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Provider 1376040881

NPI: 1376040881Share
Active Billing Period:2018-10→2024-12(75 months)

Total Paid

$8.0M

$7,982,156

Total Claims

252K

Beneficiaries

189K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$158K
+535%
2019
$1.0M
+4%
2020
$1.0M
+51%
2021
$1.6M
+20%
2022
$1.9M
-19%
2023
$1.5M
-49%
2024
$787K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0470 (Chronic care management services, FQHC/RHC)) accounts for 49% of total spending.

G0470Normal range

Chronic care management services, FQHC/RHC

$3.9M

64K claims · 49.3%

Your Cost: $61.09/claim|Median: $45.95
1.3× median
G0467Top 25%

Federally qualified health center visit, mental health

$2.1M

38K claims · 25.9%

Your Cost: $54.24/claim|Median: $21.91
2.5× median
99213Normal range

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

$476K

29K claims · 6.0%

Your Cost: $16.58/claim|Median: $37.81
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$316K

20K claims · 4.0%

Your Cost: $15.83/claim|Median: $63.65
0.2× median
99214Normal range

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

$284K

13K claims · 3.6%

Your Cost: $21.73/claim|Median: $53.41
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$175K

7,245 claims · 2.2%

Your Cost: $24.16/claim|Median: $85.66
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$137K

12K claims · 1.7%

Your Cost: $11.87/claim|Median: $41.28
0.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$133K

3,294 claims · 1.7%

Your Cost: $40.41/claim|Median: $108.91
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$126K

3,353 claims · 1.6%

Your Cost: $37.60/claim|Median: $99.21
0.4× median
97110Normal range

Therapeutic exercises, each 15 min

$99K

6,318 claims · 1.2%

Your Cost: $15.69/claim|Median: $24.49
0.6× median
90732Normal range

Pneumococcal vaccine (PPSV23)

$39K

593 claims · 0.5%

Your Cost: $65.84/claim|Median: $36.96
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$34K

3,590 claims · 0.4%

Your Cost: $9.45/claim|Median: $25.06
0.4× median
G0466Normal range

$27K

454 claims · 0.3%

Your Cost: $60.43/claim|Median: $63.31
1.0× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$14K

1,320 claims · 0.2%

Your Cost: $10.86/claim|Median: $20.04
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$14K

13K claims · 0.2%

Your Cost: $1.12/claim|Median: $3.67
0.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$12K

1,332 claims · 0.2%

Your Cost: $9.31/claim|Median: $16.79
0.6× median
80305Normal range

$11K

3,056 claims · 0.1%

Your Cost: $3.64/claim|Median: $7.44
0.5× median
98926Normal range

$10K

727 claims · 0.1%

Your Cost: $14.34/claim|Median: $22.66
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$9K

2,199 claims · 0.1%

Your Cost: $3.94/claim|Median: $9.56
0.4× median
G0469Normal range

$8K

197 claims · 0.1%

Your Cost: $41.74/claim|Median: $70.42
0.6× median
99000Normal range

$6K

1,528 claims · 0.1%

Your Cost: $4.23/claim|Median: $2.30
1.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$6K

596 claims · 0.1%

Your Cost: $10.21/claim|Median: $74.63
0.1× median
98927Normal range

$5K

366 claims · 0.1%

Your Cost: $13.78/claim|Median: $25.15
0.5× median
97162Normal range

PT evaluation, moderate complexity

$4K

268 claims · 0.1%

Your Cost: $15.08/claim|Median: $46.10
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$4K

119 claims · 0.1%

Your Cost: $33.77/claim|Median: $74.09
0.5× median
99204Normal range

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

$3K

98 claims · 0.0%

Your Cost: $30.54/claim|Median: $84.03
0.4× median
H0001Normal range

Alcohol and/or drug assessment

$3K

417 claims · 0.0%

Your Cost: $6.20/claim|Median: $94.22
0.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

398 claims · 0.0%

Your Cost: $6.44/claim|Median: $12.93
0.5× median
99409Normal range

$3K

637 claims · 0.0%

Your Cost: $4.02/claim|Median: $34.77
0.1× median
90853Normal range

Group psychotherapy

$2K

452 claims · 0.0%

Your Cost: $5.18/claim|Median: $25.02
0.2× median
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