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Provider 1649423815

NPI: 1649423815Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.1M

$18,080,865

Total Claims

249K

Beneficiaries

230K

1.1 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$845K
+283%
2019
$3.2M
-38%
2020
$2.0M
+24%
2021
$2.5M
+15%
2022
$2.9M
+33%
2023
$3.8M
-26%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 44% of total spending.

99284Normal range

Emergency dept visit, high complexity

$8.0M

122K claims · 44.1%

Your Cost: $65.09/claim|Median: $69.51
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$7.7M

72K claims · 42.4%

Your Cost: $105.98/claim|Median: $85.65
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$1.6M

41K claims · 8.9%

Your Cost: $38.90/claim|Median: $42.48
0.9× median
99291Top 25%

Critical care, first 30-74 minutes

$546K

3,687 claims · 3.0%

Your Cost: $148.11/claim|Median: $101.24
1.5× median
99282Normal range

Emergency dept visit, low complexity

$116K

4,092 claims · 0.6%

Your Cost: $28.44/claim|Median: $37.72
0.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$45K

405 claims · 0.3%

Your Cost: $112.10/claim|Median: $67.32
1.7× median
99220Top 25%

$22K

196 claims · 0.1%

Your Cost: $114.27/claim|Median: $73.56
1.6× median
99217Top 25%

$21K

454 claims · 0.1%

Your Cost: $46.25/claim|Median: $31.89
1.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$15K

3,026 claims · 0.1%

Your Cost: $4.84/claim|Median: $5.60
0.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$12K

237 claims · 0.1%

Your Cost: $51.77/claim|Median: $37.22
1.4× median
10061Normal range

$11K

71 claims · 0.1%

Your Cost: $152.36/claim|Median: $101.03
1.5× median
12001Normal range

$10K

258 claims · 0.1%

Your Cost: $37.88/claim|Median: $64.99
0.6× median
10060Normal range

Incision and drainage of abscess, simple

$6K

75 claims · 0.0%

Your Cost: $86.62/claim|Median: $75.72
1.1× median
99281Normal range

Emergency dept visit, minimal complexity

$4K

268 claims · 0.0%

Your Cost: $16.28/claim|Median: $52.03
0.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$3K

58 claims · 0.0%

Your Cost: $58.39/claim|Median: $35.30
1.7× median
12002Normal range

$3K

57 claims · 0.0%

Your Cost: $50.45/claim|Median: $68.89
0.7× median
12011Normal range

$2K

52 claims · 0.0%

Your Cost: $45.57/claim|Median: $67.02
0.7× median
99214Top 25%

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

$2K

24 claims · 0.0%

Your Cost: $92.19/claim|Median: $53.41
1.7× median
99236Normal range

Observation care same day admit and discharge

$2K

14 claims · 0.0%

Your Cost: $152.30/claim|Median: $128.23
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2K

41 claims · 0.0%

Your Cost: $47.99/claim|Median: $23.99
2.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$2K

26 claims · 0.0%

Your Cost: $67.73/claim|Median: $43.85
1.5× median
76705Normal range

Ultrasound, abdominal, limited

$1K

74 claims · 0.0%

Your Cost: $17.36/claim|Median: $23.81
0.7× median
93308Normal range

$894

45 claims · 0.0%

Your Cost: $19.88/claim|Median: $20.08
1.0× median
G2213Normal range

$740

13 claims · 0.0%

Your Cost: $56.95/claim|Median: $56.52
1.0× median
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