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Provider 1669406831

NPI: 1669406831Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.6M

$17,552,448

Total Claims

145K

Beneficiaries

131K

1.1 claims/patient

Avg Cost/Claim

$121

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+2%
2019
$2.4M
-23%
2020
$1.9M
+39%
2021
$2.6M
+4%
2022
$2.7M
+5%
2023
$2.8M
-8%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 45% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$7.8M

41K claims · 44.7%

Your Cost: $189.91/claim|Median: $85.65
2.2× median
99284Top 25%

Emergency dept visit, high complexity

$7.4M

51K claims · 42.2%

Your Cost: $144.48/claim|Median: $69.51
2.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

21K claims · 9.6%

Your Cost: $81.75/claim|Median: $42.48
1.9× median
99291Top 10%

Critical care, first 30-74 minutes

$256K

974 claims · 1.5%

Your Cost: $263.00/claim|Median: $101.24
2.6× median
99236Top 5%

Observation care same day admit and discharge

$90K

340 claims · 0.5%

Your Cost: $265.01/claim|Median: $128.23
2.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$88K

18K claims · 0.5%

Your Cost: $4.79/claim|Median: $5.60
0.9× median
99223Top 10%

Initial hospital care, per day, high complexity

$87K

569 claims · 0.5%

Your Cost: $153.25/claim|Median: $67.32
2.3× median
93042Top 25%

$58K

8,934 claims · 0.3%

Your Cost: $6.52/claim|Median: $2.53
2.6× median
99406Top 10%

$30K

1,856 claims · 0.2%

Your Cost: $16.37/claim|Median: $6.53
2.5× median
99053Normal range

$396

266 claims · 0.0%

Your Cost: $1.49/claim|Median: $0.38
3.9× median
G9744Normal range

$0

508 claims · 0.0%

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