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Provider 1376095711

NPI: 1376095711Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.2M

$16,171,136

Total Claims

731K

Beneficiaries

497K

1.5 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$842K
+131%
2019
$1.9M
+19%
2020
$2.3M
+11%
2021
$2.6M
-11%
2022
$2.3M
+27%
2023
$2.9M
+16%
2024
$3.3M

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 30% of total spending.

99213Normal range

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

$4.8M

107K claims · 29.5%

Your Cost: $44.76/claim|Median: $37.81
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$3.8M

101K claims · 23.3%

Your Cost: $37.43/claim|Median: $35.43
1.1× median
H0020Top 10%

Alcohol/drug services; methadone administration

$2.1M

21K claims · 13.2%

Your Cost: $103.79/claim|Median: $18.95
5.5× median
99214Normal range

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

$839K

15K claims · 5.2%

Your Cost: $56.94/claim|Median: $53.41
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$444K

5,522 claims · 2.7%

Your Cost: $80.33/claim|Median: $85.66
0.9× median
G0481Top 10%

Drug test, definitive, 8-14 drug classes

$435K

3,538 claims · 2.7%

Your Cost: $122.96/claim|Median: $64.72
1.9× median
90853Normal range

Group psychotherapy

$385K

24K claims · 2.4%

Your Cost: $16.09/claim|Median: $25.02
0.6× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$262K

7,750 claims · 1.6%

Your Cost: $33.84/claim|Median: $90.89
0.4× median
T2023Normal range

Community transition, waiver; per service

$255K

907 claims · 1.6%

Your Cost: $280.91/claim|Median: $300.13
0.9× median
99203Normal range

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

$188K

3,467 claims · 1.2%

Your Cost: $54.11/claim|Median: $57.85
0.9× median
80050Normal range

General health panel

$157K

4,053 claims · 1.0%

Your Cost: $38.68/claim|Median: $25.59
1.5× median
80365Top 25%

$117K

9,356 claims · 0.7%

Your Cost: $12.52/claim|Median: $5.24
2.4× median
82306Normal range

Vitamin D, 25 hydroxy

$108K

6,989 claims · 0.7%

Your Cost: $15.44/claim|Median: $18.18
0.8× median
80373Top 25%

$98K

9,336 claims · 0.6%

Your Cost: $10.50/claim|Median: $6.39
1.6× median
83992Normal range

$81K

9,335 claims · 0.5%

Your Cost: $8.71/claim|Median: $5.65
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$63K

1,873 claims · 0.4%

Your Cost: $33.69/claim|Median: $39.70
0.8× median
80346Normal range

$60K

10K claims · 0.4%

Your Cost: $5.99/claim|Median: $8.14
0.7× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$60K

321 claims · 0.4%

Your Cost: $186.83/claim|Median: $182.66
1.0× median
80369Normal range

$57K

9,337 claims · 0.4%

Your Cost: $6.12/claim|Median: $5.73
1.1× median
80350Normal range

$57K

9,360 claims · 0.4%

Your Cost: $6.07/claim|Median: $7.18
0.8× median
80348Normal range

$57K

9,599 claims · 0.4%

Your Cost: $5.91/claim|Median: $6.63
0.9× median
80354Normal range

$56K

9,335 claims · 0.3%

Your Cost: $6.04/claim|Median: $5.61
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$55K

1,127 claims · 0.3%

Your Cost: $49.14/claim|Median: $63.65
0.8× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$53K

6,709 claims · 0.3%

Your Cost: $7.95/claim|Median: $8.72
0.9× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$51K

323 claims · 0.3%

Your Cost: $159.03/claim|Median: $169.17
0.9× median
80061Normal range

Lipid panel

$51K

7,469 claims · 0.3%

Your Cost: $6.87/claim|Median: $8.41
0.8× median
80358Normal range

$50K

10K claims · 0.3%

Your Cost: $5.03/claim|Median: $5.06
1.0× median
80355Normal range

$50K

9,438 claims · 0.3%

Your Cost: $5.25/claim|Median: $6.21
0.8× median
82746Normal range

$49K

6,406 claims · 0.3%

Your Cost: $7.70/claim|Median: $6.83
1.1× median
84480Normal range

$49K

7,081 claims · 0.3%

Your Cost: $6.93/claim|Median: $6.82
1.0× median
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