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Provider 1104277656

NPI: 1104277656Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,640,359

Total Claims

1.1M

Beneficiaries

685K

1.6 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$637K
+50%
2019
$955K
+11%
2020
$1.1M
+34%
2021
$1.4M
-4%
2022
$1.4M
+21%
2023
$1.7M
-5%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 45% of total spending.

99309Normal range

Nursing facility care, subsequent, low complexity

$3.9M

378K claims · 45.4%

Your Cost: $10.36/claim|Median: $14.00
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$1.4M

173K claims · 16.1%

Your Cost: $8.03/claim|Median: $41.28
0.2× median
99308Normal range

Nursing facility care, subsequent, straightforward

$1.3M

183K claims · 14.9%

Your Cost: $7.05/claim|Median: $9.79
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$526K

26K claims · 6.1%

Your Cost: $19.83/claim|Median: $85.66
0.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$492K

25K claims · 5.7%

Your Cost: $19.84/claim|Median: $108.91
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$419K

34K claims · 4.8%

Your Cost: $12.15/claim|Median: $63.65
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$214K

11K claims · 2.5%

Your Cost: $19.50/claim|Median: $99.21
0.2× median
99349Normal range

$107K

4,967 claims · 1.2%

Your Cost: $21.46/claim|Median: $24.29
0.9× median
99306Normal range

$69K

4,071 claims · 0.8%

Your Cost: $16.84/claim|Median: $29.97
0.6× median
99310Normal range

$59K

3,756 claims · 0.7%

Your Cost: $15.82/claim|Median: $21.82
0.7× median
99305Normal range

$35K

3,077 claims · 0.4%

Your Cost: $11.53/claim|Median: $19.28
0.6× median
99214Normal range

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

$30K

1,410 claims · 0.3%

Your Cost: $20.93/claim|Median: $53.41
0.4× median
99497Normal range

$26K

2,807 claims · 0.3%

Your Cost: $9.32/claim|Median: $10.99
0.8× median
96132Normal range

$19K

1,219 claims · 0.2%

Your Cost: $15.80/claim|Median: $70.53
0.2× median
99348Normal range

$15K

1,013 claims · 0.2%

Your Cost: $14.57/claim|Median: $17.17
0.8× median
99307Normal range

$7K

1,988 claims · 0.1%

Your Cost: $3.67/claim|Median: $6.57
0.6× median
99483Normal range

$7K

469 claims · 0.1%

Your Cost: $14.72/claim|Median: $34.89
0.4× median
G0459Normal range

$5K

2,603 claims · 0.1%

Your Cost: $2.05/claim|Median: $4.39
0.5× median
99318Normal range

$2K

293 claims · 0.0%

Your Cost: $6.22/claim|Median: $15.64
0.4× median
99335Normal range

$2K

114 claims · 0.0%

Your Cost: $15.91/claim|Median: $14.90
1.1× median
G0439Top 25%

Annual wellness visit, subsequent visit

$2K

61 claims · 0.0%

Your Cost: $27.70/claim|Median: $5.42
5.1× median
99336Top 5%

$1K

17 claims · 0.0%

Your Cost: $81.31/claim|Median: $20.35
4.0× median
G0438Normal range

Annual wellness visit, first visit

$1K

18 claims · 0.0%

Your Cost: $56.07/claim|Median: $19.28
2.9× median
99347Normal range

$829

120 claims · 0.0%

Your Cost: $6.91/claim|Median: $11.74
0.6× median
96125Normal range

$580

67 claims · 0.0%

Your Cost: $8.66/claim|Median: $58.22
0.1× median
99334Normal range

$541

71 claims · 0.0%

Your Cost: $7.62/claim|Median: $9.92
0.8× median
99316Normal range

$497

35 claims · 0.0%

Your Cost: $14.19/claim|Median: $25.78
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$361

115 claims · 0.0%

Your Cost: $3.14/claim|Median: $22.44
0.1× median
96118Normal range

$308

22 claims · 0.0%

Your Cost: $14.01/claim|Median: $196.66
0.1× median
G8427Normal range

$275

179K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
0.1× median
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