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Provider 1356390918

NPI: 1356390918Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,408,244

Total Claims

209K

Beneficiaries

171K

1.2 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$507K
+55%
2019
$786K
+21%
2020
$949K
+149%
2021
$2.4M
+52%
2022
$3.6M
+16%
2023
$4.1M
-26%
2024
$3.1M

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 41% of total spending.

99214Top 25%

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

$6.3M

69K claims · 40.6%

Your Cost: $90.80/claim|Median: $53.41
1.7× median
99213Top 10%

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

$2.4M

32K claims · 15.5%

Your Cost: $75.06/claim|Median: $37.81
2.0× median
90834Top 5%

Psychotherapy, 45 minutes

$2.2M

15K claims · 14.0%

Your Cost: $143.73/claim|Median: $63.65
2.3× median
90832Top 5%

Psychotherapy, 30 minutes

$1.3M

9,777 claims · 8.1%

Your Cost: $127.86/claim|Median: $41.28
3.1× median
H0001Normal range

Alcohol and/or drug assessment

$383K

2,874 claims · 2.5%

Your Cost: $133.18/claim|Median: $94.22
1.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$378K

8,796 claims · 2.5%

Your Cost: $42.93/claim|Median: $9.56
4.5× median
90791Top 25%

Psychiatric diagnostic evaluation

$335K

2,149 claims · 2.2%

Your Cost: $155.93/claim|Median: $99.21
1.6× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$302K

2,223 claims · 2.0%

Your Cost: $135.93/claim|Median: $22.44
6.1× median
11720Top 1%

$235K

1,692 claims · 1.5%

Your Cost: $138.83/claim|Median: $4.64
29.9× median
11721Top 1%

$174K

1,292 claims · 1.1%

Your Cost: $134.56/claim|Median: $8.56
15.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$131K

1,331 claims · 0.8%

Your Cost: $98.21/claim|Median: $72.71
1.4× median
11719Top 1%

$126K

1,035 claims · 0.8%

Your Cost: $121.72/claim|Median: $1.95
62.4× median
90853Top 10%

Group psychotherapy

$116K

1,483 claims · 0.8%

Your Cost: $78.46/claim|Median: $25.02
3.1× median
99215Top 25%

Office/outpatient visit, high complexity

$112K

863 claims · 0.7%

Your Cost: $129.38/claim|Median: $74.09
1.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$101K

1,085 claims · 0.7%

Your Cost: $92.68/claim|Median: $76.06
1.2× median
36415Top 25%

Collection of venous blood by venipuncture

$99K

24K claims · 0.6%

Your Cost: $4.12/claim|Median: $1.57
2.6× median
99406Top 5%

$90K

4,899 claims · 0.6%

Your Cost: $18.29/claim|Median: $6.53
2.8× median
G0467Normal range

Federally qualified health center visit, mental health

$87K

2,692 claims · 0.6%

Your Cost: $32.19/claim|Median: $21.91
1.5× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$86K

643 claims · 0.6%

Your Cost: $134.10/claim|Median: $55.04
2.4× median
99212Top 10%

Office/outpatient visit, low complexity

$70K

785 claims · 0.5%

Your Cost: $89.72/claim|Median: $25.06
3.6× median
99204Normal range

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

$60K

647 claims · 0.4%

Your Cost: $92.06/claim|Median: $84.03
1.1× median
90837Top 25%

Psychotherapy, 60 minutes

$56K

486 claims · 0.4%

Your Cost: $114.31/claim|Median: $85.66
1.3× median
90756Top 5%

Influenza virus vaccine, quadrivalent

$45K

1,300 claims · 0.3%

Your Cost: $34.29/claim|Median: $14.34
2.4× median
86703Top 10%

$40K

2,081 claims · 0.3%

Your Cost: $19.10/claim|Median: $10.37
1.8× median
90471Normal range

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

$37K

3,660 claims · 0.2%

Your Cost: $10.10/claim|Median: $9.80
1.0× median
99211Top 10%

Office/outpatient visit, minimal complexity

$30K

596 claims · 0.2%

Your Cost: $49.90/claim|Median: $12.93
3.9× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$29K

189 claims · 0.2%

Your Cost: $155.27/claim|Median: $32.55
4.8× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$25K

185 claims · 0.2%

Your Cost: $137.63/claim|Median: $13.30
10.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$25K

817 claims · 0.2%

Your Cost: $30.06/claim|Median: $33.85
0.9× median
90833Top 10%

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

$25K

343 claims · 0.2%

Your Cost: $71.47/claim|Median: $38.83
1.8× median
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