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HEALTH CARE ALLIANCE, INC.

Emergency Medicine·BECKLEY, WV·NPI: 1730128760Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.1M is at the 50th percentile among 11 Emergency Medicine providers.

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

Total Paid

$25.1M

$25,074,052

Total Claims

245K

Beneficiaries

223K

1.1 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$5.5M
-24%
2019
$4.2M
+50%
2020
$6.3M
-53%
2021
$3.0M
+10%
2022
$3.3M
-43%
2023
$1.9M
-53%
2024
$876K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 51% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$12.8M

89K claims · 50.9%

Your Cost: $143.24/claim|Median: $85.65
1.7× median
99284Top 25%

Emergency dept visit, high complexity

$8.2M

79K claims · 32.8%

Your Cost: $103.89/claim|Median: $69.51
1.5× median
99283Normal range

Emergency dept visit, moderate complexity

$2.8M

47K claims · 11.1%

Your Cost: $59.08/claim|Median: $42.48
1.4× median
99291Top 25%

Critical care, first 30-74 minutes

$526K

3,605 claims · 2.1%

Your Cost: $145.96/claim|Median: $101.24
1.4× median
93010Top 1%

Electrocardiogram, interpretation and report only

$441K

14K claims · 1.8%

Your Cost: $30.48/claim|Median: $5.60
5.4× median
99053Top 1%

$246K

9,038 claims · 1.0%

Your Cost: $27.27/claim|Median: $0.38
71.8× median
99282Normal range

Emergency dept visit, low complexity

$31K

1,121 claims · 0.1%

Your Cost: $28.03/claim|Median: $37.72
0.7× median
71045Top 5%

Chest X-ray, single view

$22K

378 claims · 0.1%

Your Cost: $58.34/claim|Median: $4.93
11.8× median
12001Normal range

$13K

465 claims · 0.1%

Your Cost: $27.67/claim|Median: $64.99
0.4× median
31500Top 25%

$9K

107 claims · 0.0%

Your Cost: $85.18/claim|Median: $62.71
1.4× median
10061Normal range

$6K

52 claims · 0.0%

Your Cost: $111.95/claim|Median: $101.03
1.1× median
12011Normal range

$5K

154 claims · 0.0%

Your Cost: $34.93/claim|Median: $67.02
0.5× median
12002Normal range

$4K

109 claims · 0.0%

Your Cost: $38.97/claim|Median: $68.89
0.6× median
99292Top 25%

$4K

37 claims · 0.0%

Your Cost: $106.44/claim|Median: $57.64
1.8× median
99213Top 25%

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

$2K

37 claims · 0.0%

Your Cost: $62.55/claim|Median: $37.81
1.7× median
92950Normal range

$1K

13 claims · 0.0%

Your Cost: $114.89/claim|Median: $101.60
1.1× median
29125Normal range

$867

40 claims · 0.0%

Your Cost: $21.67/claim|Median: $28.04
0.8× median
S9088Normal range

Services provided in an urgent care center

$765

45 claims · 0.0%

Your Cost: $17.00/claim|Median: $28.22
0.6× median
36556Normal range

$720

14 claims · 0.0%

Your Cost: $51.41/claim|Median: $43.51
1.2× median
99281Normal range

Emergency dept visit, minimal complexity

$433

28 claims · 0.0%

Your Cost: $15.47/claim|Median: $52.03
0.3× median
29515Normal range

$398

12 claims · 0.0%

Your Cost: $33.20/claim|Median: $33.24
1.0× median
G2213Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $56.52

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Similar Providers

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$345.5M

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$121.6M

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