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Provider 1114025103

NPI: 1114025103Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$11,980,375

Total Claims

114K

Beneficiaries

47K

2.4 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018
$457K
+2%
2019
$467K
+249%
2020
$1.6M
+48%
2021
$2.4M
-6%
2022
$2.3M
+6%
2023
$2.4M
-5%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 41% of total spending.

99233Top 5%

Subsequent hospital care, per day, high complexity

$4.9M

47K claims · 41.1%

Your Cost: $104.37/claim|Median: $35.30
3.0× median
90834Top 25%

Psychotherapy, 45 minutes

$1.5M

18K claims · 12.6%

Your Cost: $83.25/claim|Median: $63.65
1.3× median
99245Top 25%

Office consultation, high complexity

$1.3M

6,160 claims · 10.6%

Your Cost: $205.53/claim|Median: $143.30
1.4× median
99214Top 5%

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

$1.0M

8,293 claims · 8.6%

Your Cost: $123.95/claim|Median: $53.41
2.3× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$939K

11K claims · 7.8%

Your Cost: $84.02/claim|Median: $23.99
3.5× median
99223Top 5%

Initial hospital care, per day, high complexity

$566K

2,759 claims · 4.7%

Your Cost: $205.12/claim|Median: $67.32
3.0× median
90847Top 25%

Family psychotherapy with patient, 50 min

$272K

2,467 claims · 2.3%

Your Cost: $110.40/claim|Median: $77.33
1.4× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$225K

2,080 claims · 1.9%

Your Cost: $108.14/claim|Median: $43.85
2.5× median
99213Top 5%

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

$199K

2,290 claims · 1.7%

Your Cost: $86.80/claim|Median: $37.81
2.3× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$189K

1,079 claims · 1.6%

Your Cost: $175.40/claim|Median: $121.58
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$140K

1,253 claims · 1.2%

Your Cost: $112.05/claim|Median: $99.21
1.1× median
99255Top 25%

$134K

806 claims · 1.1%

Your Cost: $166.02/claim|Median: $90.45
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$125K

1,748 claims · 1.0%

Your Cost: $71.71/claim|Median: $74.09
1.0× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$104K

562 claims · 0.9%

Your Cost: $184.93/claim|Median: $108.91
1.7× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$56K

268 claims · 0.5%

Your Cost: $207.77/claim|Median: $111.09
1.9× median
90853Normal range

Group psychotherapy

$41K

3,383 claims · 0.3%

Your Cost: $12.07/claim|Median: $25.02
0.5× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$38K

255 claims · 0.3%

Your Cost: $148.23/claim|Median: $51.25
2.9× median
90837Normal range

Psychotherapy, 60 minutes

$36K

379 claims · 0.3%

Your Cost: $94.61/claim|Median: $85.66
1.1× median
96132Normal range

$35K

350 claims · 0.3%

Your Cost: $100.62/claim|Median: $70.53
1.4× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$33K

768 claims · 0.3%

Your Cost: $42.79/claim|Median: $16.77
2.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$21K

872 claims · 0.2%

Your Cost: $23.57/claim|Median: $12.93
1.8× median
96130Normal range

Psychological testing evaluation by professional, first hour

$19K

167 claims · 0.2%

Your Cost: $115.05/claim|Median: $79.21
1.5× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$19K

242 claims · 0.2%

Your Cost: $77.81/claim|Median: $37.22
2.1× median
96133Normal range

$10K

124 claims · 0.1%

Your Cost: $81.90/claim|Median: $185.94
0.4× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$10K

138 claims · 0.1%

Your Cost: $69.67/claim|Median: $92.96
0.7× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$7K

168 claims · 0.1%

Your Cost: $39.05/claim|Median: $30.49
1.3× median
90832Top 25%

Psychotherapy, 30 minutes

$6K

73 claims · 0.1%

Your Cost: $83.31/claim|Median: $41.28
2.0× median
99204Top 25%

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

$6K

49 claims · 0.1%

Your Cost: $123.39/claim|Median: $84.03
1.5× median
96101Normal range

$6K

44 claims · 0.0%

Your Cost: $135.16/claim|Median: $196.08
0.7× median
99254Top 5%

$3K

18 claims · 0.0%

Your Cost: $182.03/claim|Median: $81.43
2.2× median
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