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Provider 1396999686

NPI: 1396999686Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,153,632

Total Claims

451K

Beneficiaries

362K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$939K
-1%
2019
$925K
+1%
2020
$937K
+32%
2021
$1.2M
+46%
2022
$1.8M
+49%
2023
$2.7M
-40%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99308 (Nursing facility care, subsequent, straightforward)) accounts for 40% of total spending.

99308Top 25%

Nursing facility care, subsequent, straightforward

$4.0M

181K claims · 39.9%

Your Cost: $22.33/claim|Median: $9.79
2.3× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$3.8M

129K claims · 37.3%

Your Cost: $29.28/claim|Median: $14.00
2.1× median
99490Top 25%

Chronic care management services, 20 minutes per month

$893K

67K claims · 8.8%

Your Cost: $13.38/claim|Median: $6.31
2.1× median
99439Normal range

$493K

40K claims · 4.9%

Your Cost: $12.48/claim|Median: $5.83
2.1× median
99336Top 25%

$248K

5,711 claims · 2.4%

Your Cost: $43.41/claim|Median: $20.35
2.1× median
99349Top 25%

$157K

3,011 claims · 1.5%

Your Cost: $52.19/claim|Median: $24.29
2.1× median
99335Top 25%

$124K

4,234 claims · 1.2%

Your Cost: $29.25/claim|Median: $14.90
2.0× median
99305Top 25%

$93K

2,224 claims · 0.9%

Your Cost: $41.91/claim|Median: $19.28
2.2× median
99348Top 25%

$61K

1,585 claims · 0.6%

Your Cost: $38.18/claim|Median: $17.17
2.2× median
99334Normal range

$51K

2,916 claims · 0.5%

Your Cost: $17.32/claim|Median: $9.92
1.7× median
99318Top 25%

$38K

1,190 claims · 0.4%

Your Cost: $32.17/claim|Median: $15.64
2.1× median
99306Normal range

$37K

773 claims · 0.4%

Your Cost: $48.32/claim|Median: $29.97
1.6× median
G0506Normal range

Comprehensive assessment of chronic care management

$37K

3,253 claims · 0.4%

Your Cost: $11.43/claim|Median: $7.41
1.5× median
99304Top 25%

$21K

656 claims · 0.2%

Your Cost: $31.70/claim|Median: $13.51
2.3× median
G2058Normal range

$15K

2,579 claims · 0.1%

Your Cost: $5.73/claim|Median: $5.40
1.1× median
99337Top 25%

$12K

168 claims · 0.1%

Your Cost: $70.58/claim|Median: $29.39
2.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$12K

531 claims · 0.1%

Your Cost: $22.09/claim|Median: $108.91
0.2× median
99307Normal range

$8K

685 claims · 0.1%

Your Cost: $11.50/claim|Median: $6.57
1.8× median
99487Normal range

$5K

316 claims · 0.1%

Your Cost: $16.57/claim|Median: $14.74
1.1× median
99326Top 25%

$3K

61 claims · 0.0%

Your Cost: $42.93/claim|Median: $25.03
1.7× median
99347Top 25%

$2K

109 claims · 0.0%

Your Cost: $22.32/claim|Median: $11.74
1.9× median
99491Normal range

$2K

225 claims · 0.0%

Your Cost: $10.41/claim|Median: $9.86
1.1× median
99310Normal range

$2K

59 claims · 0.0%

Your Cost: $34.06/claim|Median: $21.82
1.6× median
99350Top 25%

$2K

20 claims · 0.0%

Your Cost: $88.52/claim|Median: $35.62
2.5× median
G0438Normal range

Annual wellness visit, first visit

$1K

2,111 claims · 0.0%

Your Cost: $0.58/claim|Median: $19.28
0.0× median
G0175Normal range

$947

143 claims · 0.0%

Your Cost: $6.63/claim|Median: $51.98
0.1× median
99483Normal range

$680

18 claims · 0.0%

Your Cost: $37.78/claim|Median: $34.89
1.1× median
99324Top 10%

$445

15 claims · 0.0%

Your Cost: $29.68/claim|Median: $9.26
3.2× median
90833Normal range

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

$426

117 claims · 0.0%

Your Cost: $3.64/claim|Median: $38.83
0.1× median
G0439Normal range

Annual wellness visit, subsequent visit

$241

1,436 claims · 0.0%

Your Cost: $0.17/claim|Median: $5.42
0.0× median
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