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Provider 1043751035

NPI: 1043751035Share
Active Billing Period:2018-03→2024-12(82 months)

Total Paid

$9.8M

$9,813,751

Total Claims

251K

Beneficiaries

142K

1.8 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$2K
+1446%
2019
$24K
+8278%
2020
$2.0M
-14%
2021
$1.7M
+35%
2022
$2.3M
-27%
2023
$1.7M
+17%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 46% of total spending.

G9012Normal range

Other specified case management service, per 15 minutes

$4.6M

90K claims · 46.5%

Your Cost: $50.70/claim|Median: $137.85
0.4× median
G9008Normal range

Coordination of long-term care services, per month

$3.8M

122K claims · 38.6%

Your Cost: $30.95/claim|Median: $66.78
0.5× median
H0043Normal range

Supported housing, per diem

$979K

3,544 claims · 10.0%

Your Cost: $276.37/claim|Median: $164.87
1.7× median
H2016Normal range

Comprehensive community support services, per 15 min

$274K

2,942 claims · 2.8%

Your Cost: $93.04/claim|Median: $321.53
0.3× median
99214Normal range

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

$68K

3,045 claims · 0.7%

Your Cost: $22.22/claim|Median: $53.41
0.4× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$62K

258 claims · 0.6%

Your Cost: $241.59/claim|Median: $162.29
1.5× median
99213Normal range

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

$28K

2,572 claims · 0.3%

Your Cost: $10.75/claim|Median: $37.81
0.3× median
1111FTop 10%

$9K

2,440 claims · 0.1%

Your Cost: $3.58/claim|Median: $0.08
44.7× median
1160FTop 5%

$7K

3,107 claims · 0.1%

Your Cost: $2.11/claim|Median: $0.01
211.3× median
1159FTop 10%

$6K

3,046 claims · 0.1%

Your Cost: $2.13/claim|Median: $0.01
212.5× median
94760Top 25%

Pulse oximetry, single reading, noninvasive

$6K

2,497 claims · 0.1%

Your Cost: $2.21/claim|Median: $0.79
2.8× median
99204Normal range

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

$5K

54 claims · 0.1%

Your Cost: $91.69/claim|Median: $84.03
1.1× median
99310Top 25%

$4K

79 claims · 0.0%

Your Cost: $53.51/claim|Median: $21.82
2.5× median
1000FTop 10%

$4K

1,293 claims · 0.0%

Your Cost: $3.22/claim|Median: $0.01
322.1× median
99212Normal range

Office/outpatient visit, low complexity

$3K

118 claims · 0.0%

Your Cost: $28.76/claim|Median: $25.06
1.1× median
1033F

$3K

2,394 claims · 0.0%

99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

31 claims · 0.0%

Your Cost: $62.68/claim|Median: $111.09
0.6× median
1126FTop 10%

$1K

1,288 claims · 0.0%

Your Cost: $0.97/claim|Median: $0.02
48.3× median
1125FTop 10%

$1K

494 claims · 0.0%

Your Cost: $2.30/claim|Median: $0.03
76.7× median
3008FNormal range

$441

2,730 claims · 0.0%

Your Cost: $0.16/claim|Median: $0.06
2.7× median
1101FTop 25%

$325

211 claims · 0.0%

Your Cost: $1.54/claim|Median: $0.12
12.8× median
3074FNormal range

$197

509 claims · 0.0%

Your Cost: $0.39/claim|Median: $0.11
3.5× median
1090FTop 25%

$157

61 claims · 0.0%

Your Cost: $2.57/claim|Median: $0.23
11.2× median
99203Normal range

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

$96

13 claims · 0.0%

Your Cost: $7.38/claim|Median: $57.85
0.1× median
90756Normal range

Influenza virus vaccine, quadrivalent

$67

12 claims · 0.0%

Your Cost: $5.62/claim|Median: $14.34
0.4× median
92551Normal range

Screening audiometry, pure tone, air only

$60

317 claims · 0.0%

Your Cost: $0.19/claim|Median: $6.61
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$57

35 claims · 0.0%

Your Cost: $1.63/claim|Median: $74.09
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$53

643 claims · 0.0%

Your Cost: $0.08/claim|Median: $1.57
0.1× median
99000Normal range

$22

284 claims · 0.0%

Your Cost: $0.08/claim|Median: $2.30
0.0× median
99173Normal range

$2

287 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.16
0.0× median
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