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Provider 1336152347

NPI: 1336152347Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,548,392

Total Claims

643K

Beneficiaries

468K

1.4 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$230K
+736%
2019
$1.9M
+44%
2020
$2.8M
+21%
2021
$3.3M
-36%
2022
$2.2M
-20%
2023
$1.7M
-18%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 40% of total spending.

S5145Normal range

Foster care, therapeutic, child, per diem

$5.4M

46K claims · 39.9%

Your Cost: $116.90/claim|Median: $216.31
0.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.6M

26K claims · 11.5%

Your Cost: $60.53/claim|Median: $91.63
0.7× median
H1000Top 25%

Prenatal care, at-risk assessment

$1.4M

17K claims · 10.1%

Your Cost: $82.98/claim|Median: $50.36
1.6× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.3M

27K claims · 9.3%

Your Cost: $46.17/claim|Median: $121.16
0.4× median
99213Normal range

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

$620K

28K claims · 4.6%

Your Cost: $22.21/claim|Median: $37.81
0.6× median
H0032Normal range

Mental health service plan development

$469K

10K claims · 3.5%

Your Cost: $46.25/claim|Median: $80.64
0.6× median
T1017Normal range

Targeted case management, per 15 min

$428K

12K claims · 3.2%

Your Cost: $34.63/claim|Median: $69.56
0.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$362K

10K claims · 2.7%

Your Cost: $36.06/claim|Median: $84.12
0.4× median
H0031Normal range

Mental health assessment by non-physician

$299K

13K claims · 2.2%

Your Cost: $23.45/claim|Median: $96.18
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$275K

11K claims · 2.0%

Your Cost: $25.09/claim|Median: $25.06
1.0× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$213K

1,584 claims · 1.6%

Your Cost: $134.46/claim|Median: $114.71
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$213K

4,131 claims · 1.6%

Your Cost: $51.49/claim|Median: $69.35
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$206K

3,833 claims · 1.5%

Your Cost: $53.79/claim|Median: $75.18
0.7× median
59410Normal range

$154K

256 claims · 1.1%

Your Cost: $602.20/claim|Median: $781.64
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$73K

1,217 claims · 0.5%

Your Cost: $60.02/claim|Median: $74.82
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$67K

2,462 claims · 0.5%

Your Cost: $27.24/claim|Median: $46.33
0.6× median
99214Normal range

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

$45K

1,191 claims · 0.3%

Your Cost: $37.61/claim|Median: $53.41
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$37K

626 claims · 0.3%

Your Cost: $58.59/claim|Median: $80.15
0.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$31K

13K claims · 0.2%

Your Cost: $2.35/claim|Median: $9.80
0.2× median
90671Top 25%

$28K

554 claims · 0.2%

Your Cost: $50.78/claim|Median: $8.59
5.9× median
D1110Normal range

Prophylaxis, adult cleaning

$27K

1,845 claims · 0.2%

Your Cost: $14.42/claim|Median: $43.38
0.3× median
59430Normal range

$24K

542 claims · 0.2%

Your Cost: $44.13/claim|Median: $80.32
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$24K

3,519 claims · 0.2%

Your Cost: $6.70/claim|Median: $32.07
0.2× median
90670Normal range

$21K

2,106 claims · 0.2%

Your Cost: $10.12/claim|Median: $5.94
1.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$20K

975 claims · 0.1%

Your Cost: $20.22/claim|Median: $54.60
0.4× median
90472Normal range

Immunization administration, each additional vaccine

$20K

6,479 claims · 0.1%

Your Cost: $3.02/claim|Median: $11.79
0.3× median
D1330Top 10%

$19K

1,180 claims · 0.1%

Your Cost: $16.08/claim|Median: $5.73
2.8× median
99203Normal range

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

$17K

331 claims · 0.1%

Your Cost: $50.68/claim|Median: $57.85
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$16K

6,635 claims · 0.1%

Your Cost: $2.39/claim|Median: $21.91
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$15K

199 claims · 0.1%

Your Cost: $76.89/claim|Median: $76.06
1.0× median
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