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Provider 1245635549

NPI: 1245635549Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,831,292

Total Claims

216K

Beneficiaries

131K

1.6 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$673K
+53%
2019
$1.0M
-8%
2020
$945K
-2%
2021
$925K
+110%
2022
$1.9M
+55%
2023
$3.0M
-23%
2024
$2.3M

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 27% of total spending.

99214Top 10%

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

$3.0M

26K claims · 27.3%

Your Cost: $111.92/claim|Median: $53.41
2.1× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$1.7M

18K claims · 16.0%

Your Cost: $93.67/claim|Median: $64.72
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$940K

9,893 claims · 8.7%

Your Cost: $94.98/claim|Median: $85.66
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$800K

18K claims · 7.4%

Your Cost: $44.52/claim|Median: $35.43
1.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$526K

11K claims · 4.9%

Your Cost: $45.99/claim|Median: $47.35
1.0× median
H0006Normal range

Alcohol and/or drug services, case management

$495K

21K claims · 4.6%

Your Cost: $24.00/claim|Median: $43.10
0.6× median
T1002Normal range

RN services, per 15 minutes

$495K

18K claims · 4.6%

Your Cost: $27.33/claim|Median: $37.42
0.7× median
H0048Normal range

$469K

33K claims · 4.3%

Your Cost: $14.08/claim|Median: $13.25
1.1× median
G0482Top 25%

Drug test, definitive, 15-21 drug classes

$433K

3,141 claims · 4.0%

Your Cost: $137.75/claim|Median: $75.26
1.8× median
99213Top 10%

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

$343K

4,353 claims · 3.2%

Your Cost: $78.79/claim|Median: $37.81
2.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$313K

14K claims · 2.9%

Your Cost: $22.69/claim|Median: $24.24
0.9× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$281K

2,089 claims · 2.6%

Your Cost: $134.31/claim|Median: $129.75
1.0× median
H2036Normal range

Alcohol/drug treatment, per hour

$223K

1,097 claims · 2.1%

Your Cost: $203.57/claim|Median: $253.79
0.8× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$191K

11K claims · 1.8%

Your Cost: $16.66/claim|Median: $7.86
2.1× median
90791Normal range

Psychiatric diagnostic evaluation

$114K

1,072 claims · 1.1%

Your Cost: $106.55/claim|Median: $99.21
1.1× median
H0020Normal range

Alcohol/drug services; methadone administration

$106K

6,836 claims · 1.0%

Your Cost: $15.45/claim|Median: $18.95
0.8× median
J0575Normal range

$86K

6,514 claims · 0.8%

Your Cost: $13.25/claim|Median: $14.96
0.9× median
99204Top 10%

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

$75K

489 claims · 0.7%

Your Cost: $153.65/claim|Median: $84.03
1.8× median
99215Top 10%

Office/outpatient visit, high complexity

$63K

401 claims · 0.6%

Your Cost: $156.64/claim|Median: $74.09
2.1× median
99212Top 25%

Office/outpatient visit, low complexity

$55K

1,162 claims · 0.5%

Your Cost: $47.08/claim|Median: $25.06
1.9× median
90834Normal range

Psychotherapy, 45 minutes

$54K

765 claims · 0.5%

Your Cost: $70.76/claim|Median: $63.65
1.1× median
90853Normal range

Group psychotherapy

$16K

846 claims · 0.1%

Your Cost: $18.99/claim|Median: $25.02
0.8× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$16K

221 claims · 0.1%

Your Cost: $71.96/claim|Median: $37.56
1.9× median
90832Normal range

Psychotherapy, 30 minutes

$16K

302 claims · 0.1%

Your Cost: $51.38/claim|Median: $41.28
1.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$11K

61 claims · 0.1%

Your Cost: $185.22/claim|Median: $111.09
1.7× median
81025Normal range

Urine pregnancy test

$7K

1,697 claims · 0.1%

Your Cost: $3.89/claim|Median: $4.81
0.8× median
80305Normal range

$5K

2,523 claims · 0.0%

Your Cost: $2.09/claim|Median: $7.44
0.3× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$4K

82 claims · 0.0%

Your Cost: $51.04/claim|Median: $26.72
1.9× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$2K

82 claims · 0.0%

Your Cost: $23.93/claim|Median: $21.08
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2K

82 claims · 0.0%

Your Cost: $23.93/claim|Median: $23.39
1.0× median
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