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Provider 1215037379

NPI: 1215037379Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.0M

$10,959,248

Total Claims

134K

Beneficiaries

107K

1.3 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-32%
2019
$1.4M
-18%
2020
$1.2M
+11%
2021
$1.3M
-23%
2022
$987K
+114%
2023
$2.1M
-7%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 19% of total spending.

99214Top 5%

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

$2.1M

14K claims · 18.7%

Your Cost: $149.82/claim|Median: $53.41
2.8× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$1.9M

8,423 claims · 17.4%

Your Cost: $226.69/claim|Median: $91.63
2.5× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$1.6M

8,356 claims · 14.7%

Your Cost: $193.23/claim|Median: $101.33
1.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.4M

8,110 claims · 12.7%

Your Cost: $171.73/claim|Median: $96.24
1.8× median
90834Top 5%

Psychotherapy, 45 minutes

$1.3M

7,910 claims · 11.8%

Your Cost: $164.04/claim|Median: $63.65
2.6× median
90837Top 5%

Psychotherapy, 60 minutes

$620K

4,007 claims · 5.7%

Your Cost: $154.64/claim|Median: $85.66
1.8× median
99213Top 5%

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

$580K

5,381 claims · 5.3%

Your Cost: $107.84/claim|Median: $37.81
2.9× median
99215Top 25%

Office/outpatient visit, high complexity

$480K

3,338 claims · 4.4%

Your Cost: $143.83/claim|Median: $74.09
1.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$347K

2,156 claims · 3.2%

Your Cost: $160.80/claim|Median: $99.21
1.6× median
90832Top 5%

Psychotherapy, 30 minutes

$297K

1,783 claims · 2.7%

Your Cost: $166.73/claim|Median: $41.28
4.0× median
1000FTop 1%

$99K

4,071 claims · 0.9%

Your Cost: $24.32/claim|Median: $0.01
2431.5× median
1126FTop 5%

$63K

6,383 claims · 0.6%

Your Cost: $9.89/claim|Median: $0.02
494.4× median
G0467Normal range

Federally qualified health center visit, mental health

$43K

3,444 claims · 0.4%

Your Cost: $12.57/claim|Median: $21.91
0.6× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$36K

211 claims · 0.3%

Your Cost: $172.61/claim|Median: $69.35
2.5× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$36K

196 claims · 0.3%

Your Cost: $183.96/claim|Median: $75.18
2.4× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$25K

132 claims · 0.2%

Your Cost: $190.77/claim|Median: $74.82
2.5× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$23K

130 claims · 0.2%

Your Cost: $180.44/claim|Median: $80.15
2.3× median
1125FTop 1%

$10K

988 claims · 0.1%

Your Cost: $9.98/claim|Median: $0.03
332.8× median
1220FTop 5%

$9K

1,904 claims · 0.1%

Your Cost: $4.84/claim|Median: $0.01
484.1× median
1159FTop 10%

$7K

5,956 claims · 0.1%

Your Cost: $1.20/claim|Median: $0.01
120.0× median
90853Top 5%

Group psychotherapy

$5K

24 claims · 0.0%

Your Cost: $192.98/claim|Median: $25.02
7.7× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$2K

15 claims · 0.0%

Your Cost: $158.94/claim|Median: $108.91
1.5× median
99204Top 5%

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

$2K

12 claims · 0.0%

Your Cost: $168.11/claim|Median: $84.03
2.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$2K

325 claims · 0.0%

Your Cost: $4.87/claim|Median: $39.70
0.1× median
90471Normal range

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

$540

192 claims · 0.0%

Your Cost: $2.81/claim|Median: $9.80
0.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$395

868 claims · 0.0%

Your Cost: $0.46/claim|Median: $17.85
0.0× median
87804Normal range

Influenza virus detection, rapid test

$391

401 claims · 0.0%

Your Cost: $0.98/claim|Median: $12.59
0.1× median
3044FNormal range

$389

527 claims · 0.0%

Your Cost: $0.74/claim|Median: $0.16
4.6× median
2000F

$386

5,850 claims · 0.0%

90461Normal range

Immunization admin, additional vaccine, counseling

$384

486 claims · 0.0%

Your Cost: $0.79/claim|Median: $6.93
0.1× median
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