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Provider 1124134028

NPI: 1124134028Share
Active Billing Period:2018-01→2023-09(69 months)
Billing appears to have stoppedLast active: 2023-09

Total Paid

$13.3M

$13,328,033

Total Claims

97K

Beneficiaries

58K

1.7 claims/patient

Avg Cost/Claim

$137

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-46%
2019
$1.8M
-14%
2020
$1.6M
+36%
2021
$2.2M
+27%
2022
$2.7M
-40%
2023
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 17% of total spending.

99213Top 5%

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

$2.3M

17K claims · 17.5%

Your Cost: $136.51/claim|Median: $37.81
3.6× median
H0039Normal range

Assertive community treatment, per diem

$2.0M

11K claims · 14.7%

Your Cost: $173.76/claim|Median: $132.62
1.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.7M

9,830 claims · 12.9%

Your Cost: $175.56/claim|Median: $96.24
1.8× median
99214Top 5%

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

$1.6M

13K claims · 12.4%

Your Cost: $131.64/claim|Median: $53.41
2.5× median
90853Top 5%

Group psychotherapy

$1.3M

7,611 claims · 9.6%

Your Cost: $167.26/claim|Median: $25.02
6.7× median
90834Top 5%

Psychotherapy, 45 minutes

$1.1M

6,744 claims · 8.5%

Your Cost: $167.38/claim|Median: $63.65
2.6× median
90837Top 5%

Psychotherapy, 60 minutes

$1.0M

6,293 claims · 7.8%

Your Cost: $164.75/claim|Median: $85.66
1.9× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$366K

2,169 claims · 2.7%

Your Cost: $168.61/claim|Median: $22.44
7.5× median
90832Top 5%

Psychotherapy, 30 minutes

$351K

2,063 claims · 2.6%

Your Cost: $170.14/claim|Median: $41.28
4.1× median
90791Top 10%

Psychiatric diagnostic evaluation

$312K

1,861 claims · 2.3%

Your Cost: $167.81/claim|Median: $99.21
1.7× median
99212Top 5%

Office/outpatient visit, low complexity

$229K

1,877 claims · 1.7%

Your Cost: $122.24/claim|Median: $25.06
4.9× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$205K

1,223 claims · 1.5%

Your Cost: $167.54/claim|Median: $13.30
12.6× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$144K

863 claims · 1.1%

Your Cost: $167.30/claim|Median: $91.63
1.8× median
G0467Normal range

Federally qualified health center visit, mental health

$122K

5,512 claims · 0.9%

Your Cost: $22.05/claim|Median: $21.91
1.0× median
Q3014Top 5%

Telehealth originating site facility fee

$111K

1,946 claims · 0.8%

Your Cost: $57.26/claim|Median: $15.37
3.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$111K

2,398 claims · 0.8%

Your Cost: $46.38/claim|Median: $37.56
1.2× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$62K

379 claims · 0.5%

Your Cost: $162.97/claim|Median: $32.55
5.0× median
99215Top 25%

Office/outpatient visit, high complexity

$58K

421 claims · 0.4%

Your Cost: $138.79/claim|Median: $74.09
1.9× median
G2025Top 25%

$53K

1,526 claims · 0.4%

Your Cost: $34.85/claim|Median: $15.63
2.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$24K

171 claims · 0.2%

Your Cost: $140.68/claim|Median: $108.91
1.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$23K

142 claims · 0.2%

Your Cost: $164.30/claim|Median: $215.80
0.8× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$15K

92 claims · 0.1%

Your Cost: $165.20/claim|Median: $25.93
6.4× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$10K

61 claims · 0.1%

Your Cost: $158.40/claim|Median: $33.85
4.7× median
H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$8K

49 claims · 0.1%

Your Cost: $160.99/claim|Median: $227.82
0.7× median
36415Top 10%

Collection of venous blood by venipuncture

$5K

583 claims · 0.0%

Your Cost: $8.33/claim|Median: $1.57
5.3× median
0013ATop 5%

$4K

34 claims · 0.0%

Your Cost: $132.07/claim|Median: $35.38
3.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$4K

153 claims · 0.0%

Your Cost: $24.21/claim|Median: $9.56
2.5× median
H0048Normal range

$3K

1,506 claims · 0.0%

Your Cost: $2.09/claim|Median: $13.25
0.2× median
99211Top 5%

Office/outpatient visit, minimal complexity

$2K

16 claims · 0.0%

Your Cost: $152.11/claim|Median: $12.93
11.8× median
0144ATop 25%

$2K

18 claims · 0.0%

Your Cost: $122.26/claim|Median: $40.00
3.1× median
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