Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

EMERGENCY MEDICINE SPECIALISTS OF ORANGE COUNTY

Emergency Medicine·ORANGE, CA·NPI: 1740214733Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.4M is at the 50th percentile among 11 Emergency Medicine providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$42.4M

$42,379,330

Total Claims

548K

Beneficiaries

530K

1.0 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$6.3M
+1%
2019
$6.4M
-34%
2020
$4.2M
+36%
2021
$5.7M
+31%
2022
$7.5M
-5%
2023
$7.2M
-29%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 38% of total spending.

99284Normal range

Emergency dept visit, high complexity

$16.2M

226K claims · 38.1%

Your Cost: $71.41/claim|Median: $69.51
1.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$14.9M

178K claims · 35.1%

Your Cost: $83.54/claim|Median: $42.48
2.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$7.9M

93K claims · 18.6%

Your Cost: $84.79/claim|Median: $85.65
1.0× median
99291Top 25%

Critical care, first 30-74 minutes

$3.1M

22K claims · 7.3%

Your Cost: $140.83/claim|Median: $101.24
1.4× median
99282Top 25%

Emergency dept visit, low complexity

$138K

1,487 claims · 0.3%

Your Cost: $93.08/claim|Median: $37.72
2.5× median
93010Top 25%

Electrocardiogram, interpretation and report only

$115K

15K claims · 0.3%

Your Cost: $7.73/claim|Median: $5.60
1.4× median
99220Normal range

$59K

1,474 claims · 0.1%

Your Cost: $40.23/claim|Median: $73.56
0.5× median
G9920Normal range

$30K

2,446 claims · 0.1%

Your Cost: $12.41/claim|Median: $6.56
1.9× median
71045Normal range

Chest X-ray, single view

$12K

2,448 claims · 0.0%

Your Cost: $4.73/claim|Median: $4.93
1.0× median
99292Normal range

$8K

133 claims · 0.0%

Your Cost: $63.72/claim|Median: $57.64
1.1× median
71046Normal range

Chest X-ray, 2 views

$4K

375 claims · 0.0%

Your Cost: $11.16/claim|Median: $8.92
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$3K

460 claims · 0.0%

Your Cost: $7.18/claim|Median: $67.32
0.1× median
99219Normal range

$2K

60 claims · 0.0%

Your Cost: $40.31/claim|Median: $63.35
0.6× median
99217Normal range

$2K

122 claims · 0.0%

Your Cost: $17.88/claim|Median: $31.89
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$2K

286 claims · 0.0%

Your Cost: $6.25/claim|Median: $51.25
0.1× median
12001Normal range

$409

25 claims · 0.0%

Your Cost: $16.35/claim|Median: $64.99
0.3× median
12011Normal range

$313

13 claims · 0.0%

Your Cost: $24.10/claim|Median: $67.02
0.4× median
G9919Normal range

$258

57 claims · 0.0%

Your Cost: $4.53/claim|Median: $8.66
0.5× median
74018Normal range

$126

14 claims · 0.0%

Your Cost: $8.98/claim|Median: $7.00
1.3× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$120

15 claims · 0.0%

Your Cost: $8.02/claim|Median: $12.06
0.7× median
99053Normal range

$65

2,278 claims · 0.0%

Your Cost: $0.03/claim|Median: $0.38
0.1× median
G8427Normal range

$0

916 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G9744Normal range

$0

913 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
G8952Normal range

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
G8950Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
G8428Normal range

$0

232 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12