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Provider 1518048859

NPI: 1518048859Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,599,969

Total Claims

549K

Beneficiaries

377K

1.5 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$414K
+55%
2019
$642K
+61%
2020
$1.0M
+68%
2021
$1.7M
+34%
2022
$2.3M
+12%
2023
$2.6M
+7%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99349) accounts for 41% of total spending.

99349Normal range

$4.7M

132K claims · 40.6%

Your Cost: $35.59/claim|Median: $24.29
1.5× median
99214Normal range

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

$1.4M

37K claims · 11.7%

Your Cost: $36.51/claim|Median: $53.41
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$1.1M

89K claims · 9.6%

Your Cost: $12.38/claim|Median: $14.00
0.9× median
99336Normal range

$712K

24K claims · 6.1%

Your Cost: $29.34/claim|Median: $20.35
1.4× median
99354Normal range

$710K

29K claims · 6.1%

Your Cost: $24.28/claim|Median: $54.96
0.4× median
99490Top 25%

Chronic care management services, 20 minutes per month

$498K

23K claims · 4.3%

Your Cost: $22.01/claim|Median: $6.31
3.5× median
99439Top 25%

$319K

17K claims · 2.8%

Your Cost: $19.08/claim|Median: $5.83
3.3× median
99350Normal range

$251K

7,252 claims · 2.2%

Your Cost: $34.64/claim|Median: $35.62
1.0× median
99497Normal range

$244K

22K claims · 2.1%

Your Cost: $11.32/claim|Median: $10.99
1.0× median
99213Normal range

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

$215K

11K claims · 1.9%

Your Cost: $19.34/claim|Median: $37.81
0.5× median
99310Normal range

$213K

13K claims · 1.8%

Your Cost: $15.97/claim|Median: $21.82
0.7× median
99308Normal range

Nursing facility care, subsequent, straightforward

$186K

20K claims · 1.6%

Your Cost: $9.45/claim|Median: $9.79
1.0× median
99337Normal range

$167K

4,810 claims · 1.4%

Your Cost: $34.82/claim|Median: $29.39
1.2× median
99335Normal range

$151K

6,294 claims · 1.3%

Your Cost: $24.02/claim|Median: $14.90
1.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$144K

10K claims · 1.2%

Your Cost: $13.83/claim|Median: $32.55
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$91K

1,945 claims · 0.8%

Your Cost: $46.75/claim|Median: $74.09
0.6× median
99358Normal range

$74K

9,514 claims · 0.6%

Your Cost: $7.75/claim|Median: $14.34
0.5× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$74K

2,940 claims · 0.6%

Your Cost: $25.03/claim|Median: $38.83
0.6× median
99348Normal range

$69K

3,150 claims · 0.6%

Your Cost: $21.84/claim|Median: $17.17
1.3× median
99489Normal range

$68K

20K claims · 0.6%

Your Cost: $3.32/claim|Median: $9.86
0.3× median
99334Top 25%

$33K

1,141 claims · 0.3%

Your Cost: $28.88/claim|Median: $9.92
2.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$32K

2,845 claims · 0.3%

Your Cost: $11.42/claim|Median: $22.44
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$23K

464 claims · 0.2%

Your Cost: $50.40/claim|Median: $85.66
0.6× median
99356Normal range

$23K

1,422 claims · 0.2%

Your Cost: $16.07/claim|Median: $22.76
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$19K

938 claims · 0.2%

Your Cost: $20.75/claim|Median: $25.06
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

294 claims · 0.1%

Your Cost: $48.22/claim|Median: $108.91
0.4× median
99307Normal range

$11K

1,309 claims · 0.1%

Your Cost: $8.59/claim|Median: $6.57
1.3× median
97530Normal range

Therapeutic activities, each 15 min

$9K

900 claims · 0.1%

Your Cost: $10.30/claim|Median: $33.11
0.3× median
97110Normal range

Therapeutic exercises, each 15 min

$7K

1,096 claims · 0.1%

Your Cost: $6.82/claim|Median: $24.49
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

1,973 claims · 0.0%

Your Cost: $2.92/claim|Median: $9.56
0.3× median
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