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Provider 1972590412

NPI: 1972590412Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.7M

$14,748,028

Total Claims

296K

Beneficiaries

271K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+4%
2019
$2.2M
-13%
2020
$1.9M
+14%
2021
$2.2M
-2%
2022
$2.2M
+1%
2023
$2.2M
-13%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 35% of total spending.

99284Normal range

Emergency dept visit, high complexity

$5.2M

91K claims · 35.3%

Your Cost: $57.27/claim|Median: $69.51
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$4.0M

59K claims · 27.4%

Your Cost: $68.19/claim|Median: $85.65
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$3.5M

62K claims · 23.6%

Your Cost: $56.10/claim|Median: $42.48
1.3× median
99291Normal range

Critical care, first 30-74 minutes

$1.1M

10K claims · 7.7%

Your Cost: $112.78/claim|Median: $101.24
1.1× median
99282Normal range

Emergency dept visit, low complexity

$406K

7,320 claims · 2.8%

Your Cost: $55.48/claim|Median: $37.72
1.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$254K

60K claims · 1.7%

Your Cost: $4.23/claim|Median: $5.60
0.8× median
10061Normal range

$69K

703 claims · 0.5%

Your Cost: $97.51/claim|Median: $101.03
1.0× median
12001Normal range

$41K

1,621 claims · 0.3%

Your Cost: $25.01/claim|Median: $64.99
0.4× median
12011Normal range

$34K

1,088 claims · 0.2%

Your Cost: $31.48/claim|Median: $67.02
0.5× median
64400Normal range

$33K

929 claims · 0.2%

Your Cost: $35.26/claim|Median: $114.91
0.3× median
12002Normal range

$23K

710 claims · 0.2%

Your Cost: $32.39/claim|Median: $68.89
0.5× median
31500Normal range

$10K

149 claims · 0.1%

Your Cost: $67.64/claim|Median: $62.71
1.1× median
99292Normal range

$10K

147 claims · 0.1%

Your Cost: $68.39/claim|Median: $57.64
1.2× median
36556Normal range

$3K

89 claims · 0.0%

Your Cost: $38.60/claim|Median: $43.51
0.9× median
76705Normal range

Ultrasound, abdominal, limited

$3K

182 claims · 0.0%

Your Cost: $15.29/claim|Median: $23.81
0.6× median
93308Normal range

$3K

184 claims · 0.0%

Your Cost: $13.80/claim|Median: $20.08
0.7× median
29125Normal range

$2K

97 claims · 0.0%

Your Cost: $21.20/claim|Median: $28.04
0.8× median
62270Normal range

$1K

38 claims · 0.0%

Your Cost: $38.73/claim|Median: $48.88
0.8× median
64402Normal range

$793

19 claims · 0.0%

Your Cost: $41.75/claim|Median: $63.97
0.7× median
99281Normal range

Emergency dept visit, minimal complexity

$683

12 claims · 0.0%

Your Cost: $56.88/claim|Median: $52.03
1.1× median
29515Normal range

$585

24 claims · 0.0%

Your Cost: $24.37/claim|Median: $33.24
0.7× median
10060Normal range

Incision and drainage of abscess, simple

$576

12 claims · 0.0%

Your Cost: $48.02/claim|Median: $75.72
0.6× median
99152Normal range

$311

46 claims · 0.0%

Your Cost: $6.75/claim|Median: $7.34
0.9× median
76937Normal range

$50

12 claims · 0.0%

Your Cost: $4.16/claim|Median: $6.99
0.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
85025Normal range

Complete blood count (CBC) with differential, automated

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.71
36415Normal range

Collection of venous blood by venipuncture

$0

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
80053Normal range

Comprehensive metabolic panel

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.24
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