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Provider 1174784953

NPI: 1174784953Share
Active Billing Period:2018-102024-12(75 months)

Total Paid

$12.3M

$12,340,589

Total Claims

217K

Beneficiaries

161K

1.3 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$5K
+855%
2019
$52K
+394%
2020
$258K
+205%
2021
$786K
+172%
2022
$2.1M
+96%
2023
$4.2M
+17%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 35% of total spending.

99213Top 25%

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

$4.3M

70K claims · 35.2%

Your Cost: $62.10/claim|Median: $37.81
1.6× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$3.8M

77K claims · 30.6%

Your Cost: $49.17/claim|Median: $38.83
1.3× median
90832Top 25%

Psychotherapy, 30 minutes

$1.8M

30K claims · 14.4%

Your Cost: $59.02/claim|Median: $41.28
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$939K

7,781 claims · 7.6%

Your Cost: $120.67/claim|Median: $99.21
1.2× median
99214Normal range

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

$580K

7,872 claims · 4.7%

Your Cost: $73.72/claim|Median: $53.41
1.4× median
90853Normal range

Group psychotherapy

$470K

19K claims · 3.8%

Your Cost: $24.45/claim|Median: $25.02
1.0× median
99204Normal range

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

$256K

2,694 claims · 2.1%

Your Cost: $95.16/claim|Median: $84.03
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$87K

1,079 claims · 0.7%

Your Cost: $80.38/claim|Median: $63.65
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$75K

741 claims · 0.6%

Your Cost: $100.77/claim|Median: $108.91
0.9× median
99203Normal range

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

$33K

432 claims · 0.3%

Your Cost: $76.61/claim|Median: $57.85
1.3× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$1K

55 claims · 0.0%

Your Cost: $27.13/claim|Median: $9.79
2.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$60

228 claims · 0.0%

Your Cost: $0.27/claim|Median: $3.67
0.1× median