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Provider 1316994411

NPI: 1316994411Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,071,256

Total Claims

650K

Beneficiaries

592K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-59%
2019
$478K
+40%
2020
$671K
+151%
2021
$1.7M
+11%
2022
$1.9M
+212%
2023
$5.8M
-7%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 15% of total spending.

99214Normal range

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

$2.6M

87K claims · 15.1%

Your Cost: $29.61/claim|Median: $53.41
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$1.7M

21K claims · 10.0%

Your Cost: $80.65/claim|Median: $63.65
1.3× median
99213Normal range

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

$1.7M

150K claims · 9.9%

Your Cost: $11.28/claim|Median: $37.81
0.3× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$1.3M

14K claims · 7.8%

Your Cost: $96.91/claim|Median: $47.08
2.1× median
90832Normal range

Psychotherapy, 30 minutes

$1.1M

23K claims · 6.6%

Your Cost: $48.49/claim|Median: $41.28
1.2× median
99284Normal range

Emergency dept visit, high complexity

$795K

9,918 claims · 4.7%

Your Cost: $80.13/claim|Median: $69.51
1.2× median
90837Top 25%

Psychotherapy, 60 minutes

$762K

6,840 claims · 4.5%

Your Cost: $111.35/claim|Median: $85.66
1.3× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$652K

12K claims · 3.8%

Your Cost: $52.94/claim|Median: $3.67
14.4× median
99215Normal range

Office/outpatient visit, high complexity

$527K

11K claims · 3.1%

Your Cost: $46.03/claim|Median: $74.09
0.6× median
96110Top 1%

Developmental screening, per standardized instrument

$432K

3,686 claims · 2.5%

Your Cost: $117.23/claim|Median: $9.10
12.9× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$408K

5,034 claims · 2.4%

Your Cost: $81.11/claim|Median: $38.23
2.1× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$341K

3,186 claims · 2.0%

Your Cost: $106.91/claim|Median: $59.72
1.8× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$328K

366 claims · 1.9%

Your Cost: $896.63/claim|Median: $786.43
1.1× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$310K

1,864 claims · 1.8%

Your Cost: $166.44/claim|Median: $121.16
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$275K

2,281 claims · 1.6%

Your Cost: $120.49/claim|Median: $99.21
1.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$181K

2,669 claims · 1.1%

Your Cost: $67.66/claim|Median: $39.33
1.7× median
S5170Normal range

Homemaker service, NOS, per diem

$176K

2,883 claims · 1.0%

Your Cost: $60.93/claim|Median: $19.89
3.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$165K

2,047 claims · 1.0%

Your Cost: $80.44/claim|Median: $42.48
1.9× median
76856Top 5%

Ultrasound, pelvic, complete

$154K

875 claims · 0.9%

Your Cost: $176.15/claim|Median: $47.58
3.7× median
99282Top 25%

Emergency dept visit, low complexity

$144K

1,104 claims · 0.8%

Your Cost: $130.10/claim|Median: $37.72
3.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$139K

3,609 claims · 0.8%

Your Cost: $38.38/claim|Median: $9.56
4.0× median
99212Normal range

Office/outpatient visit, low complexity

$133K

13K claims · 0.8%

Your Cost: $10.31/claim|Median: $25.06
0.4× median
S0302Normal range

$121K

23K claims · 0.7%

Your Cost: $5.23/claim|Median: $9.05
0.6× median
76830Top 5%

Ultrasound, transvaginal

$104K

831 claims · 0.6%

Your Cost: $125.09/claim|Median: $57.47
2.2× median
87430Top 25%

$98K

6,681 claims · 0.6%

Your Cost: $14.65/claim|Median: $9.41
1.6× median
90480Top 25%

$94K

2,501 claims · 0.5%

Your Cost: $37.42/claim|Median: $25.29
1.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$93K

2,845 claims · 0.5%

Your Cost: $32.72/claim|Median: $30.04
1.1× median
92015Normal range

Determination of refractive state

$88K

6,609 claims · 0.5%

Your Cost: $13.36/claim|Median: $10.36
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$85K

720 claims · 0.5%

Your Cost: $118.33/claim|Median: $85.65
1.4× median
V2020Top 10%

Frames, purchases

$81K

1,815 claims · 0.5%

Your Cost: $44.45/claim|Median: $19.33
2.3× median
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