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Provider 1275545725

NPI: 1275545725Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.8M

$12,811,720

Total Claims

1.1M

Beneficiaries

995K

1.1 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$420K
+29%
2019
$543K
-18%
2020
$447K
+54%
2021
$689K
+272%
2022
$2.6M
+70%
2023
$4.4M
-13%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 65% of total spending.

G9012Normal range

Other specified case management service, per 15 minutes

$8.4M

42K claims · 65.3%

Your Cost: $201.36/claim|Median: $137.85
1.5× median
99214Normal range

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

$1.3M

78K claims · 9.8%

Your Cost: $16.13/claim|Median: $53.41
0.3× median
99213Normal range

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

$596K

47K claims · 4.7%

Your Cost: $12.56/claim|Median: $37.81
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$406K

15K claims · 3.2%

Your Cost: $27.40/claim|Median: $74.09
0.4× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$147K

20K claims · 1.1%

Your Cost: $7.52/claim|Median: $12.70
0.6× median
99490Top 25%

Chronic care management services, 20 minutes per month

$108K

7,538 claims · 0.8%

Your Cost: $14.29/claim|Median: $6.31
2.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$108K

3,206 claims · 0.8%

Your Cost: $33.60/claim|Median: $39.33
0.9× median
99487Normal range

$106K

3,383 claims · 0.8%

Your Cost: $31.36/claim|Median: $14.74
2.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$85K

4,184 claims · 0.7%

Your Cost: $20.35/claim|Median: $80.15
0.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$82K

2,440 claims · 0.6%

Your Cost: $33.48/claim|Median: $59.72
0.6× median
G9920Normal range

$82K

8,200 claims · 0.6%

Your Cost: $9.96/claim|Median: $6.56
1.5× median
82306Normal range

Vitamin D, 25 hydroxy

$53K

7,793 claims · 0.4%

Your Cost: $6.76/claim|Median: $18.18
0.4× median
G0439Top 10%

Annual wellness visit, subsequent visit

$49K

734 claims · 0.4%

Your Cost: $66.29/claim|Median: $5.42
12.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$47K

11K claims · 0.4%

Your Cost: $4.09/claim|Median: $9.87
0.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$46K

1,264 claims · 0.4%

Your Cost: $36.36/claim|Median: $47.08
0.8× median
99203Normal range

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

$44K

1,565 claims · 0.3%

Your Cost: $28.37/claim|Median: $57.85
0.5× median
G9008Normal range

Coordination of long-term care services, per month

$43K

302 claims · 0.3%

Your Cost: $142.56/claim|Median: $66.78
2.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$42K

2,348 claims · 0.3%

Your Cost: $17.77/claim|Median: $74.82
0.2× median
76856Normal range

Ultrasound, pelvic, complete

$41K

1,836 claims · 0.3%

Your Cost: $22.08/claim|Median: $47.58
0.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$38K

1,519 claims · 0.3%

Your Cost: $24.92/claim|Median: $63.08
0.4× median
92551Normal range

Screening audiometry, pure tone, air only

$35K

9,879 claims · 0.3%

Your Cost: $3.51/claim|Median: $6.61
0.5× median
99204Normal range

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

$33K

1,419 claims · 0.3%

Your Cost: $22.98/claim|Median: $84.03
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$32K

7,312 claims · 0.3%

Your Cost: $4.42/claim|Median: $25.06
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$31K

1,649 claims · 0.2%

Your Cost: $18.62/claim|Median: $75.18
0.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$30K

13K claims · 0.2%

Your Cost: $2.43/claim|Median: $5.50
0.4× median
99489Top 25%

$28K

1,008 claims · 0.2%

Your Cost: $27.74/claim|Median: $9.86
2.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$26K

668 claims · 0.2%

Your Cost: $39.28/claim|Median: $69.35
0.6× median
99309Normal range

Nursing facility care, subsequent, low complexity

$26K

1,946 claims · 0.2%

Your Cost: $13.34/claim|Median: $14.00
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$25K

2,980 claims · 0.2%

Your Cost: $8.56/claim|Median: $23.39
0.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$25K

2,959 claims · 0.2%

Your Cost: $8.58/claim|Median: $24.95
0.3× median
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