · 0.0%

Your Cost: $8.58/claim|Median: $6.53
1.3× median
G9744Normal range

$0

308 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
G8427Normal range

$0

314 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G8428Normal range

$0

62 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
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