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Provider 1346251782

NPI: 1346251782Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.1M

$9,062,061

Total Claims

124K

Beneficiaries

110K

1.1 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-21%
2019
$1.5M
+14%
2020
$1.7M
-6%
2021
$1.6M
-21%
2022
$1.2M
-39%
2023
$762K
-37%
2024
$479K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 36% of total spending.

99213Top 5%

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

$3.3M

24K claims · 36.5%

Your Cost: $136.03/claim|Median: $37.81
3.6× median
D0999Normal range

Unspecified diagnostic procedure, by report

$1.7M

9,776 claims · 18.6%

Your Cost: $172.21/claim|Median: $101.33
1.7× median
99214Top 10%

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

$917K

7,993 claims · 10.1%

Your Cost: $114.77/claim|Median: $53.41
2.1× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$523K

3,190 claims · 5.8%

Your Cost: $164.04/claim|Median: $69.35
2.4× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$333K

2,023 claims · 3.7%

Your Cost: $164.51/claim|Median: $75.18
2.2× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$230K

1,389 claims · 2.5%

Your Cost: $165.76/claim|Median: $74.82
2.2× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$230K

1,446 claims · 2.5%

Your Cost: $158.91/claim|Median: $22.44
7.1× median
99212Top 5%

Office/outpatient visit, low complexity

$229K

1,525 claims · 2.5%

Your Cost: $150.24/claim|Median: $25.06
6.0× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$193K

1,178 claims · 2.1%

Your Cost: $164.04/claim|Median: $80.15
2.0× median
90837Top 25%

Psychotherapy, 60 minutes

$172K

1,393 claims · 1.9%

Your Cost: $123.58/claim|Median: $85.66
1.4× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$165K

984 claims · 1.8%

Your Cost: $167.29/claim|Median: $13.30
12.6× median
G0467Normal range

Federally qualified health center visit, mental health

$106K

6,982 claims · 1.2%

Your Cost: $15.11/claim|Median: $21.91
0.7× median
Q3014Normal range

Telehealth originating site facility fee

$101K

4,869 claims · 1.1%

Your Cost: $20.84/claim|Median: $15.37
1.4× median
98968Top 5%

$81K

475 claims · 0.9%

Your Cost: $170.99/claim|Median: $28.39
6.0× median
G0511Top 10%

RHC/FQHC visit, psychiatric collaborative care model

$73K

1,761 claims · 0.8%

Your Cost: $41.65/claim|Median: $11.35
3.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$71K

473 claims · 0.8%

Your Cost: $150.09/claim|Median: $99.21
1.5× median
98967Top 5%

$64K

406 claims · 0.7%

Your Cost: $157.16/claim|Median: $18.97
8.3× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$61K

370 claims · 0.7%

Your Cost: $165.13/claim|Median: $32.55
5.1× median
90832Top 25%

Psychotherapy, 30 minutes

$60K

922 claims · 0.7%

Your Cost: $64.62/claim|Median: $41.28
1.6× median
G2025Top 25%

$57K

1,921 claims · 0.6%

Your Cost: $29.64/claim|Median: $15.63
1.9× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$52K

324 claims · 0.6%

Your Cost: $159.00/claim|Median: $33.85
4.7× median
90834Top 10%

Psychotherapy, 45 minutes

$44K

349 claims · 0.5%

Your Cost: $126.55/claim|Median: $63.65
2.0× median
99203Top 5%

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

$41K

313 claims · 0.5%

Your Cost: $130.66/claim|Median: $57.85
2.3× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$36K

210 claims · 0.4%

Your Cost: $170.00/claim|Median: $76.06
2.2× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$32K

251 claims · 0.4%

Your Cost: $127.74/claim|Median: $25.93
4.9× median
97802Top 5%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$31K

198 claims · 0.3%

Your Cost: $154.20/claim|Median: $12.70
12.1× median
0064ATop 5%

$26K

246 claims · 0.3%

Your Cost: $105.14/claim|Median: $34.17
3.1× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$21K

120 claims · 0.2%

Your Cost: $172.20/claim|Median: $72.71
2.4× median
90853Top 5%

Group psychotherapy

$19K

143 claims · 0.2%

Your Cost: $134.63/claim|Median: $25.02
5.4× median
0072ATop 5%

$19K

109 claims · 0.2%

Your Cost: $169.73/claim|Median: $39.57
4.3× median
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