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Provider 1811073901

NPI: 1811073901Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,447,041

Total Claims

195K

Beneficiaries

186K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+20%
2019
$1.4M
-21%
2020
$1.1M
+24%
2021
$1.4M
+16%
2022
$1.6M
+11%
2023
$1.8M
+7%
2024
$1.9M

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 43% of total spending.

99284Normal range

Emergency dept visit, high complexity

$4.5M

76K claims · 42.9%

Your Cost: $59.15/claim|Median: $69.51
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

19K claims · 12.3%

Your Cost: $68.22/claim|Median: $85.65
0.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.0M

16K claims · 9.9%

Your Cost: $63.68/claim|Median: $42.48
1.5× median
99214Normal range

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

$690K

14K claims · 6.6%

Your Cost: $49.90/claim|Median: $53.41
0.9× median
99282Normal range

Emergency dept visit, low complexity

$434K

8,136 claims · 4.2%

Your Cost: $53.39/claim|Median: $37.72
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$419K

5,613 claims · 4.0%

Your Cost: $74.67/claim|Median: $74.09
1.0× median
99213Normal range

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

$389K

11K claims · 3.7%

Your Cost: $34.56/claim|Median: $37.81
0.9× median
99204Normal range

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

$306K

4,250 claims · 2.9%

Your Cost: $72.07/claim|Median: $84.03
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$297K

2,459 claims · 2.8%

Your Cost: $120.80/claim|Median: $101.24
1.2× median
99203Normal range

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

$261K

5,743 claims · 2.5%

Your Cost: $45.48/claim|Median: $57.85
0.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$188K

3,102 claims · 1.8%

Your Cost: $60.64/claim|Median: $35.30
1.7× median
99223Normal range

Initial hospital care, per day, high complexity

$123K

1,244 claims · 1.2%

Your Cost: $99.11/claim|Median: $67.32
1.5× median
10060Normal range

Incision and drainage of abscess, simple

$72K

1,235 claims · 0.7%

Your Cost: $58.12/claim|Median: $75.72
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$66K

660 claims · 0.6%

Your Cost: $99.77/claim|Median: $111.09
0.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$48K

1,158 claims · 0.5%

Your Cost: $41.14/claim|Median: $23.99
1.7× median
99292Top 25%

$47K

442 claims · 0.5%

Your Cost: $107.38/claim|Median: $57.64
1.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$36K

7,655 claims · 0.3%

Your Cost: $4.71/claim|Median: $5.60
0.8× median
69210Normal range

$35K

1,570 claims · 0.3%

Your Cost: $22.52/claim|Median: $21.74
1.0× median
12001Normal range

$30K

1,130 claims · 0.3%

Your Cost: $26.35/claim|Median: $64.99
0.4× median
99281Normal range

Emergency dept visit, minimal complexity

$27K

565 claims · 0.3%

Your Cost: $48.16/claim|Median: $52.03
0.9× median
99418Normal range

$27K

602 claims · 0.3%

Your Cost: $44.52/claim|Median: $38.93
1.1× median
31575Normal range

$24K

620 claims · 0.2%

Your Cost: $38.72/claim|Median: $68.78
0.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$16K

809 claims · 0.2%

Your Cost: $20.24/claim|Median: $16.77
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$13K

235 claims · 0.1%

Your Cost: $57.04/claim|Median: $75.18
0.8× median
31231Normal range

Nasal endoscopy, diagnostic

$13K

345 claims · 0.1%

Your Cost: $38.24/claim|Median: $98.77
0.4× median
49083Normal range

$11K

184 claims · 0.1%

Your Cost: $61.92/claim|Median: $78.44
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$11K

186 claims · 0.1%

Your Cost: $57.54/claim|Median: $74.82
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$11K

555 claims · 0.1%

Your Cost: $19.09/claim|Median: $25.06
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$10K

152 claims · 0.1%

Your Cost: $63.41/claim|Median: $51.25
1.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$6K

213 claims · 0.1%

Your Cost: $29.83/claim|Median: $29.03
1.0× median
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