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Provider 1831592187

NPI: 1831592187Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.4M

$12,380,114

Total Claims

220K

Beneficiaries

212K

1.0 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+27%
2019
$1.8M
-15%
2020
$1.6M
+11%
2021
$1.7M
+15%
2022
$2.0M
+3%
2023
$2.1M
-17%
2024
$1.7M

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 39% of total spending.

99284Normal range

Emergency dept visit, high complexity

$4.9M

78K claims · 39.2%

Your Cost: $62.61/claim|Median: $69.51
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$4.3M

49K claims · 34.9%

Your Cost: $88.75/claim|Median: $85.65
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$2.4M

58K claims · 19.5%

Your Cost: $41.48/claim|Median: $42.48
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$322K

3,271 claims · 2.6%

Your Cost: $98.30/claim|Median: $101.24
1.0× median
93010Top 5%

Electrocardiogram, interpretation and report only

$317K

27K claims · 2.6%

Your Cost: $11.89/claim|Median: $5.60
2.1× median
99282Normal range

Emergency dept visit, low complexity

$91K

4,123 claims · 0.7%

Your Cost: $22.10/claim|Median: $37.72
0.6× median
12001Normal range

$31K

373 claims · 0.2%

Your Cost: $81.87/claim|Median: $64.99
1.3× median
12011Normal range

$15K

168 claims · 0.1%

Your Cost: $87.64/claim|Median: $67.02
1.3× median
99292Normal range

$5K

96 claims · 0.0%

Your Cost: $50.74/claim|Median: $57.64
0.9× median
31500Normal range

$573

13 claims · 0.0%

Your Cost: $44.10/claim|Median: $62.71
0.7× median
36556Normal range

$492

13 claims · 0.0%

Your Cost: $37.86/claim|Median: $43.51
0.9× median
99281Normal range

Emergency dept visit, minimal complexity

$406

29 claims · 0.0%

Your Cost: $14.00/claim|Median: $52.03
0.3× median
99053Normal range

$78

321 claims · 0.0%

Your Cost: $0.24/claim|Median: $0.38
0.6× median
G8806Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.65
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