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Provider 1326338237

NPI: 1326338237Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.3M

$8,252,041

Total Claims

158K

Beneficiaries

140K

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$396K
+23%
2019
$485K
-33%
2020
$324K
+28%
2021
$414K
+165%
2022
$1.1M
+107%
2023
$2.3M
+44%
2024
$3.3M

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 30% of total spending.

99214Normal range

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

$2.5M

37K claims · 29.8%

Your Cost: $66.47/claim|Median: $53.41
1.2× median
90837Top 5%

Psychotherapy, 60 minutes

$1.9M

10K claims · 22.5%

Your Cost: $177.62/claim|Median: $85.66
2.1× median
99215Normal range

Office/outpatient visit, high complexity

$1.3M

16K claims · 15.6%

Your Cost: $80.03/claim|Median: $74.09
1.1× median
T1014Normal range

$451K

65K claims · 5.5%

Your Cost: $6.93/claim|Median: $12.88
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$425K

4,126 claims · 5.2%

Your Cost: $103.08/claim|Median: $111.09
0.9× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$404K

2,252 claims · 4.9%

Your Cost: $179.23/claim|Median: $108.91
1.6× median
99204Normal range

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

$351K

5,715 claims · 4.3%

Your Cost: $61.47/claim|Median: $84.03
0.7× median
90791Top 10%

Psychiatric diagnostic evaluation

$159K

765 claims · 1.9%

Your Cost: $207.76/claim|Median: $99.21
2.1× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$152K

1,645 claims · 1.8%

Your Cost: $92.48/claim|Median: $12.70
7.3× median
90833Top 5%

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

$141K

1,628 claims · 1.7%

Your Cost: $86.78/claim|Median: $38.83
2.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$121K

915 claims · 1.5%

Your Cost: $131.90/claim|Median: $67.32
2.0× median
99451Top 10%

$87K

2,110 claims · 1.1%

Your Cost: $41.11/claim|Median: $20.05
2.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$72K

1,095 claims · 0.9%

Your Cost: $65.64/claim|Median: $35.30
1.9× median
99444Normal range

$70K

1,740 claims · 0.8%

Your Cost: $40.00/claim|Median: $56.66
0.7× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$48K

1,378 claims · 0.6%

Your Cost: $34.97/claim|Median: $24.33
1.4× median
G0108Normal range

Diabetes self-management training, individual

$46K

1,561 claims · 0.6%

Your Cost: $29.33/claim|Median: $35.89
0.8× median
90834Top 10%

Psychotherapy, 45 minutes

$43K

355 claims · 0.5%

Your Cost: $121.64/claim|Median: $63.65
1.9× median
95251Top 10%

$17K

508 claims · 0.2%

Your Cost: $33.13/claim|Median: $18.02
1.8× median
99213Top 10%

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

$16K

220 claims · 0.2%

Your Cost: $73.98/claim|Median: $37.81
2.0× median
90832Top 25%

Psychotherapy, 30 minutes

$13K

158 claims · 0.2%

Your Cost: $84.91/claim|Median: $41.28
2.1× median
99203Top 10%

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

$8K

80 claims · 0.1%

Your Cost: $102.14/claim|Median: $57.85
1.8× median
99457Normal range

$7K

764 claims · 0.1%

Your Cost: $9.27/claim|Median: $6.05
1.5× median
99458Normal range

$6K

764 claims · 0.1%

Your Cost: $7.89/claim|Median: $6.87
1.1× median
99490Normal range

Chronic care management services, 20 minutes per month

$5K

779 claims · 0.1%

Your Cost: $6.07/claim|Median: $6.31
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$4K

102 claims · 0.1%

Your Cost: $41.72/claim|Median: $23.99
1.7× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$1K

12 claims · 0.0%

Your Cost: $98.14/claim|Median: $51.25
1.9× median
G0427Normal range

$668

16 claims · 0.0%

Your Cost: $41.73/claim|Median: $42.79
1.0× median
G2211Normal range

$34

12 claims · 0.0%

Your Cost: $2.86/claim|Median: $2.40
1.2× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$28

117 claims · 0.0%

Your Cost: $0.24/claim|Median: $17.67
0.0× median
G8427Normal range

$0

656 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
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