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Provider 1437261211

NPI: 1437261211Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,423,396

Total Claims

126K

Beneficiaries

96K

1.3 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$536K
+21%
2019
$647K
+42%
2020
$916K
+155%
2021
$2.3M
+24%
2022
$2.9M
-16%
2023
$2.4M
-32%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 59% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$6.8M

37K claims · 59.3%

Your Cost: $181.71/claim|Median: $121.16
1.5× median
99214Top 5%

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

$1.3M

9,357 claims · 11.1%

Your Cost: $135.98/claim|Median: $53.41
2.5× median
99213Top 5%

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

$1.3M

13K claims · 11.1%

Your Cost: $97.11/claim|Median: $37.81
2.6× median
90837Top 25%

Psychotherapy, 60 minutes

$672K

5,660 claims · 5.9%

Your Cost: $118.78/claim|Median: $85.66
1.4× median
90834Top 25%

Psychotherapy, 45 minutes

$581K

5,642 claims · 5.1%

Your Cost: $103.05/claim|Median: $63.65
1.6× median
G0467Top 25%

Federally qualified health center visit, mental health

$229K

6,118 claims · 2.0%

Your Cost: $37.50/claim|Median: $21.91
1.7× median
90791Normal range

Psychiatric diagnostic evaluation

$67K

643 claims · 0.6%

Your Cost: $103.55/claim|Median: $99.21
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$64K

736 claims · 0.6%

Your Cost: $86.34/claim|Median: $108.91
0.8× median
36415Top 5%

Collection of venous blood by venipuncture

$53K

2,847 claims · 0.5%

Your Cost: $18.44/claim|Median: $1.57
11.7× median
D1206Normal range

Topical application of fluoride varnish

$51K

8,689 claims · 0.4%

Your Cost: $5.88/claim|Median: $18.12
0.3× median
D1999Normal range

$47K

5,054 claims · 0.4%

Your Cost: $9.36/claim|Median: $11.95
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$40K

3,754 claims · 0.4%

Your Cost: $10.67/claim|Median: $24.34
0.4× median
D1110Normal range

Prophylaxis, adult cleaning

$39K

3,205 claims · 0.3%

Your Cost: $12.19/claim|Median: $43.38
0.3× median
D1120Normal range

Prophylaxis, adult

$31K

2,658 claims · 0.3%

Your Cost: $11.53/claim|Median: $33.86
0.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$24K

2,639 claims · 0.2%

Your Cost: $9.08/claim|Median: $57.39
0.2× median
99212Top 5%

Office/outpatient visit, low complexity

$23K

170 claims · 0.2%

Your Cost: $137.68/claim|Median: $25.06
5.5× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$22K

176 claims · 0.2%

Your Cost: $124.12/claim|Median: $22.44
5.5× median
99215Normal range

Office/outpatient visit, high complexity

$21K

269 claims · 0.2%

Your Cost: $79.38/claim|Median: $74.09
1.1× median
90853Top 5%

Group psychotherapy

$16K

149 claims · 0.1%

Your Cost: $108.04/claim|Median: $25.02
4.3× median
G0071Top 5%

$16K

187 claims · 0.1%

Your Cost: $83.96/claim|Median: $7.20
11.7× median
D0140Normal range

Limited oral evaluation, problem focused

$13K

2,968 claims · 0.1%

Your Cost: $4.44/claim|Median: $27.07
0.2× median
99203Top 25%

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

$12K

132 claims · 0.1%

Your Cost: $91.59/claim|Median: $57.85
1.6× median
99204Top 1%

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

$10K

44 claims · 0.1%

Your Cost: $236.56/claim|Median: $84.03
2.8× median
D0274Normal range

Bitewings, four radiographic images

$10K

2,086 claims · 0.1%

Your Cost: $4.69/claim|Median: $22.54
0.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$10K

1,392 claims · 0.1%

Your Cost: $6.88/claim|Median: $32.07
0.2× median
3008FTop 25%

$6K

1,634 claims · 0.1%

Your Cost: $3.76/claim|Median: $0.06
62.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$5K

1,278 claims · 0.0%

Your Cost: $4.29/claim|Median: $5.50
0.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$5K

173 claims · 0.0%

Your Cost: $29.94/claim|Median: $9.56
3.1× median
H0001Normal range

Alcohol and/or drug assessment

$4K

227 claims · 0.0%

Your Cost: $19.74/claim|Median: $94.22
0.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$4K

2,657 claims · 0.0%

Your Cost: $1.45/claim|Median: $10.51
0.1× median
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