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Provider 1366790099

NPI: 1366790099Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,411,617

Total Claims

747K

Beneficiaries

609K

1.2 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$806K
+44%
2019
$1.2M
+28%
2020
$1.5M
+28%
2021
$1.9M
+15%
2022
$2.2M
+14%
2023
$2.5M
-0%
2024
$2.5M

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 40% of total spending.

99213Normal range

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

$4.9M

154K claims · 39.8%

Your Cost: $32.16/claim|Median: $37.81
0.9× median
99214Normal range

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

$1.4M

31K claims · 11.1%

Your Cost: $43.96/claim|Median: $53.41
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$676K

9,553 claims · 5.5%

Your Cost: $70.81/claim|Median: $85.66
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$642K

13K claims · 5.2%

Your Cost: $49.99/claim|Median: $63.65
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$552K

32K claims · 4.4%

Your Cost: $17.28/claim|Median: $12.59
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$501K

19K claims · 4.0%

Your Cost: $26.40/claim|Median: $25.06
1.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$421K

20K claims · 3.4%

Your Cost: $21.51/claim|Median: $30.04
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$305K

7,725 claims · 2.5%

Your Cost: $39.54/claim|Median: $41.28
1.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$292K

9,276 claims · 2.4%

Your Cost: $31.46/claim|Median: $17.85
1.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$228K

17K claims · 1.8%

Your Cost: $13.28/claim|Median: $11.48
1.2× median
D0330Normal range

Panoramic radiographic image

$209K

5,147 claims · 1.7%

Your Cost: $40.70/claim|Median: $37.36
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$162K

2,553 claims · 1.3%

Your Cost: $63.37/claim|Median: $69.35
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$162K

3,717 claims · 1.3%

Your Cost: $43.51/claim|Median: $43.38
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$125K

1,850 claims · 1.0%

Your Cost: $67.79/claim|Median: $75.18
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$115K

4,519 claims · 0.9%

Your Cost: $25.53/claim|Median: $32.07
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$110K

4,005 claims · 0.9%

Your Cost: $27.41/claim|Median: $27.07
1.0× median
90833Normal range

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

$101K

3,776 claims · 0.8%

Your Cost: $26.66/claim|Median: $38.83
0.7× median
76830Normal range

Ultrasound, transvaginal

$92K

1,577 claims · 0.7%

Your Cost: $58.16/claim|Median: $57.47
1.0× median
D0274Normal range

Bitewings, four radiographic images

$86K

3,958 claims · 0.7%

Your Cost: $21.84/claim|Median: $22.54
1.0× median
80305Normal range

$86K

8,630 claims · 0.7%

Your Cost: $10.01/claim|Median: $7.44
1.3× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$86K

1,800 claims · 0.7%

Your Cost: $47.80/claim|Median: $41.92
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$78K

1,181 claims · 0.6%

Your Cost: $65.75/claim|Median: $58.55
1.1× median
99203Normal range

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

$69K

1,247 claims · 0.6%

Your Cost: $55.59/claim|Median: $57.85
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$67K

1,206 claims · 0.5%

Your Cost: $55.65/claim|Median: $71.00
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$63K

10K claims · 0.5%

Your Cost: $6.12/claim|Median: $21.91
0.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$59K

662 claims · 0.5%

Your Cost: $89.37/claim|Median: $74.78
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$58K

1,556 claims · 0.5%

Your Cost: $37.57/claim|Median: $40.11
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$54K

1,302 claims · 0.4%

Your Cost: $41.25/claim|Median: $54.60
0.8× median
99406Normal range

$51K

7,802 claims · 0.4%

Your Cost: $6.51/claim|Median: $6.53
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$49K

467 claims · 0.4%

Your Cost: $105.99/claim|Median: $106.79
1.0× median
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