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Provider 1245403567

NPI: 1245403567Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.7M

$17,664,692

Total Claims

453K

Beneficiaries

402K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$39K
+26%
2019
$49K
+2035%
2020
$1.0M
+127%
2021
$2.4M
+113%
2022
$5.0M
+12%
2023
$5.6M
-38%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99441 (Telephone E/M by physician, 5-10 min)) accounts for 42% of total spending.

99441Top 25%

Telephone E/M by physician, 5-10 min

$7.4M

216K claims · 42.0%

Your Cost: $34.33/claim|Median: $13.30
2.6× median
99211Top 10%

Office/outpatient visit, minimal complexity

$3.8M

94K claims · 21.6%

Your Cost: $40.58/claim|Median: $12.93
3.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$2.0M

47K claims · 11.2%

Your Cost: $41.86/claim|Median: $40.11
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$1.1M

31K claims · 6.2%

Your Cost: $35.13/claim|Median: $22.44
1.6× median
99214Normal range

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

$1.1M

17K claims · 6.0%

Your Cost: $63.18/claim|Median: $53.41
1.2× median
99213Top 25%

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

$843K

13K claims · 4.8%

Your Cost: $63.48/claim|Median: $37.81
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$457K

10K claims · 2.6%

Your Cost: $43.88/claim|Median: $63.65
0.7× median
99443Normal range

Telephone E/M by physician, 21-30 min

$348K

9,762 claims · 2.0%

Your Cost: $35.65/claim|Median: $32.55
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$242K

7,234 claims · 1.4%

Your Cost: $33.43/claim|Median: $25.06
1.3× median
99204Normal range

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

$202K

2,592 claims · 1.1%

Your Cost: $78.03/claim|Median: $84.03
0.9× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$192K

4,098 claims · 1.1%

Your Cost: $46.80/claim|Median: $27.38
1.7× median
99203Normal range

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

$28K

783 claims · 0.2%

Your Cost: $35.18/claim|Median: $57.85
0.6× median