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Provider 1225052830

NPI: 1225052830Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,230,977

Total Claims

351K

Beneficiaries

268K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$548K
+15%
2019
$627K
+105%
2020
$1.3M
+57%
2021
$2.0M
+7%
2022
$2.2M
-7%
2023
$2.0M
-22%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (80307 (Drug test, presumptive, by chemistry analyzers)) accounts for 45% of total spending.

80307Normal range

Drug test, presumptive, by chemistry analyzers

$4.6M

100K claims · 45.1%

Your Cost: $46.23/claim|Median: $35.43
1.3× median
Q3014Normal range

Telehealth originating site facility fee

$1.7M

111K claims · 16.4%

Your Cost: $15.20/claim|Median: $15.37
1.0× median
99213Normal range

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

$1.6M

64K claims · 15.9%

Your Cost: $25.59/claim|Median: $37.81
0.7× median
99214Normal range

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

$1.4M

34K claims · 13.2%

Your Cost: $39.83/claim|Median: $53.41
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$234K

4,306 claims · 2.3%

Your Cost: $54.37/claim|Median: $99.21
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$233K

2,805 claims · 2.3%

Your Cost: $83.11/claim|Median: $111.09
0.7× median
81025Top 25%

Urine pregnancy test

$202K

30K claims · 2.0%

Your Cost: $6.67/claim|Median: $4.81
1.4× median
99204Normal range

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

$104K

1,495 claims · 1.0%

Your Cost: $69.74/claim|Median: $84.03
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$54K

723 claims · 0.5%

Your Cost: $74.37/claim|Median: $108.91
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$50K

943 claims · 0.5%

Your Cost: $53.24/claim|Median: $85.66
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$44K

657 claims · 0.4%

Your Cost: $67.43/claim|Median: $74.09
0.9× median
H0022Normal range

$24K

1,375 claims · 0.2%

Your Cost: $17.25/claim|Median: $32.48
0.5× median
H0049Normal range

$3K

316 claims · 0.0%

Your Cost: $10.96/claim|Median: $9.27
1.2× median
99203Normal range

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

$3K

61 claims · 0.0%

Your Cost: $45.53/claim|Median: $57.85
0.8× median
96103Top 5%

$985

28 claims · 0.0%

Your Cost: $35.17/claim|Median: $5.95
5.9× median
99212Normal range

Office/outpatient visit, low complexity

$560

35 claims · 0.0%

Your Cost: $15.99/claim|Median: $25.06
0.6× median
99000Normal range

$55

14 claims · 0.0%

Your Cost: $3.92/claim|Median: $2.30
1.7× median
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