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Provider 1295450294

NPI: 1295450294Share
Active Billing Period:2022-12→2024-12(25 months)

Total Paid

$9.6M

$9,626,344

Total Claims

233K

Beneficiaries

156K

1.5 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2022
$34K
+10733%
2023
$3.7M
+58%
2024
$5.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 73% of total spending.

99214Top 25%

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

$7.0M

92K claims · 72.6%

Your Cost: $76.34/claim|Median: $53.41
1.4× median
80305Normal range

$823K

91K claims · 8.6%

Your Cost: $9.00/claim|Median: $7.44
1.2× median
99213Top 25%

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

$764K

13K claims · 7.9%

Your Cost: $57.36/claim|Median: $37.81
1.5× median
99204Normal range

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

$287K

3,052 claims · 3.0%

Your Cost: $94.08/claim|Median: $84.03
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$182K

1,772 claims · 1.9%

Your Cost: $102.81/claim|Median: $99.21
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$160K

5,094 claims · 1.7%

Your Cost: $31.41/claim|Median: $41.28
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$67K

1,320 claims · 0.7%

Your Cost: $50.49/claim|Median: $85.66
0.6× median
90853Normal range

Group psychotherapy

$54K

3,030 claims · 0.6%

Your Cost: $17.97/claim|Median: $25.02
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$47K

4,896 claims · 0.5%

Your Cost: $9.67/claim|Median: $9.56
1.0× median
Q9992Normal range

$40K

2,344 claims · 0.4%

Your Cost: $17.13/claim|Median: $1,537.34
0.0× median
81025Normal range

Urine pregnancy test

$38K

5,936 claims · 0.4%

Your Cost: $6.47/claim|Median: $4.81
1.3× median
82075Normal range

Alcohol (ethanol) breath test

$38K

1,854 claims · 0.4%

Your Cost: $20.40/claim|Median: $16.59
1.2× median
J2315Normal range

$34K

57 claims · 0.3%

Your Cost: $588.42/claim|Median: $1,045.36
0.6× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$27K

2,111 claims · 0.3%

Your Cost: $12.82/claim|Median: $90.89
0.1× median
99215Top 25%

Office/outpatient visit, high complexity

$18K

134 claims · 0.2%

Your Cost: $131.49/claim|Median: $74.09
1.8× median
99408Top 25%

$16K

605 claims · 0.2%

Your Cost: $25.98/claim|Median: $9.32
2.8× median
99000Normal range

$15K

3,325 claims · 0.2%

Your Cost: $4.61/claim|Median: $2.30
2.0× median
90834Normal range

Psychotherapy, 45 minutes

$11K

384 claims · 0.1%

Your Cost: $28.70/claim|Median: $63.65
0.5× median
99409Top 25%

$10K

215 claims · 0.1%

Your Cost: $48.75/claim|Median: $34.77
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$6K

59 claims · 0.1%

Your Cost: $102.43/claim|Median: $111.09
0.9× median
99203Top 25%

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

$2K

31 claims · 0.0%

Your Cost: $78.64/claim|Median: $57.85
1.4× median
J0578Normal range

$0

14 claims · 0.0%

Your Cost: $0.01/claim|Median: $1,710.92
0.0× median
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