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Provider 1205902376

NPI: 1205902376Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.3M

$10,250,635

Total Claims

94K

Beneficiaries

76K

1.2 claims/patient

Avg Cost/Claim

$109

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+2%
2019
$1.3M
+40%
2020
$1.8M
-0%
2021
$1.8M
-21%
2022
$1.5M
-3%
2023
$1.4M
-24%
2024
$1.1M

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 31% of total spending.

99213Top 5%

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

$3.2M

22K claims · 31.2%

Your Cost: $145.16/claim|Median: $37.81
3.8× median
99214Top 5%

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

$2.0M

15K claims · 19.2%

Your Cost: $134.83/claim|Median: $53.41
2.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.4M

8,206 claims · 13.8%

Your Cost: $172.61/claim|Median: $96.24
1.8× median
90832Top 5%

Psychotherapy, 30 minutes

$716K

4,131 claims · 7.0%

Your Cost: $173.32/claim|Median: $41.28
4.2× median
90837Top 5%

Psychotherapy, 60 minutes

$545K

3,189 claims · 5.3%

Your Cost: $170.88/claim|Median: $85.66
2.0× median
90834Top 5%

Psychotherapy, 45 minutes

$473K

2,726 claims · 4.6%

Your Cost: $173.67/claim|Median: $63.65
2.7× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$446K

2,671 claims · 4.4%

Your Cost: $167.12/claim|Median: $13.30
12.6× median
99212Top 5%

Office/outpatient visit, low complexity

$313K

2,018 claims · 3.1%

Your Cost: $155.16/claim|Median: $25.06
6.2× median
G0467Normal range

Federally qualified health center visit, mental health

$199K

6,037 claims · 1.9%

Your Cost: $33.03/claim|Median: $21.91
1.5× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$125K

751 claims · 1.2%

Your Cost: $166.70/claim|Median: $22.44
7.4× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$108K

630 claims · 1.1%

Your Cost: $171.44/claim|Median: $75.18
2.3× median
90853Top 5%

Group psychotherapy

$105K

621 claims · 1.0%

Your Cost: $168.68/claim|Median: $25.02
6.7× median
90791Top 10%

Psychiatric diagnostic evaluation

$101K

606 claims · 1.0%

Your Cost: $167.37/claim|Median: $99.21
1.7× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$71K

409 claims · 0.7%

Your Cost: $173.67/claim|Median: $74.82
2.3× median
Q3014Top 5%

Telehealth originating site facility fee

$63K

1,547 claims · 0.6%

Your Cost: $40.80/claim|Median: $15.37
2.7× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$60K

349 claims · 0.6%

Your Cost: $171.39/claim|Median: $80.15
2.1× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$42K

257 claims · 0.4%

Your Cost: $164.72/claim|Median: $69.35
2.4× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$33K

222 claims · 0.3%

Your Cost: $147.24/claim|Median: $40.11
3.7× median
G2025Top 10%

$32K

528 claims · 0.3%

Your Cost: $60.26/claim|Median: $15.63
3.9× median
99203Top 5%

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

$21K

140 claims · 0.2%

Your Cost: $147.71/claim|Median: $57.85
2.6× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$19K

158 claims · 0.2%

Your Cost: $122.34/claim|Median: $25.93
4.7× median
91300Top 1%

COVID-19 vaccine (Pfizer), first dose

$19K

124 claims · 0.2%

Your Cost: $151.43/claim|Median: $0.01
15142.6× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$18K

106 claims · 0.2%

Your Cost: $167.86/claim|Median: $32.55
5.2× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$17K

137 claims · 0.2%

Your Cost: $126.71/claim|Median: $33.85
3.7× median
91301

COVID-19 vaccine (Moderna), first dose

$16K

108 claims · 0.2%

99408Top 5%

$16K

89 claims · 0.2%

Your Cost: $174.26/claim|Median: $9.32
18.7× median
99215Top 25%

Office/outpatient visit, high complexity

$13K

99 claims · 0.1%

Your Cost: $136.01/claim|Median: $74.09
1.8× median
0071ATop 5%

$13K

94 claims · 0.1%

Your Cost: $133.76/claim|Median: $38.71
3.5× median
0072ATop 5%

$11K

81 claims · 0.1%

Your Cost: $141.92/claim|Median: $39.57
3.6× median
H0050Top 5%

$11K

69 claims · 0.1%

Your Cost: $164.00/claim|Median: $46.71
3.5× median
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