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CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC

Clinic/Center, Multi-Specialty·WILKES BARRE, PA·NPI: 1184177263Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.6M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-01→2024-12(76 months)

Total Paid

$18.6M

$18,614,204

Total Claims

277K

Beneficiaries

215K

1.3 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$5K
-60%
2019
$2K
+52288%
2020
$1.1M
+392%
2021
$5.4M
-4%
2022
$5.1M
-23%
2023
$4.0M
-23%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 45% of total spending.

99214Normal range

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

$8.5M

163K claims · 45.5%

Your Cost: $51.90/claim|Median: $53.41
1.0× median
G9012Top 25%

Other specified case management service, per 15 minutes

$6.8M

26K claims · 36.7%

Your Cost: $265.84/claim|Median: $137.85
1.9× median
99213Normal range

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

$2.1M

62K claims · 11.3%

Your Cost: $33.91/claim|Median: $37.81
0.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$689K

11K claims · 3.7%

Your Cost: $61.04/claim|Median: $35.43
1.7× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$198K

3,167 claims · 1.1%

Your Cost: $62.45/claim|Median: $37.56
1.7× median
99204Normal range

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

$67K

944 claims · 0.4%

Your Cost: $71.31/claim|Median: $84.03
0.8× median
99340Normal range

$48K

341 claims · 0.3%

Your Cost: $142.08/claim|Median: $163.40
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$48K

649 claims · 0.3%

Your Cost: $73.79/claim|Median: $63.65
1.2× median
T2023Normal range

Community transition, waiver; per service

$44K

441 claims · 0.2%

Your Cost: $99.77/claim|Median: $300.13
0.3× median
G9002Normal range

Coordinated care fee, maintenance period

$36K

246 claims · 0.2%

Your Cost: $145.06/claim|Median: $108.80
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$31K

881 claims · 0.2%

Your Cost: $35.09/claim|Median: $41.28
0.9× median
81025Normal range

Urine pregnancy test

$19K

5,182 claims · 0.1%

Your Cost: $3.59/claim|Median: $4.81
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$17K

1,705 claims · 0.1%

Your Cost: $9.96/claim|Median: $9.56
1.0× median
99203Normal range

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

$5K

212 claims · 0.0%

Your Cost: $23.34/claim|Median: $57.85
0.4× median
Q3014Normal range

Telehealth originating site facility fee

$4K

272 claims · 0.0%

Your Cost: $14.39/claim|Median: $15.37
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$3K

115 claims · 0.0%

Your Cost: $26.31/claim|Median: $25.06
1.0× median
T1016Normal range

Case management, each 15 min

$2K

126 claims · 0.0%

Your Cost: $14.98/claim|Median: $49.62
0.3× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$691

24 claims · 0.0%

Your Cost: $28.78/claim|Median: $18.03
1.6× median
99406Normal range

$428

65 claims · 0.0%

Your Cost: $6.58/claim|Median: $6.53
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$360

326 claims · 0.0%

Your Cost: $1.10/claim|Median: $96.24
0.0× median
87340Top 25%

Hepatitis B surface antigen detection

$171

12 claims · 0.0%

Your Cost: $14.29/claim|Median: $5.52
2.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$9

121 claims · 0.0%

Your Cost: $0.07/claim|Median: $55.04
0.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $111.09

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