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Provider 1285708818

NPI: 1285708818Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.2M

$15,229,345

Total Claims

237K

Beneficiaries

194K

1.2 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-5%
2019
$2.0M
-6%
2020
$1.9M
+35%
2021
$2.5M
-11%
2022
$2.3M
-2%
2023
$2.2M
+0%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 40% of total spending.

00003Normal range

Anesthesia services

$6.0M

33K claims · 39.5%

Your Cost: $182.73/claim|Median: $223.77
0.8× median
99213Normal range

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

$3.5M

78K claims · 23.2%

Your Cost: $45.58/claim|Median: $37.81
1.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$2.9M

55K claims · 19.1%

Your Cost: $52.71/claim|Median: $121.16
0.4× median
99214Normal range

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

$580K

7,784 claims · 3.8%

Your Cost: $74.56/claim|Median: $53.41
1.4× median
90837Top 25%

Psychotherapy, 60 minutes

$377K

3,434 claims · 2.5%

Your Cost: $109.64/claim|Median: $85.66
1.3× median
96156Top 25%

$292K

3,298 claims · 1.9%

Your Cost: $88.39/claim|Median: $22.36
4.0× median
G9012Top 5%

Other specified case management service, per 15 minutes

$240K

417 claims · 1.6%

Your Cost: $576.46/claim|Median: $137.85
4.2× median
99203Top 5%

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

$184K

1,333 claims · 1.2%

Your Cost: $138.09/claim|Median: $57.85
2.4× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$113K

3,467 claims · 0.7%

Your Cost: $32.54/claim|Median: $36.70
0.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$106K

3,475 claims · 0.7%

Your Cost: $30.55/claim|Median: $33.72
0.9× median
90471Top 5%

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

$98K

4,108 claims · 0.6%

Your Cost: $23.83/claim|Median: $9.80
2.4× median
G0467Normal range

Federally qualified health center visit, mental health

$80K

6,780 claims · 0.5%

Your Cost: $11.74/claim|Median: $21.91
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$64K

2,992 claims · 0.4%

Your Cost: $21.33/claim|Median: $25.06
0.9× median
90750Top 25%

$57K

354 claims · 0.4%

Your Cost: $161.68/claim|Median: $96.16
1.7× median
99204Top 1%

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

$55K

220 claims · 0.4%

Your Cost: $250.41/claim|Median: $84.03
3.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$51K

665 claims · 0.3%

Your Cost: $77.11/claim|Median: $72.71
1.1× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$49K

447 claims · 0.3%

Your Cost: $110.71/claim|Median: $76.06
1.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$48K

1,514 claims · 0.3%

Your Cost: $31.89/claim|Median: $33.85
0.9× median
93000Top 1%

Electrocardiogram, complete, with interpretation and report

$47K

1,094 claims · 0.3%

Your Cost: $42.91/claim|Median: $9.70
4.4× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$43K

1,479 claims · 0.3%

Your Cost: $29.34/claim|Median: $25.93
1.1× median
G2025Normal range

$37K

2,056 claims · 0.2%

Your Cost: $17.92/claim|Median: $15.63
1.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$35K

233 claims · 0.2%

Your Cost: $148.09/claim|Median: $99.21
1.5× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$22K

265 claims · 0.1%

Your Cost: $84.00/claim|Median: $76.22
1.1× median
90746Top 25%

Hepatitis B vaccine, adult

$20K

298 claims · 0.1%

Your Cost: $65.78/claim|Median: $48.85
1.3× median
G0101Top 5%

Cervical/vaginal cancer screening; pelvic exam

$16K

348 claims · 0.1%

Your Cost: $45.73/claim|Median: $21.28
2.1× median
90677Top 5%

$13K

50 claims · 0.1%

Your Cost: $258.65/claim|Median: $12.96
20.0× median
97811Normal range

$10K

945 claims · 0.1%

Your Cost: $10.46/claim|Median: $19.71
0.5× median
81003Top 5%

Urinalysis, automated without microscopy

$8K

520 claims · 0.1%

Your Cost: $16.33/claim|Median: $1.48
11.0× median
0004ATop 25%

$8K

199 claims · 0.1%

Your Cost: $40.00/claim|Median: $35.62
1.1× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$8K

269 claims · 0.1%

Your Cost: $29.44/claim|Median: $18.03
1.6× median
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