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Provider 1437118619

NPI: 1437118619Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.3M

$17,310,339

Total Claims

203K

Beneficiaries

164K

1.2 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+38%
2019
$2.3M
+28%
2020
$3.0M
+1%
2021
$3.0M
-8%
2022
$2.8M
-1%
2023
$2.7M
-32%
2024
$1.8M

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 53% of total spending.

99213Top 1%

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

$9.2M

50K claims · 53.4%

Your Cost: $185.42/claim|Median: $37.81
4.9× median
99214Top 1%

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

$3.9M

19K claims · 22.6%

Your Cost: $201.19/claim|Median: $53.41
3.8× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$895K

4,634 claims · 5.2%

Your Cost: $193.20/claim|Median: $69.35
2.8× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$638K

2,916 claims · 3.7%

Your Cost: $218.74/claim|Median: $20.83
10.5× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$490K

2,786 claims · 2.8%

Your Cost: $175.80/claim|Median: $75.18
2.3× median
90837Top 5%

Psychotherapy, 60 minutes

$436K

2,135 claims · 2.5%

Your Cost: $204.39/claim|Median: $85.66
2.4× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$353K

1,877 claims · 2.0%

Your Cost: $188.33/claim|Median: $74.82
2.5× median
99212Top 5%

Office/outpatient visit, low complexity

$344K

2,504 claims · 2.0%

Your Cost: $137.19/claim|Median: $25.06
5.5× median
90834Top 5%

Psychotherapy, 45 minutes

$214K

1,058 claims · 1.2%

Your Cost: $202.16/claim|Median: $63.65
3.2× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$194K

1,017 claims · 1.1%

Your Cost: $190.46/claim|Median: $80.15
2.4× median
92002Top 1%

Intermediate eye exam, new patient

$114K

508 claims · 0.7%

Your Cost: $224.83/claim|Median: $41.61
5.4× median
X5622Top 25%

$111K

536 claims · 0.6%

Your Cost: $207.42/claim|Median: $52.61
3.9× median
99203Top 5%

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

$87K

616 claims · 0.5%

Your Cost: $141.30/claim|Median: $57.85
2.4× median
90832Top 1%

Psychotherapy, 30 minutes

$70K

285 claims · 0.4%

Your Cost: $246.51/claim|Median: $41.28
6.0× median
S0281Normal range

$40K

5,185 claims · 0.2%

Your Cost: $7.75/claim|Median: $92.97
0.1× median
98940Top 1%

$36K

172 claims · 0.2%

Your Cost: $211.56/claim|Median: $14.55
14.5× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$27K

126 claims · 0.2%

Your Cost: $214.92/claim|Median: $72.71
3.0× median
99188Normal range

$21K

1,483 claims · 0.1%

Your Cost: $14.47/claim|Median: $12.80
1.1× median
99204Top 5%

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

$15K

70 claims · 0.1%

Your Cost: $209.75/claim|Median: $84.03
2.5× median
11981Normal range

$11K

132 claims · 0.1%

Your Cost: $83.12/claim|Median: $117.16
0.7× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$10K

39 claims · 0.1%

Your Cost: $258.18/claim|Median: $38.23
6.8× median
G0467Normal range

Federally qualified health center visit, mental health

$10K

352 claims · 0.1%

Your Cost: $27.89/claim|Median: $21.91
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

476 claims · 0.0%

Your Cost: $13.49/claim|Median: $9.56
1.4× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$6K

30 claims · 0.0%

Your Cost: $200.48/claim|Median: $22.44
8.9× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$5K

59 claims · 0.0%

Your Cost: $87.88/claim|Median: $40.11
2.2× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$4K

18 claims · 0.0%

Your Cost: $203.39/claim|Median: $13.30
15.3× median
59025Normal range

Fetal non-stress test

$3K

76 claims · 0.0%

Your Cost: $41.51/claim|Median: $26.45
1.6× median
S0302Normal range

$3K

1,717 claims · 0.0%

Your Cost: $1.72/claim|Median: $9.05
0.2× median
99215Top 5%

Office/outpatient visit, high complexity

$2K

12 claims · 0.0%

Your Cost: $195.43/claim|Median: $74.09
2.6× median
92015Normal range

Determination of refractive state

$2K

797 claims · 0.0%

Your Cost: $2.68/claim|Median: $10.36
0.3× median
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