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Provider 1043537046

NPI: 1043537046Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,127,271

Total Claims

396K

Beneficiaries

229K

1.7 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$662K
+16%
2019
$771K
-9%
2020
$704K
+237%
2021
$2.4M
+20%
2022
$2.8M
-0%
2023
$2.8M
-32%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99308 (Nursing facility care, subsequent, straightforward)) accounts for 32% of total spending.

99308Top 10%

Nursing facility care, subsequent, straightforward

$3.8M

115K claims · 31.5%

Your Cost: $33.24/claim|Median: $9.79
3.4× median
99307Top 5%

$1.7M

61K claims · 14.3%

Your Cost: $28.61/claim|Median: $6.57
4.4× median
90832Normal range

Psychotherapy, 30 minutes

$1.6M

70K claims · 13.5%

Your Cost: $23.42/claim|Median: $41.28
0.6× median
99213Normal range

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

$1.4M

45K claims · 11.9%

Your Cost: $32.10/claim|Median: $37.81
0.8× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$1.4M

38K claims · 11.8%

Your Cost: $37.50/claim|Median: $14.00
2.7× median
90837Normal range

Psychotherapy, 60 minutes

$522K

8,907 claims · 4.3%

Your Cost: $58.58/claim|Median: $85.66
0.7× median
99214Normal range

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

$425K

11K claims · 3.5%

Your Cost: $38.12/claim|Median: $53.41
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$258K

7,769 claims · 2.1%

Your Cost: $33.18/claim|Median: $63.65
0.5× median
99334Top 25%

$206K

7,536 claims · 1.7%

Your Cost: $27.39/claim|Median: $9.92
2.8× median
99347Top 25%

$193K

6,349 claims · 1.6%

Your Cost: $30.41/claim|Median: $11.74
2.6× median
99335Top 25%

$106K

3,483 claims · 0.9%

Your Cost: $30.35/claim|Median: $14.90
2.0× median
99348Top 25%

$105K

2,813 claims · 0.9%

Your Cost: $37.36/claim|Median: $17.17
2.2× median
99310Top 25%

$75K

1,866 claims · 0.6%

Your Cost: $40.18/claim|Median: $21.82
1.8× median
90791Normal range

Psychiatric diagnostic evaluation

$53K

1,329 claims · 0.4%

Your Cost: $39.85/claim|Median: $99.21
0.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$36K

652 claims · 0.3%

Your Cost: $55.93/claim|Median: $108.91
0.5× median
99305Normal range

$25K

811 claims · 0.2%

Your Cost: $30.96/claim|Median: $19.28
1.6× median
99306Normal range

$12K

282 claims · 0.1%

Your Cost: $40.80/claim|Median: $29.97
1.4× median
G2025Normal range

$10K

444 claims · 0.1%

Your Cost: $22.36/claim|Median: $15.63
1.4× median
99349Normal range

$7K

197 claims · 0.1%

Your Cost: $35.37/claim|Median: $24.29
1.5× median
99304Top 25%

$4K

162 claims · 0.0%

Your Cost: $26.83/claim|Median: $13.51
2.0× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$2K

424 claims · 0.0%

Your Cost: $5.88/claim|Median: $11.35
0.5× median
99336Top 25%

$2K

53 claims · 0.0%

Your Cost: $44.00/claim|Median: $20.35
2.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

156 claims · 0.0%

Your Cost: $13.31/claim|Median: $9.56
1.4× median
80305Normal range

$2K

398 claims · 0.0%

Your Cost: $5.19/claim|Median: $7.44
0.7× median
99342Normal range

$2K

34 claims · 0.0%

Your Cost: $54.56/claim|Median: $32.19
1.7× median
99203Normal range

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

$2K

35 claims · 0.0%

Your Cost: $49.55/claim|Median: $57.85
0.9× median
99402Normal range

$2K

49 claims · 0.0%

Your Cost: $32.14/claim|Median: $31.79
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$1K

55 claims · 0.0%

Your Cost: $22.80/claim|Median: $25.06
0.9× median
99315Normal range

$1K

63 claims · 0.0%

Your Cost: $16.91/claim|Median: $14.17
1.2× median
81025Normal range

Urine pregnancy test

$922

150 claims · 0.0%

Your Cost: $6.15/claim|Median: $4.81
1.3× median
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