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Provider 1659456234

NPI: 1659456234Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,267,909

Total Claims

167K

Beneficiaries

126K

1.3 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-45%
2019
$919K
+46%
2020
$1.3M
-11%
2021
$1.2M
+11%
2022
$1.3M
+14%
2023
$1.5M
-14%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 40% of total spending.

99284Normal range

Emergency dept visit, high complexity

$3.7M

50K claims · 39.7%

Your Cost: $72.90/claim|Median: $69.51
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.5M

15K claims · 16.7%

Your Cost: $103.93/claim|Median: $85.65
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.5M

46K claims · 16.6%

Your Cost: $33.56/claim|Median: $23.99
1.4× median
99283Normal range

Emergency dept visit, moderate complexity

$1.4M

29K claims · 14.8%

Your Cost: $46.49/claim|Median: $42.48
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$446K

7,387 claims · 4.8%

Your Cost: $60.36/claim|Median: $51.25
1.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$180K

3,106 claims · 1.9%

Your Cost: $57.90/claim|Median: $43.85
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$168K

1,820 claims · 1.8%

Your Cost: $92.28/claim|Median: $67.32
1.4× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$80K

1,395 claims · 0.9%

Your Cost: $57.02/claim|Median: $35.30
1.6× median
99213Normal range

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

$45K

1,161 claims · 0.5%

Your Cost: $38.92/claim|Median: $37.81
1.0× median
99282Normal range

Emergency dept visit, low complexity

$35K

1,195 claims · 0.4%

Your Cost: $29.49/claim|Median: $37.72
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$30K

316 claims · 0.3%

Your Cost: $94.16/claim|Median: $85.66
1.1× median
99220Top 25%

$25K

255 claims · 0.3%

Your Cost: $99.78/claim|Median: $73.56
1.4× median
99219Normal range

$22K

397 claims · 0.2%

Your Cost: $55.54/claim|Median: $63.35
0.9× median
90853Normal range

Group psychotherapy

$19K

663 claims · 0.2%

Your Cost: $29.07/claim|Median: $25.02
1.2× median
99225Top 25%

$17K

440 claims · 0.2%

Your Cost: $37.64/claim|Median: $20.96
1.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$14K

335 claims · 0.2%

Your Cost: $42.08/claim|Median: $37.22
1.1× median
99221Normal range

Initial hospital care, straightforward/low

$14K

376 claims · 0.1%

Your Cost: $36.27/claim|Median: $39.96
0.9× median
99217Normal range

$12K

310 claims · 0.1%

Your Cost: $38.51/claim|Median: $31.89
1.2× median
99291Top 25%

Critical care, first 30-74 minutes

$8K

52 claims · 0.1%

Your Cost: $152.60/claim|Median: $101.24
1.5× median
G8428Top 10%

$6K

1,857 claims · 0.1%

Your Cost: $3.43/claim|Median: $0.12
28.5× median
G8427Top 25%

$5K

3,831 claims · 0.1%

Your Cost: $1.22/claim|Median: $0.02
60.9× median
G8952Top 25%

$4K

903 claims · 0.0%

Your Cost: $4.10/claim|Median: $0.03
136.8× median
99281Normal range

Emergency dept visit, minimal complexity

$2K

166 claims · 0.0%

Your Cost: $14.48/claim|Median: $52.03
0.3× median
90834Top 25%

Psychotherapy, 45 minutes

$2K

17 claims · 0.0%

Your Cost: $98.95/claim|Median: $63.65
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$1K

26 claims · 0.0%

Your Cost: $50.20/claim|Median: $41.28
1.2× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$1K

39 claims · 0.0%

Your Cost: $28.36/claim|Median: $106.70
0.3× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$947

36 claims · 0.0%

Your Cost: $26.31/claim|Median: $16.77
1.6× median
10060Normal range

Incision and drainage of abscess, simple

$833

12 claims · 0.0%

Your Cost: $69.45/claim|Median: $75.72
0.9× median
G9744Normal range

$0

13 claims · 0.0%

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