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Provider 1508812116

NPI: 1508812116Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,274,003

Total Claims

240K

Beneficiaries

91K

2.6 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+154%
2019
$2.9M
-4%
2020
$2.8M
-35%
2021
$1.8M
+21%
2022
$2.2M
-2%
2023
$2.2M
-1%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 22% of total spending.

92507Top 25%

Speech/hearing/language treatment

$3.3M

40K claims · 21.8%

Your Cost: $83.47/claim|Median: $49.45
1.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.9M

55K claims · 19.2%

Your Cost: $53.57/claim|Median: $24.49
2.2× median
97530Normal range

Therapeutic activities, each 15 min

$2.8M

58K claims · 18.5%

Your Cost: $48.40/claim|Median: $33.11
1.5× median
90832Top 25%

Psychotherapy, 30 minutes

$2.1M

26K claims · 13.9%

Your Cost: $83.24/claim|Median: $41.28
2.0× median
99213Top 10%

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

$1.3M

17K claims · 8.5%

Your Cost: $78.21/claim|Median: $37.81
2.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$632K

11K claims · 4.1%

Your Cost: $55.61/claim|Median: $43.38
1.3× median
D0120Top 10%

Periodic oral evaluation, established patient

$448K

8,530 claims · 2.9%

Your Cost: $52.50/claim|Median: $24.34
2.2× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$335K

380 claims · 2.2%

Your Cost: $882.00/claim|Median: $470.36
1.9× median
99214Normal range

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

$274K

4,866 claims · 1.8%

Your Cost: $56.30/claim|Median: $53.41
1.1× median
D9920Normal range

$218K

3,874 claims · 1.4%

Your Cost: $56.23/claim|Median: $44.88
1.3× median
90834Top 25%

Psychotherapy, 45 minutes

$137K

1,538 claims · 0.9%

Your Cost: $89.19/claim|Median: $63.65
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$96K

1,314 claims · 0.6%

Your Cost: $73.22/claim|Median: $76.06
1.0× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$89K

2,315 claims · 0.6%

Your Cost: $38.48/claim|Median: $27.28
1.4× median
99212Top 10%

Office/outpatient visit, low complexity

$75K

800 claims · 0.5%

Your Cost: $93.62/claim|Median: $25.06
3.7× median
90837Top 10%

Psychotherapy, 60 minutes

$46K

308 claims · 0.3%

Your Cost: $149.54/claim|Median: $85.66
1.7× median
D0274Top 5%

Bitewings, four radiographic images

$40K

986 claims · 0.3%

Your Cost: $40.85/claim|Median: $22.54
1.8× median
11721Top 1%

$39K

602 claims · 0.3%

Your Cost: $65.31/claim|Median: $8.56
7.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$37K

770 claims · 0.2%

Your Cost: $47.45/claim|Median: $32.55
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$32K

534 claims · 0.2%

Your Cost: $60.63/claim|Median: $72.71
0.8× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$27K

253 claims · 0.2%

Your Cost: $105.74/claim|Median: $66.00
1.6× median
D0140Top 25%

Limited oral evaluation, problem focused

$26K

651 claims · 0.2%

Your Cost: $39.22/claim|Median: $27.07
1.4× median
64642Normal range

$24K

207 claims · 0.2%

Your Cost: $117.82/claim|Median: $81.85
1.4× median
D9997Top 25%

$24K

431 claims · 0.2%

Your Cost: $56.53/claim|Median: $33.57
1.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$23K

871 claims · 0.2%

Your Cost: $26.45/claim|Median: $22.44
1.2× median
97116Top 10%

Gait training

$14K

301 claims · 0.1%

Your Cost: $47.12/claim|Median: $12.48
3.8× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$12K

122 claims · 0.1%

Your Cost: $99.73/claim|Median: $57.39
1.7× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$11K

329 claims · 0.1%

Your Cost: $34.68/claim|Median: $33.85
1.0× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$11K

101 claims · 0.1%

Your Cost: $110.06/claim|Median: $73.58
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$10K

130 claims · 0.1%

Your Cost: $78.24/claim|Median: $108.91
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$8K

206 claims · 0.1%

Your Cost: $41.14/claim|Median: $32.07
1.3× median
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