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PROVIDENCE HEALTHCARE PARTNERS,, INC

Hospitalist·RIVERSIDE, CA·NPI: 1699157701Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$27.6M

$27,556,456

Total Claims

279K

Beneficiaries

137K

2.0 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+29%
2019
$3.0M
+5%
2020
$3.2M
+13%
2021
$3.6M
+7%
2022
$3.9M
+41%
2023
$5.5M
+9%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 35% of total spending.

99233Top 10%

Subsequent hospital care, per day, high complexity

$9.8M

122K claims · 35.5%

Your Cost: $80.05/claim|Median: $35.30
2.3× median
99223Top 10%

Initial hospital care, per day, high complexity

$4.7M

32K claims · 17.2%

Your Cost: $150.13/claim|Median: $67.32
2.2× median
99291Top 25%

Critical care, first 30-74 minutes

$4.0M

24K claims · 14.4%

Your Cost: $162.30/claim|Median: $101.24
1.6× median
99310Top 5%

$2.6M

27K claims · 9.4%

Your Cost: $94.58/claim|Median: $21.82
4.3× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$2.5M

30K claims · 9.0%

Your Cost: $81.88/claim|Median: $43.85
1.9× median
99350Top 10%

$1.2M

8,385 claims · 4.3%

Your Cost: $141.05/claim|Median: $35.62
4.0× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$1.0M

15K claims · 3.7%

Your Cost: $65.79/claim|Median: $14.00
4.7× median
99337Top 5%

$978K

6,903 claims · 3.5%

Your Cost: $141.63/claim|Median: $29.39
4.8× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$281K

5,146 claims · 1.0%

Your Cost: $54.57/claim|Median: $23.99
2.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$274K

1,977 claims · 1.0%

Your Cost: $138.46/claim|Median: $85.65
1.6× median
99306Top 5%

$152K

1,284 claims · 0.6%

Your Cost: $118.17/claim|Median: $29.97
3.9× median
99497Top 10%

$23K

425 claims · 0.1%

Your Cost: $55.26/claim|Median: $10.99
5.0× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$20K

167 claims · 0.1%

Your Cost: $118.54/claim|Median: $51.25
2.3× median
99349Normal range

$16K

1,066 claims · 0.1%

Your Cost: $14.66/claim|Median: $24.29
0.6× median
99348Normal range

$10K

1,110 claims · 0.0%

Your Cost: $9.07/claim|Median: $17.17
0.5× median
99308Normal range

Nursing facility care, subsequent, straightforward

$10K

625 claims · 0.0%

Your Cost: $15.71/claim|Median: $9.79
1.6× median
99236Top 25%

Observation care same day admit and discharge

$8K

45 claims · 0.0%

Your Cost: $181.11/claim|Median: $128.23
1.4× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$8K

141 claims · 0.0%

Your Cost: $56.69/claim|Median: $37.22
1.5× median
99292Top 25%

$4K

39 claims · 0.0%

Your Cost: $108.51/claim|Median: $57.64
1.9× median
99328Top 5%

$2K

12 claims · 0.0%

Your Cost: $154.25/claim|Median: $42.88
3.6× median
99406Top 25%

$138

13 claims · 0.0%

Your Cost: $10.60/claim|Median: $6.53
1.6× median
0450Normal range

Emergency room visit

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $44.95
85025Normal range

Complete blood count (CBC) with differential, automated

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.71
0250Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.70

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$1.13B

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