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Provider 1033581608

NPI: 1033581608Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,938,408

Total Claims

122K

Beneficiaries

84K

1.4 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$575K
+87%
2019
$1.1M
+36%
2020
$1.5M
+4%
2021
$1.5M
-33%
2022
$1.0M
+38%
2023
$1.4M
+37%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 51% of total spending.

99213Top 5%

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

$4.5M

45K claims · 50.8%

Your Cost: $101.12/claim|Median: $37.81
2.7× median
99214Top 10%

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

$1.7M

16K claims · 19.5%

Your Cost: $109.42/claim|Median: $53.41
2.0× median
99212Top 10%

Office/outpatient visit, low complexity

$926K

11K claims · 10.4%

Your Cost: $86.66/claim|Median: $25.06
3.5× median
G0283Top 1%

$588K

5,879 claims · 6.6%

Your Cost: $99.93/claim|Median: $3.52
28.4× median
90832Top 10%

Psychotherapy, 30 minutes

$235K

2,080 claims · 2.6%

Your Cost: $112.87/claim|Median: $41.28
2.7× median
90834Top 10%

Psychotherapy, 45 minutes

$121K

1,033 claims · 1.4%

Your Cost: $117.13/claim|Median: $63.65
1.8× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$76K

1,015 claims · 0.8%

Your Cost: $74.53/claim|Median: $32.55
2.3× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$72K

573 claims · 0.8%

Your Cost: $125.37/claim|Median: $72.71
1.7× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$63K

907 claims · 0.7%

Your Cost: $69.46/claim|Median: $13.30
5.2× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$60K

883 claims · 0.7%

Your Cost: $68.26/claim|Median: $22.44
3.0× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$57K

468 claims · 0.6%

Your Cost: $121.73/claim|Median: $74.82
1.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$54K

3,434 claims · 0.6%

Your Cost: $15.69/claim|Median: $17.85
0.9× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$49K

408 claims · 0.6%

Your Cost: $120.50/claim|Median: $75.18
1.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$42K

328 claims · 0.5%

Your Cost: $128.62/claim|Median: $99.21
1.3× median
99401Normal range

$42K

2,870 claims · 0.5%

Your Cost: $14.57/claim|Median: $16.53
0.9× median
90837Top 10%

Psychotherapy, 60 minutes

$42K

315 claims · 0.5%

Your Cost: $131.86/claim|Median: $85.66
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$31K

214 claims · 0.3%

Your Cost: $144.90/claim|Median: $111.09
1.3× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$26K

193 claims · 0.3%

Your Cost: $136.96/claim|Median: $84.03
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$24K

185 claims · 0.3%

Your Cost: $128.89/claim|Median: $74.09
1.7× median
97140Normal range

Manual therapy techniques, per 15 minutes

$21K

2,295 claims · 0.2%

Your Cost: $9.23/claim|Median: $16.79
0.6× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$16K

135 claims · 0.2%

Your Cost: $119.29/claim|Median: $69.35
1.7× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$14K

129 claims · 0.2%

Your Cost: $112.29/claim|Median: $40.11
2.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$11K

84 claims · 0.1%

Your Cost: $131.65/claim|Median: $108.91
1.2× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$11K

87 claims · 0.1%

Your Cost: $121.43/claim|Median: $76.06
1.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$10K

3,052 claims · 0.1%

Your Cost: $3.21/claim|Median: $3.67
0.9× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$8K

64 claims · 0.1%

Your Cost: $132.08/claim|Median: $76.22
1.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$8K

4,785 claims · 0.1%

Your Cost: $1.58/claim|Median: $2.00
0.8× median
90833Normal range

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

$6K

288 claims · 0.1%

Your Cost: $21.09/claim|Median: $38.83
0.5× median
36415Normal range

Collection of venous blood by venipuncture

$5K

5,145 claims · 0.1%

Your Cost: $0.99/claim|Median: $1.57
0.6× median
97110Normal range

Therapeutic exercises, each 15 min

$5K

590 claims · 0.1%

Your Cost: $8.60/claim|Median: $24.49
0.4× median
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