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Provider 1356689996

NPI: 1356689996Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,612,080

Total Claims

311K

Beneficiaries

169K

1.8 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+4%
2019
$1.9M
-16%
2020
$1.6M
+13%
2021
$1.8M
+32%
2022
$2.4M
+41%
2023
$3.3M
+17%
2024
$3.9M

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 25% of total spending.

99214Normal range

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

$4.1M

66K claims · 24.6%

Your Cost: $62.35/claim|Median: $53.41
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$3.7M

92K claims · 22.4%

Your Cost: $40.31/claim|Median: $23.99
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$2.4M

39K claims · 14.5%

Your Cost: $62.00/claim|Median: $85.66
0.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.9M

28K claims · 11.4%

Your Cost: $67.61/claim|Median: $35.30
1.9× median
99245Normal range

Office consultation, high complexity

$521K

4,343 claims · 3.1%

Your Cost: $119.87/claim|Median: $143.30
0.8× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$332K

4,834 claims · 2.0%

Your Cost: $68.73/claim|Median: $43.85
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$307K

3,916 claims · 1.8%

Your Cost: $78.31/claim|Median: $74.09
1.1× median
99213Normal range

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

$305K

9,404 claims · 1.8%

Your Cost: $32.42/claim|Median: $37.81
0.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$298K

2,866 claims · 1.8%

Your Cost: $104.09/claim|Median: $67.32
1.5× median
99284Normal range

Emergency dept visit, high complexity

$294K

4,074 claims · 1.8%

Your Cost: $72.06/claim|Median: $69.51
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$289K

2,453 claims · 1.7%

Your Cost: $117.92/claim|Median: $121.58
1.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$287K

7,066 claims · 1.7%

Your Cost: $40.58/claim|Median: $32.55
1.2× median
90833Normal range

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

$242K

6,294 claims · 1.5%

Your Cost: $38.39/claim|Median: $38.83
1.0× median
99225Normal range

$201K

5,861 claims · 1.2%

Your Cost: $34.29/claim|Median: $20.96
1.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$197K

1,769 claims · 1.2%

Your Cost: $111.52/claim|Median: $108.91
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$131K

3,234 claims · 0.8%

Your Cost: $40.36/claim|Median: $63.65
0.6× median
99254Normal range

$128K

1,313 claims · 0.8%

Your Cost: $97.20/claim|Median: $81.43
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$117K

4,750 claims · 0.7%

Your Cost: $24.56/claim|Median: $41.28
0.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$115K

1,850 claims · 0.7%

Your Cost: $62.10/claim|Median: $82.43
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$100K

1,200 claims · 0.6%

Your Cost: $83.50/claim|Median: $99.21
0.8× median
99220Top 25%

$100K

914 claims · 0.6%

Your Cost: $109.34/claim|Median: $73.56
1.5× median
99217Top 25%

$94K

1,789 claims · 0.6%

Your Cost: $52.78/claim|Median: $31.89
1.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$58K

798 claims · 0.3%

Your Cost: $72.22/claim|Median: $51.25
1.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$56K

2,517 claims · 0.3%

Your Cost: $22.29/claim|Median: $16.77
1.3× median
99253Normal range

$55K

1,078 claims · 0.3%

Your Cost: $51.24/claim|Median: $55.16
0.9× median
99199Normal range

Unlisted special service, procedure, or report

$44K

6,841 claims · 0.3%

Your Cost: $6.47/claim|Median: $5.39
1.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$43K

2,431 claims · 0.3%

Your Cost: $17.85/claim|Median: $22.44
0.8× median
99219Normal range

$41K

522 claims · 0.2%

Your Cost: $78.56/claim|Median: $63.35
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$25K

651 claims · 0.1%

Your Cost: $38.13/claim|Median: $42.48
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$22K

440 claims · 0.1%

Your Cost: $49.30/claim|Median: $37.22
1.3× median
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