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Provider 1225085624

NPI: 1225085624Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,542,772

Total Claims

405K

Beneficiaries

364K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+10%
2019
$2.0M
-21%
2020
$1.6M
+27%
2021
$2.0M
-5%
2022
$1.9M
-8%
2023
$1.8M
-23%
2024
$1.4M

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 24% of total spending.

99213Normal range

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

$3.0M

101K claims · 24.2%

Your Cost: $30.04/claim|Median: $37.81
0.8× median
99214Normal range

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

$1.9M

46K claims · 15.2%

Your Cost: $41.59/claim|Median: $53.41
0.8× median
G9149Normal range

$1.5M

7,902 claims · 12.3%

Your Cost: $195.32/claim|Median: $206.55
0.9× median
H0043Normal range

Supported housing, per diem

$1.5M

13K claims · 11.6%

Your Cost: $110.08/claim|Median: $164.87
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$783K

21K claims · 6.2%

Your Cost: $37.73/claim|Median: $41.28
0.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$352K

2,284 claims · 2.8%

Your Cost: $154.19/claim|Median: $121.16
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$248K

6,752 claims · 2.0%

Your Cost: $36.78/claim|Median: $74.82
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$237K

12K claims · 1.9%

Your Cost: $19.82/claim|Median: $25.06
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$224K

5,895 claims · 1.8%

Your Cost: $37.95/claim|Median: $75.18
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$209K

5,389 claims · 1.7%

Your Cost: $38.74/claim|Median: $80.15
0.5× median
G9150Normal range

$199K

1,578 claims · 1.6%

Your Cost: $126.30/claim|Median: $95.23
1.3× median
G0467Normal range

Federally qualified health center visit, mental health

$195K

10K claims · 1.6%

Your Cost: $18.65/claim|Median: $21.91
0.9× median
H2023Normal range

Supported employment, per 15 min

$179K

2,969 claims · 1.4%

Your Cost: $60.26/claim|Median: $103.94
0.6× median
G9006Normal range

Coordination of long-term care services, per hour

$157K

950 claims · 1.3%

Your Cost: $165.49/claim|Median: $204.93
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$144K

4,041 claims · 1.1%

Your Cost: $35.58/claim|Median: $69.35
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$137K

17K claims · 1.1%

Your Cost: $8.06/claim|Median: $7.18
1.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$132K

3,556 claims · 1.1%

Your Cost: $37.06/claim|Median: $30.53
1.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$116K

2,806 claims · 0.9%

Your Cost: $41.29/claim|Median: $32.55
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$107K

1,471 claims · 0.9%

Your Cost: $72.97/claim|Median: $72.71
1.0× median
90471Normal range

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

$100K

36K claims · 0.8%

Your Cost: $2.76/claim|Median: $9.80
0.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$94K

1,058 claims · 0.7%

Your Cost: $88.89/claim|Median: $76.06
1.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$81K

3,164 claims · 0.6%

Your Cost: $25.48/claim|Median: $22.44
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$71K

1,856 claims · 0.6%

Your Cost: $38.10/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$63K

1,725 claims · 0.5%

Your Cost: $36.80/claim|Median: $33.72
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$46K

523 claims · 0.4%

Your Cost: $88.33/claim|Median: $108.91
0.8× median
99441Normal range

Telephone E/M by physician, 5-10 min

$41K

3,328 claims · 0.3%

Your Cost: $12.37/claim|Median: $13.30
0.9× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$37K

1,013 claims · 0.3%

Your Cost: $36.53/claim|Median: $33.85
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$30K

12K claims · 0.2%

Your Cost: $2.47/claim|Median: $6.61
0.4× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$29K

1,083 claims · 0.2%

Your Cost: $26.81/claim|Median: $25.93
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$26K

459 claims · 0.2%

Your Cost: $55.84/claim|Median: $74.09
0.8× median
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