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Provider 1003814641

NPI: 1003814641Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.5M

$13,490,774

Total Claims

110K

Beneficiaries

96K

1.1 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$100K
+219%
2019
$319K
+264%
2020
$1.2M
+32%
2021
$1.5M
+211%
2022
$4.8M
-19%
2023
$3.9M
-56%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 19% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$2.5M

11K claims · 18.8%

Your Cost: $230.42/claim|Median: $63.65
3.6× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.3M

5,748 claims · 9.3%

Your Cost: $218.43/claim|Median: $42.48
5.1× median
90832Top 5%

Psychotherapy, 30 minutes

$1.1M

5,493 claims · 8.1%

Your Cost: $199.06/claim|Median: $41.28
4.8× median
99213Top 5%

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

$1.1M

7,842 claims · 7.8%

Your Cost: $134.48/claim|Median: $37.81
3.6× median
G0463Top 5%

Hospital outpatient clinic visit

$1.1M

6,392 claims · 7.8%

Your Cost: $164.84/claim|Median: $26.41
6.2× median
36415Top 1%

Collection of venous blood by venipuncture

$881K

6,186 claims · 6.5%

Your Cost: $142.40/claim|Median: $1.57
90.7× median
90837Top 1%

Psychotherapy, 60 minutes

$506K

1,294 claims · 3.8%

Your Cost: $391.00/claim|Median: $85.66
4.6× median
99212Top 5%

Office/outpatient visit, low complexity

$465K

2,319 claims · 3.4%

Your Cost: $200.60/claim|Median: $25.06
8.0× median
80053Top 5%

Comprehensive metabolic panel

$433K

6,648 claims · 3.2%

Your Cost: $65.11/claim|Median: $7.24
9.0× median
99282Top 1%

Emergency dept visit, low complexity

$427K

1,354 claims · 3.2%

Your Cost: $315.12/claim|Median: $37.72
8.4× median
97110Top 5%

Therapeutic exercises, each 15 min

$406K

4,823 claims · 3.0%

Your Cost: $84.09/claim|Median: $24.49
3.4× median
96361Top 10%

IV infusion, hydration, each additional hour

$386K

1,331 claims · 2.9%

Your Cost: $290.28/claim|Median: $38.92
7.5× median
99284Top 25%

Emergency dept visit, high complexity

$376K

2,883 claims · 2.8%

Your Cost: $130.45/claim|Median: $69.51
1.9× median
87581Top 1%

$336K

1,888 claims · 2.5%

Your Cost: $177.77/claim|Median: $17.13
10.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$232K

1,865 claims · 1.7%

Your Cost: $124.20/claim|Median: $85.65
1.5× median
90791Top 5%

Psychiatric diagnostic evaluation

$214K

903 claims · 1.6%

Your Cost: $236.81/claim|Median: $99.21
2.4× median
74176Top 10%

CT abdomen and pelvis without contrast

$174K

518 claims · 1.3%

Your Cost: $335.96/claim|Median: $60.19
5.6× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$147K

1,368 claims · 1.1%

Your Cost: $107.31/claim|Median: $169.17
0.6× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$146K

336 claims · 1.1%

Your Cost: $435.23/claim|Median: $13.30
32.7× median
99214Top 25%

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

$139K

1,403 claims · 1.0%

Your Cost: $98.93/claim|Median: $53.41
1.9× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$134K

937 claims · 1.0%

Your Cost: $142.71/claim|Median: $9.56
14.9× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$95K

231 claims · 0.7%

Your Cost: $410.42/claim|Median: $22.44
18.3× median
81025Top 1%

Urine pregnancy test

$93K

755 claims · 0.7%

Your Cost: $123.51/claim|Median: $4.81
25.7× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$72K

157 claims · 0.5%

Your Cost: $457.14/claim|Median: $108.91
4.2× median
Q3014Top 1%

Telehealth originating site facility fee

$68K

321 claims · 0.5%

Your Cost: $213.21/claim|Median: $15.37
13.9× median
70450Top 5%

CT head/brain without contrast

$68K

194 claims · 0.5%

Your Cost: $349.81/claim|Median: $45.53
7.7× median
96365Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$54K

301 claims · 0.4%

Your Cost: $180.58/claim|Median: $54.77
3.3× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$53K

344 claims · 0.4%

Your Cost: $153.19/claim|Median: $76.06
2.0× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$51K

794 claims · 0.4%

Your Cost: $64.06/claim|Median: $28.46
2.3× median
80061Top 10%

Lipid panel

$50K

2,562 claims · 0.4%

Your Cost: $19.42/claim|Median: $8.41
2.3× median
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