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Provider 1063413011

NPI: 1063413011Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,911,460

Total Claims

164K

Beneficiaries

117K

1.4 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-7%
2019
$1.9M
-17%
2020
$1.6M
+24%
2021
$1.9M
-25%
2022
$1.5M
-18%
2023
$1.2M
-32%
2024
$818K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 34% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$3.7M

38K claims · 34.3%

Your Cost: $98.78/claim|Median: $85.66
1.2× median
99214Normal range

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

$1.5M

24K claims · 13.9%

Your Cost: $62.66/claim|Median: $53.41
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$1.5M

22K claims · 13.6%

Your Cost: $67.41/claim|Median: $63.65
1.1× median
99213Normal range

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

$1.2M

30K claims · 10.8%

Your Cost: $39.61/claim|Median: $37.81
1.0× median
90847Top 25%

Family psychotherapy with patient, 50 min

$910K

9,005 claims · 8.3%

Your Cost: $101.01/claim|Median: $77.33
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$740K

6,791 claims · 6.8%

Your Cost: $108.98/claim|Median: $99.21
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$707K

14K claims · 6.5%

Your Cost: $49.43/claim|Median: $41.28
1.2× median
90853Normal range

Group psychotherapy

$321K

15K claims · 2.9%

Your Cost: $21.23/claim|Median: $25.02
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$184K

1,628 claims · 1.7%

Your Cost: $113.03/claim|Median: $108.91
1.0× median
98968Top 25%

$47K

1,012 claims · 0.4%

Your Cost: $46.62/claim|Median: $28.39
1.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$25K

887 claims · 0.2%

Your Cost: $28.39/claim|Median: $22.44
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$19K

538 claims · 0.2%

Your Cost: $36.06/claim|Median: $25.06
1.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$19K

659 claims · 0.2%

Your Cost: $28.41/claim|Median: $32.55
0.9× median
98967Top 25%

$13K

263 claims · 0.1%

Your Cost: $49.54/claim|Median: $18.97
2.6× median
90846Top 25%

Family psychotherapy without patient, 50 min

$8K

78 claims · 0.1%

Your Cost: $103.85/claim|Median: $76.61
1.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

234 claims · 0.0%

Your Cost: $12.31/claim|Median: $12.93
1.0× median
0372TNormal range

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.32
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