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Provider 1255471827

NPI: 1255471827Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,434,932

Total Claims

814K

Beneficiaries

683K

1.2 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+20%
2019
$1.7M
+14%
2020
$1.9M
-2%
2021
$1.9M
-12%
2022
$1.7M
+14%
2023
$1.9M
-3%
2024
$1.8M

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 42% of total spending.

99213Normal range

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

$5.2M

153K claims · 42.0%

Your Cost: $34.06/claim|Median: $37.81
0.9× median
99214Normal range

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

$3.7M

85K claims · 30.1%

Your Cost: $44.28/claim|Median: $53.41
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$396K

5,329 claims · 3.2%

Your Cost: $74.36/claim|Median: $85.66
0.9× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$356K

6,646 claims · 2.9%

Your Cost: $53.61/claim|Median: $9.79
5.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$312K

5,100 claims · 2.5%

Your Cost: $61.21/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$291K

4,448 claims · 2.3%

Your Cost: $65.53/claim|Median: $75.18
0.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$239K

16K claims · 1.9%

Your Cost: $14.72/claim|Median: $9.56
1.5× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$168K

11K claims · 1.4%

Your Cost: $15.63/claim|Median: $11.48
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$130K

3,339 claims · 1.0%

Your Cost: $38.85/claim|Median: $41.28
0.9× median
90471Normal range

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

$108K

8,303 claims · 0.9%

Your Cost: $13.03/claim|Median: $9.80
1.3× median
99203Normal range

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

$103K

1,568 claims · 0.8%

Your Cost: $66.00/claim|Median: $57.85
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$103K

4,152 claims · 0.8%

Your Cost: $24.71/claim|Median: $25.06
1.0× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$100K

1,292 claims · 0.8%

Your Cost: $77.30/claim|Median: $14.00
5.5× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$92K

2,866 claims · 0.7%

Your Cost: $31.96/claim|Median: $13.30
2.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$89K

1,584 claims · 0.7%

Your Cost: $56.16/claim|Median: $74.82
0.8× median
99204Normal range

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

$83K

983 claims · 0.7%

Your Cost: $84.74/claim|Median: $84.03
1.0× median
87804Normal range

Influenza virus detection, rapid test

$82K

4,757 claims · 0.7%

Your Cost: $17.25/claim|Median: $12.59
1.4× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$81K

7,359 claims · 0.6%

Your Cost: $10.97/claim|Median: $11.35
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$77K

7,001 claims · 0.6%

Your Cost: $11.05/claim|Median: $11.79
0.9× median
96110Top 10%

Developmental screening, per standardized instrument

$65K

2,227 claims · 0.5%

Your Cost: $29.30/claim|Median: $9.10
3.2× median
G2025Normal range

$47K

2,997 claims · 0.4%

Your Cost: $15.67/claim|Median: $15.63
1.0× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$44K

919 claims · 0.4%

Your Cost: $47.97/claim|Median: $22.44
2.1× median
90791Normal range

Psychiatric diagnostic evaluation

$41K

479 claims · 0.3%

Your Cost: $84.71/claim|Median: $99.21
0.9× median
99307Top 5%

$37K

1,297 claims · 0.3%

Your Cost: $28.50/claim|Median: $6.57
4.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$37K

3,280 claims · 0.3%

Your Cost: $11.22/claim|Median: $55.04
0.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$35K

2,770 claims · 0.3%

Your Cost: $12.48/claim|Median: $17.85
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$27K

605 claims · 0.2%

Your Cost: $43.89/claim|Median: $63.65
0.7× median
J1050Top 10%

Injection, medroxyprogesterone acetate, one milligram

$25K

299 claims · 0.2%

Your Cost: $84.57/claim|Median: $41.92
2.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$21K

273 claims · 0.2%

Your Cost: $75.69/claim|Median: $72.71
1.0× median
90853Normal range

Group psychotherapy

$15K

1,019 claims · 0.1%

Your Cost: $15.17/claim|Median: $25.02
0.6× median
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