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Provider 1922126077

NPI: 1922126077Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.0M

$16,969,290

Total Claims

263K

Beneficiaries

249K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$121K
+177%
2019
$334K
+143%
2020
$814K
+106%
2021
$1.7M
+116%
2022
$3.6M
+63%
2023
$5.9M
-23%
2024
$4.5M

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 31% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$5.3M

54K claims · 31.2%

Your Cost: $97.67/claim|Median: $69.51
1.4× median
99213Top 10%

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

$4.4M

55K claims · 25.9%

Your Cost: $79.06/claim|Median: $37.81
2.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.0M

48K claims · 17.6%

Your Cost: $62.29/claim|Median: $42.48
1.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.5M

17K claims · 14.5%

Your Cost: $143.47/claim|Median: $85.65
1.7× median
99214Top 10%

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

$1.0M

8,786 claims · 6.0%

Your Cost: $115.52/claim|Median: $53.41
2.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$326K

65K claims · 1.9%

Your Cost: $4.99/claim|Median: $5.60
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$294K

8,016 claims · 1.7%

Your Cost: $36.64/claim|Median: $25.06
1.5× median
99282Normal range

Emergency dept visit, low complexity

$151K

4,431 claims · 0.9%

Your Cost: $34.06/claim|Median: $37.72
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$35K

481 claims · 0.2%

Your Cost: $73.47/claim|Median: $67.32
1.1× median
93248Top 25%

$14K

683 claims · 0.1%

Your Cost: $21.15/claim|Median: $14.63
1.4× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$14K

497 claims · 0.1%

Your Cost: $27.84/claim|Median: $16.77
1.7× median
99281Normal range

Emergency dept visit, minimal complexity

$2K

91 claims · 0.0%

Your Cost: $25.32/claim|Median: $52.03
0.5× median
92507Normal range

Speech/hearing/language treatment

$2K

146 claims · 0.0%

Your Cost: $11.63/claim|Median: $49.45
0.2× median
99053Normal range

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38