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Provider 1801848452

NPI: 1801848452Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,920,285

Total Claims

645K

Beneficiaries

559K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-11%
2019
$2.2M
-15%
2020
$1.9M
+16%
2021
$2.1M
+11%
2022
$2.4M
-5%
2023
$2.3M
+16%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 15% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.4M

41K claims · 15.4%

Your Cost: $59.29/claim|Median: $69.51
0.9× median
99223Top 10%

Initial hospital care, per day, high complexity

$2.0M

14K claims · 12.4%

Your Cost: $142.30/claim|Median: $67.32
2.1× median
S9083Normal range

Global fee, urgent care centers

$1.4M

28K claims · 8.5%

Your Cost: $49.03/claim|Median: $103.99
0.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

17K claims · 8.5%

Your Cost: $80.05/claim|Median: $85.65
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.2M

31K claims · 7.7%

Your Cost: $39.05/claim|Median: $35.30
1.1× median
59425Normal range

Antepartum care only, 4-6 visits

$1.1M

17K claims · 6.7%

Your Cost: $62.57/claim|Median: $63.63
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$751K

8,556 claims · 4.7%

Your Cost: $87.73/claim|Median: $101.24
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$660K

17K claims · 4.1%

Your Cost: $39.68/claim|Median: $42.48
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$554K

10K claims · 3.5%

Your Cost: $53.18/claim|Median: $43.85
1.2× median
99214Normal range

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

$484K

31K claims · 3.0%

Your Cost: $15.51/claim|Median: $53.41
0.3× median
59409Normal range

Vaginal delivery only

$454K

832 claims · 2.9%

Your Cost: $545.75/claim|Median: $619.91
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$385K

15K claims · 2.4%

Your Cost: $25.60/claim|Median: $23.99
1.1× median
93010Top 10%

Electrocardiogram, interpretation and report only

$346K

31K claims · 2.2%

Your Cost: $11.13/claim|Median: $5.60
2.0× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$344K

3,419 claims · 2.2%

Your Cost: $100.65/claim|Median: $51.25
2.0× median
99282Normal range

Emergency dept visit, low complexity

$194K

9,046 claims · 1.2%

Your Cost: $21.48/claim|Median: $37.72
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$188K

4,305 claims · 1.2%

Your Cost: $43.63/claim|Median: $54.68
0.8× median
99213Normal range

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

$184K

14K claims · 1.2%

Your Cost: $13.19/claim|Median: $37.81
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$156K

1,679 claims · 1.0%

Your Cost: $92.80/claim|Median: $74.09
1.3× median
99255Normal range

$143K

1,801 claims · 0.9%

Your Cost: $79.37/claim|Median: $90.45
0.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$139K

2,811 claims · 0.9%

Your Cost: $49.39/claim|Median: $84.03
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$133K

4,855 claims · 0.8%

Your Cost: $27.34/claim|Median: $69.35
0.4× median
43239Normal range

Upper GI endoscopy with biopsy

$113K

710 claims · 0.7%

Your Cost: $159.08/claim|Median: $151.68
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$110K

3,029 claims · 0.7%

Your Cost: $36.21/claim|Median: $37.22
1.0× median
59025Normal range

Fetal non-stress test

$104K

11K claims · 0.7%

Your Cost: $9.12/claim|Median: $26.45
0.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$94K

1,906 claims · 0.6%

Your Cost: $49.43/claim|Median: $62.48
0.8× median
99254Normal range

$91K

1,565 claims · 0.6%

Your Cost: $58.04/claim|Median: $81.43
0.7× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$89K

1,210 claims · 0.6%

Your Cost: $73.37/claim|Median: $57.85
1.3× median
Z1034Normal range

$88K

1,609 claims · 0.6%

Your Cost: $54.90/claim|Median: $54.74
1.0× median
59430Normal range

$74K

1,351 claims · 0.5%

Your Cost: $55.07/claim|Median: $80.32
0.7× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$65K

1,272 claims · 0.4%

Your Cost: $51.30/claim|Median: $73.46
0.7× median
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