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Provider 1043849086

NPI: 1043849086Share
Active Billing Period:2020-09→2024-12(52 months)

Total Paid

$9.6M

$9,642,949

Total Claims

76K

Beneficiaries

58K

1.3 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2020
$139K
+593%
2021
$960K
+97%
2022
$1.9M
+71%
2023
$3.2M
+5%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 41% of total spending.

90837Top 10%

Psychotherapy, 60 minutes

$4.0M

28K claims · 41.1%

Your Cost: $139.23/claim|Median: $85.66
1.6× median
H0034Normal range

Medication training and management, per 15 min

$2.8M

22K claims · 28.9%

Your Cost: $129.16/claim|Median: $56.90
2.3× median
90834Top 10%

Psychotherapy, 45 minutes

$1.0M

9,119 claims · 10.6%

Your Cost: $111.72/claim|Median: $63.65
1.8× median
99241Top 10%

Office consultation, straightforward

$602K

5,720 claims · 6.2%

Your Cost: $105.31/claim|Median: $36.49
2.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$375K

3,761 claims · 3.9%

Your Cost: $99.74/claim|Median: $108.91
0.9× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$345K

2,308 claims · 3.6%

Your Cost: $149.64/claim|Median: $27.38
5.5× median
99214Top 5%

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

$200K

1,254 claims · 2.1%

Your Cost: $159.39/claim|Median: $53.41
3.0× median
90832Top 25%

Psychotherapy, 30 minutes

$160K

2,877 claims · 1.7%

Your Cost: $55.61/claim|Median: $41.28
1.3× median
99211Top 5%

Office/outpatient visit, minimal complexity

$112K

746 claims · 1.2%

Your Cost: $149.56/claim|Median: $12.93
11.6× median
99213Top 5%

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

$57K

485 claims · 0.6%

Your Cost: $116.60/claim|Median: $37.81
3.1× median
99215Top 5%

Office/outpatient visit, high complexity

$22K

102 claims · 0.2%

Your Cost: $210.80/claim|Median: $74.09
2.8× median
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