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Provider 1306277082

NPI: 1306277082Share
Active Billing Period:2019-122024-12(56 months)

Total Paid

$8.2M

$8,232,420

Total Claims

1.1M

Beneficiaries

89K

12.0 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2019
$411
+1812%
2020
$8K
+2791%
2021
$227K
+1011%
2022
$2.5M
+19%
2023
$3.0M
-17%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (S0109) accounts for 76% of total spending.

S0109Normal range

$6.3M

988K claims · 75.9%

Your Cost: $6.33/claim|Median: $4.67
1.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$443K

8,378 claims · 5.4%

Your Cost: $52.91/claim|Median: $35.43
1.5× median
T1017Normal range

Targeted case management, per 15 min

$433K

36K claims · 5.3%

Your Cost: $11.90/claim|Median: $69.56
0.2× median
99213Top 25%

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

$356K

5,457 claims · 4.3%

Your Cost: $65.21/claim|Median: $37.81
1.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$171K

6,764 claims · 2.1%

Your Cost: $25.22/claim|Median: $74.63
0.3× median
H0032Normal range

Mental health service plan development

$148K

2,323 claims · 1.8%

Your Cost: $63.65/claim|Median: $80.64
0.8× median
J0574Normal range

$115K

6,756 claims · 1.4%

Your Cost: $17.00/claim|Median: $15.76
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$108K

828 claims · 1.3%

Your Cost: $129.96/claim|Median: $74.09
1.8× median
99204Top 10%

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

$53K

365 claims · 0.6%

Your Cost: $146.36/claim|Median: $84.03
1.7× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$42K

7,075 claims · 0.5%

Your Cost: $5.92/claim|Median: $4.20
1.4× median
H0031Normal range

Mental health assessment by non-physician

$30K

294 claims · 0.4%

Your Cost: $100.67/claim|Median: $96.18
1.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$26K

1,326 claims · 0.3%

Your Cost: $19.42/claim|Median: $12.93
1.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$17K

1,568 claims · 0.2%

Your Cost: $10.97/claim|Median: $96.24
0.1× median
J0575Normal range

$16K

890 claims · 0.2%

Your Cost: $17.96/claim|Median: $14.96
1.2× median
J0571Normal range

$11K

1,051 claims · 0.1%

Your Cost: $10.50/claim|Median: $7.96
1.3× median
J0572Normal range

$7K

653 claims · 0.1%

Your Cost: $10.00/claim|Median: $8.49
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$5K

121 claims · 0.1%

Your Cost: $38.46/claim|Median: $25.06
1.5× median
86485Top 1%

$2K

68 claims · 0.0%

Your Cost: $31.68/claim|Median: $24.36
1.3× median