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Provider 1033288923

NPI: 1033288923Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.5M

$17,457,681

Total Claims

256K

Beneficiaries

179K

1.4 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-2%
2019
$1.8M
-7%
2020
$1.7M
+34%
2021
$2.3M
+45%
2022
$3.3M
+12%
2023
$3.7M
-23%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 23% of total spending.

99214Normal range

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

$3.9M

57K claims · 22.6%

Your Cost: $69.09/claim|Median: $53.41
1.3× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$2.7M

12K claims · 15.5%

Your Cost: $231.17/claim|Median: $108.91
2.1× median
90834Normal range

Psychotherapy, 45 minutes

$2.3M

31K claims · 13.4%

Your Cost: $75.29/claim|Median: $63.65
1.2× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$2.3M

36K claims · 12.9%

Your Cost: $63.50/claim|Median: $38.83
1.6× median
90837Top 10%

Psychotherapy, 60 minutes

$1.5M

11K claims · 8.4%

Your Cost: $131.89/claim|Median: $85.66
1.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.4M

32K claims · 7.8%

Your Cost: $42.07/claim|Median: $23.99
1.8× median
99213Normal range

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

$921K

19K claims · 5.3%

Your Cost: $47.98/claim|Median: $37.81
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$373K

3,809 claims · 2.1%

Your Cost: $97.85/claim|Median: $67.32
1.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$342K

5,624 claims · 2.0%

Your Cost: $60.86/claim|Median: $43.85
1.4× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$299K

6,234 claims · 1.7%

Your Cost: $47.96/claim|Median: $14.00
3.4× median
90870Normal range

$259K

9,132 claims · 1.5%

Your Cost: $28.36/claim|Median: $68.07
0.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$256K

11K claims · 1.5%

Your Cost: $23.75/claim|Median: $16.77
1.4× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$250K

4,123 claims · 1.4%

Your Cost: $60.61/claim|Median: $35.30
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$152K

1,983 claims · 0.9%

Your Cost: $76.87/claim|Median: $74.09
1.0× median
90832Top 25%

Psychotherapy, 30 minutes

$134K

1,956 claims · 0.8%

Your Cost: $68.73/claim|Median: $41.28
1.7× median
90839Normal range

Psychotherapy for crisis, first 60 min

$80K

808 claims · 0.5%

Your Cost: $99.03/claim|Median: $83.98
1.2× median
99310Top 25%

$46K

783 claims · 0.3%

Your Cost: $58.19/claim|Median: $21.82
2.7× median
H0046Normal range

Mental health services, not otherwise specified

$45K

788 claims · 0.3%

Your Cost: $57.41/claim|Median: $85.02
0.7× median
99443Normal range

Telephone E/M by physician, 21-30 min

$41K

1,081 claims · 0.2%

Your Cost: $37.85/claim|Median: $32.55
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$33K

261 claims · 0.2%

Your Cost: $126.15/claim|Median: $99.21
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$32K

5,525 claims · 0.2%

Your Cost: $5.80/claim|Median: $9.56
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$24K

1,129 claims · 0.1%

Your Cost: $21.15/claim|Median: $22.44
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$24K

613 claims · 0.1%

Your Cost: $38.88/claim|Median: $37.22
1.0× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$16K

710 claims · 0.1%

Your Cost: $22.19/claim|Median: $9.79
2.3× median
99212Normal range

Office/outpatient visit, low complexity

$13K

365 claims · 0.1%

Your Cost: $35.22/claim|Median: $25.06
1.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$6K

92 claims · 0.0%

Your Cost: $68.33/claim|Median: $85.65
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$4K

109 claims · 0.0%

Your Cost: $41.15/claim|Median: $42.48
1.0× median
90846Top 10%

Family psychotherapy without patient, 50 min

$3K

24 claims · 0.0%

Your Cost: $130.21/claim|Median: $76.61
1.7× median
98968Normal range

$3K

139 claims · 0.0%

Your Cost: $21.62/claim|Median: $28.39
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$3K

51 claims · 0.0%

Your Cost: $51.79/claim|Median: $51.25
1.0× median
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