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Provider 1396059499

NPI: 1396059499Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,618,460

Total Claims

113K

Beneficiaries

81K

1.4 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$937K
+15%
2019
$1.1M
+40%
2020
$1.5M
+11%
2021
$1.7M
-10%
2022
$1.5M
-59%
2023
$613K
-51%
2024
$300K

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 54% of total spending.

99213Top 5%

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

$4.1M

38K claims · 53.7%

Your Cost: $108.52/claim|Median: $37.81
2.9× median
90834Top 10%

Psychotherapy, 45 minutes

$659K

4,889 claims · 8.7%

Your Cost: $134.86/claim|Median: $63.65
2.1× median
90832Top 10%

Psychotherapy, 30 minutes

$514K

4,458 claims · 6.7%

Your Cost: $115.28/claim|Median: $41.28
2.8× median
99214Top 5%

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

$298K

2,404 claims · 3.9%

Your Cost: $123.79/claim|Median: $53.41
2.3× median
99212Top 5%

Office/outpatient visit, low complexity

$225K

2,199 claims · 2.9%

Your Cost: $102.20/claim|Median: $25.06
4.1× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$220K

2,186 claims · 2.9%

Your Cost: $100.56/claim|Median: $22.44
4.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$208K

5,674 claims · 2.7%

Your Cost: $36.60/claim|Median: $24.34
1.5× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$192K

1,930 claims · 2.5%

Your Cost: $99.34/claim|Median: $74.82
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$176K

5,246 claims · 2.3%

Your Cost: $33.47/claim|Median: $17.85
1.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$147K

1,429 claims · 1.9%

Your Cost: $102.96/claim|Median: $80.15
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$103K

1,125 claims · 1.3%

Your Cost: $91.24/claim|Median: $75.18
1.2× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$86K

747 claims · 1.1%

Your Cost: $115.12/claim|Median: $76.06
1.5× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$72K

640 claims · 0.9%

Your Cost: $112.91/claim|Median: $72.71
1.6× median
D1110Top 25%

Prophylaxis, adult cleaning

$63K

1,040 claims · 0.8%

Your Cost: $60.41/claim|Median: $43.38
1.4× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$54K

468 claims · 0.7%

Your Cost: $114.45/claim|Median: $32.55
3.5× median
96110Top 5%

Developmental screening, per standardized instrument

$49K

954 claims · 0.6%

Your Cost: $51.58/claim|Median: $9.10
5.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$47K

1,020 claims · 0.6%

Your Cost: $45.92/claim|Median: $32.07
1.4× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$35K

733 claims · 0.5%

Your Cost: $47.47/claim|Median: $24.33
2.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$31K

2,135 claims · 0.4%

Your Cost: $14.38/claim|Median: $10.51
1.4× median
D0274Normal range

Bitewings, four radiographic images

$30K

1,318 claims · 0.4%

Your Cost: $22.94/claim|Median: $22.54
1.0× median
D1208Top 1%

Topical application of fluoride, excluding varnish

$28K

886 claims · 0.4%

Your Cost: $31.35/claim|Median: $14.36
2.2× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$26K

1,964 claims · 0.3%

Your Cost: $13.25/claim|Median: $9.80
1.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$21K

1,952 claims · 0.3%

Your Cost: $10.99/claim|Median: $7.33
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$20K

190 claims · 0.3%

Your Cost: $106.10/claim|Median: $69.35
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$19K

3,115 claims · 0.2%

Your Cost: $6.11/claim|Median: $7.18
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$17K

7,269 claims · 0.2%

Your Cost: $2.31/claim|Median: $1.57
1.5× median
99203Top 10%

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

$16K

147 claims · 0.2%

Your Cost: $109.28/claim|Median: $57.85
1.9× median
99173Normal range

$15K

3,872 claims · 0.2%

Your Cost: $3.82/claim|Median: $2.16
1.8× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$14K

164 claims · 0.2%

Your Cost: $87.16/claim|Median: $52.77
1.7× median
D0140Top 10%

Limited oral evaluation, problem focused

$13K

247 claims · 0.2%

Your Cost: $52.52/claim|Median: $27.07
1.9× median
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