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Provider 1316335128

NPI: 1316335128Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,626,601

Total Claims

180K

Beneficiaries

63K

2.9 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+31%
2019
$2.0M
-15%
2020
$1.7M
+27%
2021
$2.1M
+6%
2022
$2.3M
-15%
2023
$1.9M
+13%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 24% of total spending.

99214Top 25%

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

$3.3M

43K claims · 24.3%

Your Cost: $77.27/claim|Median: $53.41
1.4× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$3.3M

26K claims · 24.0%

Your Cost: $125.27/claim|Median: $55.04
2.3× median
G0483Top 25%

Drug test, definitive, 22+ drug classes

$2.6M

18K claims · 18.8%

Your Cost: $144.76/claim|Median: $90.89
1.6× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.8M

37K claims · 13.6%

Your Cost: $49.80/claim|Median: $35.43
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$1.2M

17K claims · 9.1%

Your Cost: $71.19/claim|Median: $85.66
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$821K

7,452 claims · 6.0%

Your Cost: $110.18/claim|Median: $74.09
1.5× median
Q3014Normal range

Telehealth originating site facility fee

$404K

23K claims · 3.0%

Your Cost: $17.64/claim|Median: $15.37
1.1× median
99407Top 25%

$54K

2,397 claims · 0.4%

Your Cost: $22.45/claim|Median: $13.29
1.7× median
90853Normal range

Group psychotherapy

$31K

2,479 claims · 0.2%

Your Cost: $12.54/claim|Median: $25.02
0.5× median
99213Normal range

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

$23K

614 claims · 0.2%

Your Cost: $38.14/claim|Median: $37.81
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$20K

238 claims · 0.2%

Your Cost: $86.10/claim|Median: $99.21
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$15K

125 claims · 0.1%

Your Cost: $118.67/claim|Median: $111.09
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$5K

104 claims · 0.0%

Your Cost: $45.53/claim|Median: $41.28
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$4K

34 claims · 0.0%

Your Cost: $124.02/claim|Median: $121.58
1.0× median
99199Normal range

Unlisted special service, procedure, or report

$4K

2,480 claims · 0.0%

Your Cost: $1.57/claim|Median: $5.39
0.3× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$3K

24 claims · 0.0%

Your Cost: $131.56/claim|Median: $129.75
1.0× median
99204Normal range

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

$3K

34 claims · 0.0%

Your Cost: $74.89/claim|Median: $84.03
0.9× median
90837GTNormal range

$2K

16 claims · 0.0%

Your Cost: $94.75/claim|Median: $94.92
1.0× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$1K

38 claims · 0.0%

Your Cost: $38.40/claim|Median: $38.83
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

33 claims · 0.0%

Your Cost: $43.97/claim|Median: $40.11
1.1× median
99406Top 25%

$760

80 claims · 0.0%

Your Cost: $9.50/claim|Median: $6.53
1.5× median
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