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Provider 1396054169

NPI: 1396054169Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.2M

$13,157,895

Total Claims

230K

Beneficiaries

148K

1.6 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$794K
+28%
2019
$1.0M
+89%
2020
$1.9M
+24%
2021
$2.4M
+5%
2022
$2.5M
-4%
2023
$2.4M
-10%
2024
$2.2M

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 51% of total spending.

G0470Top 25%

Chronic care management services, FQHC/RHC

$6.7M

52K claims · 51.2%

Your Cost: $129.99/claim|Median: $45.95
2.8× median
G0467Top 10%

Federally qualified health center visit, mental health

$2.6M

36K claims · 19.5%

Your Cost: $72.16/claim|Median: $21.91
3.3× median
99213Normal range

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

$1.2M

36K claims · 9.3%

Your Cost: $34.19/claim|Median: $37.81
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$949K

24K claims · 7.2%

Your Cost: $39.41/claim|Median: $63.65
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$448K

20K claims · 3.4%

Your Cost: $22.88/claim|Median: $41.28
0.6× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$407K

3,252 claims · 3.1%

Your Cost: $125.00/claim|Median: $121.16
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$323K

9,303 claims · 2.5%

Your Cost: $34.73/claim|Median: $85.66
0.4× median
G0468Normal range

$171K

2,613 claims · 1.3%

Your Cost: $65.39/claim|Median: $43.74
1.5× median
99214Normal range

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

$137K

4,800 claims · 1.0%

Your Cost: $28.53/claim|Median: $53.41
0.5× median
G0466Top 25%

$62K

585 claims · 0.5%

Your Cost: $106.21/claim|Median: $63.31
1.7× median
98960Normal range

$36K

2,108 claims · 0.3%

Your Cost: $17.10/claim|Median: $12.74
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$32K

439 claims · 0.2%

Your Cost: $73.72/claim|Median: $108.91
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$29K

1,782 claims · 0.2%

Your Cost: $16.07/claim|Median: $99.21
0.2× median
96160Normal range

Patient-focused health risk assessment

$15K

8,072 claims · 0.1%

Your Cost: $1.92/claim|Median: $2.10
0.9× median
99203Normal range

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

$8K

444 claims · 0.1%

Your Cost: $17.83/claim|Median: $57.85
0.3× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$3K

86 claims · 0.0%

Your Cost: $35.09/claim|Median: $76.22
0.5× median
99204Normal range

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

$3K

139 claims · 0.0%

Your Cost: $18.64/claim|Median: $84.03
0.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

71 claims · 0.0%

Your Cost: $35.28/claim|Median: $33.85
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$2K

95 claims · 0.0%

Your Cost: $24.84/claim|Median: $25.06
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$2K

80 claims · 0.0%

Your Cost: $21.48/claim|Median: $25.93
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$646

83 claims · 0.0%

Your Cost: $7.78/claim|Median: $17.85
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$572

12 claims · 0.0%

Your Cost: $47.66/claim|Median: $40.11
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$488

50 claims · 0.0%

Your Cost: $9.76/claim|Median: $12.93
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$272

26 claims · 0.0%

Your Cost: $10.45/claim|Median: $9.70
1.1× median
0064ANormal range

$146

15 claims · 0.0%

Your Cost: $9.71/claim|Median: $34.17
0.3× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$30

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $24.33
0.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$17

4,124 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.79
0.0× median
G8510Normal range

$1

681 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
0.0× median
G8431Normal range

$0

76 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37
0.0× median
1036FNormal range

$0

720 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
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