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Provider 1861480840

NPI: 1861480840Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$11,971,301

Total Claims

217K

Beneficiaries

211K

1.0 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-7%
2019
$1.6M
-12%
2020
$1.4M
+22%
2021
$1.7M
+6%
2022
$1.8M
+1%
2023
$1.9M
-3%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 48% of total spending.

99284Normal range

Emergency dept visit, high complexity

$5.8M

88K claims · 48.4%

Your Cost: $65.73/claim|Median: $69.51
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.8M

46K claims · 32.0%

Your Cost: $83.63/claim|Median: $85.65
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$2.2M

57K claims · 18.3%

Your Cost: $38.34/claim|Median: $42.48
0.9× median
99053Normal range

$94K

19K claims · 0.8%

Your Cost: $4.85/claim|Median: $0.38
12.8× median
99223Normal range

Initial hospital care, per day, high complexity

$22K

291 claims · 0.2%

Your Cost: $76.72/claim|Median: $67.32
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$17K

170 claims · 0.1%

Your Cost: $99.45/claim|Median: $101.24
1.0× median
99236Normal range

Observation care same day admit and discharge

$16K

125 claims · 0.1%

Your Cost: $124.91/claim|Median: $128.23
1.0× median
93042Normal range

$11K

5,457 claims · 0.1%

Your Cost: $2.09/claim|Median: $2.53
0.8× median
99220Normal range

$5K

70 claims · 0.0%

Your Cost: $71.81/claim|Median: $73.56
1.0× median
99282Normal range

Emergency dept visit, low complexity

$2K

71 claims · 0.0%

Your Cost: $26.02/claim|Median: $37.72
0.7× median
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