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Provider 1497020549

NPI: 1497020549Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,811,421

Total Claims

582K

Beneficiaries

526K

1.1 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$40K
+4203%
2019
$1.7M
+13%
2020
$1.9M
+19%
2021
$2.3M
-6%
2022
$2.2M
-50%
2023
$1.1M
+135%
2024
$2.5M

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 36% of total spending.

99213Normal range

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

$4.2M

116K claims · 35.8%

Your Cost: $36.29/claim|Median: $37.81
1.0× median
99214Normal range

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

$2.4M

72K claims · 20.4%

Your Cost: $33.35/claim|Median: $53.41
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.1M

16K claims · 9.6%

Your Cost: $72.74/claim|Median: $74.63
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

20K claims · 9.5%

Your Cost: $56.02/claim|Median: $75.18
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$942K

16K claims · 8.0%

Your Cost: $57.77/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$650K

14K claims · 5.5%

Your Cost: $45.34/claim|Median: $74.82
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$286K

9,515 claims · 2.4%

Your Cost: $30.07/claim|Median: $25.06
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$242K

47K claims · 2.1%

Your Cost: $5.16/claim|Median: $17.85
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$223K

4,737 claims · 1.9%

Your Cost: $47.13/claim|Median: $80.15
0.6× median
D1120Normal range

Prophylaxis, adult

$77K

2,017 claims · 0.6%

Your Cost: $38.00/claim|Median: $33.86
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$59K

1,604 claims · 0.5%

Your Cost: $36.86/claim|Median: $32.07
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$52K

2,207 claims · 0.4%

Your Cost: $23.62/claim|Median: $24.34
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$39K

989 claims · 0.3%

Your Cost: $39.56/claim|Median: $43.38
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$38K

841 claims · 0.3%

Your Cost: $44.77/claim|Median: $40.11
1.1× median
H1000Normal range

Prenatal care, at-risk assessment

$30K

793 claims · 0.3%

Your Cost: $37.77/claim|Median: $50.36
0.7× median
D0274Normal range

Bitewings, four radiographic images

$29K

1,279 claims · 0.2%

Your Cost: $22.61/claim|Median: $22.54
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$18K

320 claims · 0.2%

Your Cost: $57.43/claim|Median: $73.46
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$16K

728 claims · 0.1%

Your Cost: $22.12/claim|Median: $39.33
0.6× median
G0467Normal range

Federally qualified health center visit, mental health

$14K

10K claims · 0.1%

Your Cost: $1.35/claim|Median: $21.91
0.1× median
99203Normal range

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

$12K

188 claims · 0.1%

Your Cost: $64.71/claim|Median: $57.85
1.1× median
D1351Normal range

Sealant, per tooth

$12K

980 claims · 0.1%

Your Cost: $12.06/claim|Median: $26.10
0.5× median
D1330Normal range

$12K

3,716 claims · 0.1%

Your Cost: $3.16/claim|Median: $5.73
0.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$10K

178 claims · 0.1%

Your Cost: $58.79/claim|Median: $71.00
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$10K

444 claims · 0.1%

Your Cost: $22.47/claim|Median: $47.08
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$10K

259 claims · 0.1%

Your Cost: $36.76/claim|Median: $72.71
0.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$9K

3,677 claims · 0.1%

Your Cost: $2.56/claim|Median: $7.33
0.3× median
99204Normal range

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

$8K

127 claims · 0.1%

Your Cost: $63.79/claim|Median: $84.03
0.8× median
D0272Normal range

Bitewings, two radiographic images

$8K

1,938 claims · 0.1%

Your Cost: $4.17/claim|Median: $15.81
0.3× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$6K

96 claims · 0.1%

Your Cost: $65.56/claim|Median: $81.92
0.8× median
99188Normal range

$6K

9,328 claims · 0.1%

Your Cost: $0.66/claim|Median: $12.80
0.1× median
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