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Provider 1528616901

NPI: 1528616901Share
Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$9.1M

$9,118,693

Total Claims

136K

Beneficiaries

119K

1.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2020
$2.1M
+23%
2021
$2.6M
-8%
2022
$2.4M
-34%
2023
$1.6M
-77%
2024
$358K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 38% of total spending.

99284Normal range

Emergency dept visit, high complexity

$3.4M

44K claims · 37.8%

Your Cost: $79.12/claim|Median: $69.51
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.3M

20K claims · 25.4%

Your Cost: $116.56/claim|Median: $85.65
1.4× median
99283Normal range

Emergency dept visit, moderate complexity

$761K

14K claims · 8.3%

Your Cost: $52.47/claim|Median: $42.48
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$494K

14K claims · 5.4%

Your Cost: $35.13/claim|Median: $23.99
1.5× median
99214Normal range

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

$467K

13K claims · 5.1%

Your Cost: $35.12/claim|Median: $53.41
0.7× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$301K

3,541 claims · 3.3%

Your Cost: $85.00/claim|Median: $51.25
1.7× median
99223Normal range

Initial hospital care, per day, high complexity

$165K

1,812 claims · 1.8%

Your Cost: $90.85/claim|Median: $67.32
1.3× median
99204Normal range

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

$164K

2,008 claims · 1.8%

Your Cost: $81.92/claim|Median: $84.03
1.0× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$157K

6,232 claims · 1.7%

Your Cost: $25.18/claim|Median: $16.77
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$129K

2,586 claims · 1.4%

Your Cost: $49.90/claim|Median: $37.22
1.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$98K

1,743 claims · 1.1%

Your Cost: $56.00/claim|Median: $43.85
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$97K

1,213 claims · 1.1%

Your Cost: $80.18/claim|Median: $151.68
0.5× median
99213Normal range

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

$89K

3,398 claims · 1.0%

Your Cost: $26.09/claim|Median: $37.81
0.7× median
95886Normal range

$63K

1,158 claims · 0.7%

Your Cost: $54.09/claim|Median: $67.70
0.8× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$62K

313 claims · 0.7%

Your Cost: $196.64/claim|Median: $255.17
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$54K

863 claims · 0.6%

Your Cost: $62.07/claim|Median: $74.09
0.8× median
45380Normal range

Colonoscopy with biopsy

$50K

503 claims · 0.6%

Your Cost: $100.09/claim|Median: $200.68
0.5× median
99203Normal range

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

$37K

735 claims · 0.4%

Your Cost: $49.74/claim|Median: $57.85
0.9× median
99220Normal range

$26K

336 claims · 0.3%

Your Cost: $76.89/claim|Median: $73.56
1.0× median
64615Normal range

$22K

354 claims · 0.2%

Your Cost: $63.41/claim|Median: $82.82
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$19K

432 claims · 0.2%

Your Cost: $43.97/claim|Median: $35.30
1.2× median
95251Top 1%

$17K

222 claims · 0.2%

Your Cost: $76.56/claim|Median: $18.02
4.2× median
99291Normal range

Critical care, first 30-74 minutes

$15K

137 claims · 0.2%

Your Cost: $109.86/claim|Median: $101.24
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$11K

350 claims · 0.1%

Your Cost: $31.23/claim|Median: $40.11
0.8× median
95800Normal range

$10K

268 claims · 0.1%

Your Cost: $38.92/claim|Median: $86.65
0.4× median
95912Normal range

$10K

95 claims · 0.1%

Your Cost: $109.48/claim|Median: $141.23
0.8× median
98926Normal range

$8K

449 claims · 0.1%

Your Cost: $16.73/claim|Median: $22.66
0.7× median
94010Normal range

$4K

264 claims · 0.0%

Your Cost: $16.96/claim|Median: $18.11
0.9× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$4K

70 claims · 0.0%

Your Cost: $61.74/claim|Median: $111.02
0.6× median
99235Top 25%

$4K

25 claims · 0.0%

Your Cost: $143.28/claim|Median: $110.13
1.3× median
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