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Provider 1417979204

NPI: 1417979204Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,208,277

Total Claims

292K

Beneficiaries

155K

1.9 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+5%
2019
$1.5M
+21%
2020
$1.8M
-6%
2021
$1.7M
+3%
2022
$1.7M
-10%
2023
$1.6M
-7%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 34% of total spending.

99232Top 25%

Subsequent hospital care, per day, moderate complexity

$3.8M

98K claims · 34.3%

Your Cost: $39.21/claim|Median: $23.99
1.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$1.6M

73K claims · 14.6%

Your Cost: $22.43/claim|Median: $16.77
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.6M

30K claims · 14.0%

Your Cost: $51.89/claim|Median: $35.30
1.5× median
99221Normal range

Initial hospital care, straightforward/low

$1.1M

22K claims · 9.8%

Your Cost: $49.11/claim|Median: $39.96
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.0M

11K claims · 9.0%

Your Cost: $91.15/claim|Median: $108.91
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$819K

14K claims · 7.3%

Your Cost: $57.64/claim|Median: $43.85
1.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$473K

12K claims · 4.2%

Your Cost: $40.65/claim|Median: $37.22
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$374K

6,294 claims · 3.3%

Your Cost: $59.48/claim|Median: $51.25
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$157K

8,834 claims · 1.4%

Your Cost: $17.80/claim|Median: $41.28
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$79K

1,484 claims · 0.7%

Your Cost: $52.93/claim|Median: $99.21
0.5× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$64K

903 claims · 0.6%

Your Cost: $71.15/claim|Median: $135.70
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$34K

1,267 claims · 0.3%

Your Cost: $26.85/claim|Median: $85.66
0.3× median
90870Normal range

$11K

76 claims · 0.1%

Your Cost: $141.49/claim|Median: $68.07
2.1× median
90834Normal range

Psychotherapy, 45 minutes

$8K

432 claims · 0.1%

Your Cost: $17.95/claim|Median: $63.65
0.3× median
99223Top 10%

Initial hospital care, per day, high complexity

$6K

43 claims · 0.1%

Your Cost: $132.99/claim|Median: $67.32
2.0× median
90833Normal range

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

$3K

84 claims · 0.0%

Your Cost: $32.07/claim|Median: $38.83
0.8× median
G0410Normal range

$2K

8,373 claims · 0.0%

Your Cost: $0.28/claim|Median: $24.14
0.0× median
G8420Normal range

$0

409 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
G8419Normal range

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
3044FNormal range

$0

725 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
G9902Normal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G9906

$0

49 claims · 0.0%

T1015Normal range

Clinic visit/encounter, all-inclusive

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $121.16
4004FNormal range

$0

131 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
00000Normal range

$0

93 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.15
G9903Normal range

$0

285 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
90853Normal range

Group psychotherapy

$0

150 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02
G9003Normal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $46.36
G8417Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
G8427Normal range

$0

785 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
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