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Provider 1497168546

NPI: 1497168546Share
Active Billing Period:2020-01→2024-12(57 months)

Total Paid

$16.8M

$16,824,154

Total Claims

41K

Beneficiaries

36K

1.2 claims/patient

Avg Cost/Claim

$408

Monthly Spending Trend

Yearly Spending

2020
$1.6M
+222%
2021
$5.2M
-9%
2022
$4.7M
-38%
2023
$2.9M
-15%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (95715) accounts for 62% of total spending.

95715Top 10%

$10.4M

6,652 claims · 61.6%

Your Cost: $1,558.54/claim|Median: $615.45
2.5× median
95816Top 10%

$1.7M

5,536 claims · 10.2%

Your Cost: $311.43/claim|Median: $56.87
5.5× median
99245Normal range

Office consultation, high complexity

$1.1M

6,491 claims · 6.6%

Your Cost: $171.47/claim|Median: $143.30
1.2× median
93268Normal range

$917K

5,664 claims · 5.4%

Your Cost: $161.88/claim|Median: $133.50
1.2× median
95724Top 25%

$846K

3,182 claims · 5.0%

Your Cost: $265.78/claim|Median: $222.23
1.2× median
95700Normal range

$781K

3,701 claims · 4.6%

Your Cost: $211.06/claim|Median: $154.31
1.4× median
96112Normal range

Developmental test administration

$516K

4,845 claims · 3.1%

Your Cost: $106.53/claim|Median: $102.95
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$303K

3,716 claims · 1.8%

Your Cost: $81.58/claim|Median: $74.09
1.1× median
95709Top 25%

$90K

100 claims · 0.5%

Your Cost: $898.95/claim|Median: $423.29
2.1× median
95716Top 25%

$77K

59 claims · 0.5%

Your Cost: $1,307.94/claim|Median: $685.48
1.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$54K

435 claims · 0.3%

Your Cost: $123.59/claim|Median: $121.58
1.0× median
95722Top 1%

$12K

58 claims · 0.1%

Your Cost: $215.11/claim|Median: $142.83
1.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$11K

744 claims · 0.1%

Your Cost: $15.14/claim|Median: $12.93
1.2× median
95712Top 25%

$6K

12 claims · 0.0%

Your Cost: $505.83/claim|Median: $308.45
1.6× median
95723Normal range

$3K

16 claims · 0.0%

Your Cost: $197.74/claim|Median: $158.22
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

25 claims · 0.0%

Your Cost: $88.06/claim|Median: $111.09
0.8× median
99214Normal range

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

$653

12 claims · 0.0%

Your Cost: $54.39/claim|Median: $53.41
1.0× median
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