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Provider 1245795459

NPI: 1245795459Share
Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$9.0M

$8,997,371

Total Claims

162K

Beneficiaries

127K

1.3 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2020
$414K
+123%
2021
$924K
+204%
2022
$2.8M
+6%
2023
$3.0M
-37%
2024
$1.9M

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 38% of total spending.

99214Normal range

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

$3.4M

53K claims · 37.7%

Your Cost: $63.58/claim|Median: $53.41
1.2× median
99493Normal range

$1.7M

17K claims · 19.0%

Your Cost: $101.47/claim|Median: $73.13
1.4× median
H0015Top 10%

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

$682K

2,149 claims · 7.6%

Your Cost: $317.36/claim|Median: $129.75
2.4× median
T1016Normal range

Case management, each 15 min

$416K

4,555 claims · 4.6%

Your Cost: $91.34/claim|Median: $49.62
1.8× median
99204Normal range

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

$380K

4,272 claims · 4.2%

Your Cost: $88.86/claim|Median: $84.03
1.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$373K

7,134 claims · 4.1%

Your Cost: $52.24/claim|Median: $38.83
1.3× median
99492Top 25%

$360K

3,281 claims · 4.0%

Your Cost: $109.61/claim|Median: $68.72
1.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$351K

2,523 claims · 3.9%

Your Cost: $139.02/claim|Median: $99.21
1.4× median
99213Normal range

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

$342K

7,446 claims · 3.8%

Your Cost: $45.92/claim|Median: $37.81
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$209K

2,393 claims · 2.3%

Your Cost: $87.28/claim|Median: $74.09
1.2× median
80305Normal range

$169K

21K claims · 1.9%

Your Cost: $8.09/claim|Median: $7.44
1.1× median
H2014Normal range

Skills training & development, per 15 min

$70K

1,050 claims · 0.8%

Your Cost: $66.62/claim|Median: $83.88
0.8× median
99203Normal range

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

$55K

866 claims · 0.6%

Your Cost: $63.57/claim|Median: $57.85
1.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$48K

2,195 claims · 0.5%

Your Cost: $21.77/claim|Median: $30.04
0.7× median
99454Top 25%

$45K

1,310 claims · 0.5%

Your Cost: $34.41/claim|Median: $9.15
3.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$45K

615 claims · 0.5%

Your Cost: $73.29/claim|Median: $74.63
1.0× median
99457Top 25%

$37K

1,328 claims · 0.4%

Your Cost: $27.81/claim|Median: $6.05
4.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$33K

226 claims · 0.4%

Your Cost: $143.81/claim|Median: $108.91
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$29K

273 claims · 0.3%

Your Cost: $107.73/claim|Median: $111.09
1.0× median
87804Normal range

Influenza virus detection, rapid test

$25K

2,046 claims · 0.3%

Your Cost: $12.35/claim|Median: $12.59
1.0× median
99494Normal range

$22K

576 claims · 0.2%

Your Cost: $38.32/claim|Median: $36.93
1.0× median
99484Top 25%

$19K

621 claims · 0.2%

Your Cost: $30.83/claim|Median: $7.13
4.3× median
99401Top 25%

$18K

652 claims · 0.2%

Your Cost: $27.59/claim|Median: $16.53
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$18K

540 claims · 0.2%

Your Cost: $32.84/claim|Median: $25.06
1.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$17K

213 claims · 0.2%

Your Cost: $81.97/claim|Median: $76.06
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$15K

5,098 claims · 0.2%

Your Cost: $2.87/claim|Median: $3.67
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$14K

1,297 claims · 0.2%

Your Cost: $10.62/claim|Median: $9.56
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$14K

1,286 claims · 0.2%

Your Cost: $10.58/claim|Median: $9.70
1.1× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$11K

67 claims · 0.1%

Your Cost: $163.80/claim|Median: $55.04
3.0× median
96132Normal range

$10K

107 claims · 0.1%

Your Cost: $91.89/claim|Median: $70.53
1.3× median
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