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Provider 1568401461

NPI: 1568401461Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,199,429

Total Claims

186K

Beneficiaries

171K

1.1 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$4.5M
-25%
2019
$3.4M
+48%
2020
$5.0M
-67%
2021
$1.7M
-23%
2022
$1.3M
+3%
2023
$1.3M
-17%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 48% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$8.8M

69K claims · 48.1%

Your Cost: $127.41/claim|Median: $85.65
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$6.5M

60K claims · 35.6%

Your Cost: $107.29/claim|Median: $69.51
1.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.3M

33K claims · 12.7%

Your Cost: $69.24/claim|Median: $42.48
1.6× median
99053Top 1%

$616K

20K claims · 3.4%

Your Cost: $30.89/claim|Median: $0.38
81.3× median
99291Top 10%

Critical care, first 30-74 minutes

$37K

154 claims · 0.2%

Your Cost: $238.97/claim|Median: $101.24
2.4× median
99282Normal range

Emergency dept visit, low complexity

$11K

377 claims · 0.1%

Your Cost: $28.39/claim|Median: $37.72
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$3K

2,919 claims · 0.0%

Your Cost: $0.93/claim|Median: $5.60
0.2× median
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