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Provider 1801352505

NPI: 1801352505Share
Active Billing Period:2019-052024-12(68 months)

Total Paid

$9.1M

$9,085,874

Total Claims

143K

Beneficiaries

141K

1.0 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2019
$266K
+128%
2020
$606K
+132%
2021
$1.4M
+59%
2022
$2.2M
+10%
2023
$2.5M
-15%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 56% of total spending.

99284Normal range

Emergency dept visit, high complexity

$5.1M

71K claims · 56.0%

Your Cost: $71.60/claim|Median: $69.51
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$1.6M

39K claims · 18.0%

Your Cost: $41.90/claim|Median: $42.48
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.4M

15K claims · 14.9%

Your Cost: $92.88/claim|Median: $85.65
1.1× median
99223Top 25%

Initial hospital care, per day, high complexity

$465K

4,344 claims · 5.1%

Your Cost: $107.03/claim|Median: $67.32
1.6× median
99236Normal range

Observation care same day admit and discharge

$444K

3,422 claims · 4.9%

Your Cost: $129.62/claim|Median: $128.23
1.0× median
99235Normal range

$28K

279 claims · 0.3%

Your Cost: $101.73/claim|Median: $110.13
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$28K

7,557 claims · 0.3%

Your Cost: $3.68/claim|Median: $5.60
0.7× median
99220Normal range

$15K

184 claims · 0.2%

Your Cost: $81.70/claim|Median: $73.56
1.1× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$8K

97 claims · 0.1%

Your Cost: $85.59/claim|Median: $51.25
1.7× median
99291Normal range

Critical care, first 30-74 minutes

$8K

64 claims · 0.1%

Your Cost: $117.44/claim|Median: $101.24
1.2× median
99217Normal range

$5K

133 claims · 0.1%

Your Cost: $35.80/claim|Median: $31.89
1.1× median
93042Normal range

$4K

2,227 claims · 0.0%

Your Cost: $1.82/claim|Median: $2.53
0.7× median
99053Top 25%

$2K

346 claims · 0.0%

Your Cost: $6.11/claim|Median: $0.38
16.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1K

30 claims · 0.0%

Your Cost: $40.55/claim|Median: $37.22
1.1× median