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Provider 1124052816

NPI: 1124052816Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,800,990

Total Claims

44K

Beneficiaries

32K

1.4 claims/patient

Avg Cost/Claim

$198

Monthly Spending Trend

Yearly Spending

2018
$684K
+31%
2019
$899K
+10%
2020
$990K
+31%
2021
$1.3M
+61%
2022
$2.1M
-15%
2023
$1.8M
-41%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0470 (Chronic care management services, FQHC/RHC)) accounts for 52% of total spending.

G0470Top 5%

Chronic care management services, FQHC/RHC

$4.6M

11K claims · 52.4%

Your Cost: $419.34/claim|Median: $45.95
9.1× median
G0467Top 1%

Federally qualified health center visit, mental health

$3.5M

8,562 claims · 40.2%

Your Cost: $413.60/claim|Median: $21.91
18.9× median
G0468Top 5%

$303K

877 claims · 3.4%

Your Cost: $345.57/claim|Median: $43.74
7.9× median
D1110Top 1%

Prophylaxis, adult cleaning

$128K

317 claims · 1.5%

Your Cost: $402.69/claim|Median: $43.38
9.3× median
D0140Top 1%

Limited oral evaluation, problem focused

$68K

159 claims · 0.8%

Your Cost: $424.60/claim|Median: $27.07
15.7× median
90837Normal range

Psychotherapy, 60 minutes

$42K

4,910 claims · 0.5%

Your Cost: $8.61/claim|Median: $85.66
0.1× median
99214Normal range

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

$28K

3,876 claims · 0.3%

Your Cost: $7.32/claim|Median: $53.41
0.1× median
99213Normal range

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

$18K

3,492 claims · 0.2%

Your Cost: $5.28/claim|Median: $37.81
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$16K

2,354 claims · 0.2%

Your Cost: $6.63/claim|Median: $41.28
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$8K

948 claims · 0.1%

Your Cost: $8.88/claim|Median: $63.65
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

146 claims · 0.1%

Your Cost: $33.69/claim|Median: $33.85
1.0× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$5K

15 claims · 0.1%

Your Cost: $319.02/claim|Median: $32.07
9.9× median
D0120Top 5%

Periodic oral evaluation, established patient

$4K

51 claims · 0.0%

Your Cost: $70.97/claim|Median: $24.34
2.9× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$3K

150 claims · 0.0%

Your Cost: $21.14/claim|Median: $25.93
0.8× median
D1206Normal range

Topical application of fluoride varnish

$3K

247 claims · 0.0%

Your Cost: $10.33/claim|Median: $18.12
0.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$2K

63 claims · 0.0%

Your Cost: $35.13/claim|Median: $36.70
1.0× median
0064ANormal range

$2K

57 claims · 0.0%

Your Cost: $37.45/claim|Median: $34.17
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$2K

58 claims · 0.0%

Your Cost: $34.42/claim|Median: $33.72
1.0× median
D0274Normal range

Bitewings, four radiographic images

$2K

171 claims · 0.0%

Your Cost: $11.27/claim|Median: $22.54
0.5× median
90471Normal range

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

$2K

818 claims · 0.0%

Your Cost: $2.31/claim|Median: $9.80
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$2K

137 claims · 0.0%

Your Cost: $12.47/claim|Median: $74.09
0.2× median
90853Normal range

Group psychotherapy

$2K

416 claims · 0.0%

Your Cost: $4.03/claim|Median: $25.02
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$744

241 claims · 0.0%

Your Cost: $3.09/claim|Median: $25.06
0.1× median
36415Normal range

Collection of venous blood by venipuncture

$659

1,216 claims · 0.0%

Your Cost: $0.54/claim|Median: $1.57
0.3× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$624

24 claims · 0.0%

Your Cost: $25.98/claim|Median: $32.49
0.8× median
90688Normal range

$557

311 claims · 0.0%

Your Cost: $1.79/claim|Median: $9.00
0.2× median
D1120Top 25%

Prophylaxis, adult

$535

13 claims · 0.0%

Your Cost: $41.15/claim|Median: $33.86
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$505

144 claims · 0.0%

Your Cost: $3.50/claim|Median: $10.51
0.3× median
0134ANormal range

$488

13 claims · 0.0%

Your Cost: $37.53/claim|Median: $33.54
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$395

73 claims · 0.0%

Your Cost: $5.42/claim|Median: $11.79
0.5× median
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