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Provider 1073690616

NPI: 1073690616Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,701,103

Total Claims

61K

Beneficiaries

49K

1.2 claims/patient

Avg Cost/Claim

$143

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-20%
2019
$1.2M
-28%
2020
$872K
+48%
2021
$1.3M
+16%
2022
$1.5M
-1%
2023
$1.5M
-43%
2024
$847K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 52% of total spending.

G0467Top 10%

Federally qualified health center visit, mental health

$4.5M

37K claims · 51.8%

Your Cost: $122.27/claim|Median: $21.91
5.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$3.8M

12K claims · 43.5%

Your Cost: $304.24/claim|Median: $763.43
0.4× median
G0466Top 10%

$359K

2,674 claims · 4.1%

Your Cost: $134.10/claim|Median: $63.31
2.1× median
G0470Top 10%

Chronic care management services, FQHC/RHC

$47K

240 claims · 0.5%

Your Cost: $197.78/claim|Median: $45.95
4.3× median
G0468Top 5%

$4K

16 claims · 0.0%

Your Cost: $267.48/claim|Median: $43.74
6.1× median
99214Normal range

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

$1K

4,035 claims · 0.0%

Your Cost: $0.37/claim|Median: $53.41
0.0× median
99213Normal range

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

$1K

3,084 claims · 0.0%

Your Cost: $0.48/claim|Median: $37.81
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21
T1015Normal range

Clinic visit/encounter, all-inclusive

$0

147 claims · 0.0%

Your Cost: $0.00/claim|Median: $121.16
99212Normal range

Office/outpatient visit, low complexity

$0

76 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

95 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$0

59 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.92
D2391Normal range

Resin-based composite, one surface, posterior

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.60
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
D0140Normal range

Limited oral evaluation, problem focused

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.07
G0008Normal range

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
G2025Normal range

$0

80 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.63
D2392Normal range

Resin-based composite, two surfaces, posterior

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $71.00
D0150Normal range

Comprehensive oral evaluation, new or established patient

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.07
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$0

560 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
99215Normal range

Office/outpatient visit, high complexity

$0

148 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
90662Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
Q3014Normal range

Telehealth originating site facility fee

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.37
D2940Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.80
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$0

70 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
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