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Provider 1457729741

NPI: 1457729741Share
Active Billing Period:2018-012023-02(62 months)
Billing appears to have stoppedLast active: 2023-02

Total Paid

$11.9M

$11,854,303

Total Claims

271K

Beneficiaries

123K

2.2 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+57%
2019
$2.9M
-1%
2020
$2.8M
-28%
2021
$2.0M
+1%
2022
$2.1M
-89%
2023
$233K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 51% of total spending.

99214Normal range

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

$6.0M

87K claims · 50.7%

Your Cost: $68.80/claim|Median: $53.41
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$2.8M

74K claims · 23.3%

Your Cost: $37.18/claim|Median: $35.43
1.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$2.4M

53K claims · 19.9%

Your Cost: $44.83/claim|Median: $37.56
1.2× median
99213Normal range

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

$388K

9,456 claims · 3.3%

Your Cost: $41.00/claim|Median: $37.81
1.1× median
99406Normal range

$205K

42K claims · 1.7%

Your Cost: $4.88/claim|Median: $6.53
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$71K

532 claims · 0.6%

Your Cost: $134.35/claim|Median: $111.09
1.2× median
81025Normal range

Urine pregnancy test

$22K

3,996 claims · 0.2%

Your Cost: $5.59/claim|Median: $4.81
1.2× median
T1502Top 25%

Administration of oral, intramuscular, or subcutaneous medication

$18K

311 claims · 0.2%

Your Cost: $59.16/claim|Median: $7.86
7.5× median
99204Normal range

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

$5K

45 claims · 0.0%

Your Cost: $107.36/claim|Median: $84.03
1.3× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$4K

62 claims · 0.0%

Your Cost: $72.57/claim|Median: $51.67
1.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$3K

27 claims · 0.0%

Your Cost: $109.55/claim|Median: $96.24
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$288

19 claims · 0.0%

Your Cost: $15.17/claim|Median: $63.65
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$263

37 claims · 0.0%

Your Cost: $7.11/claim|Median: $41.28
0.2× median