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Provider 1518990712

NPI: 1518990712Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.2M

$17,220,322

Total Claims

296K

Beneficiaries

107K

2.8 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-7%
2019
$2.2M
+12%
2020
$2.4M
-12%
2021
$2.1M
+19%
2022
$2.5M
+9%
2023
$2.8M
+3%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 77% of total spending.

99232Top 10%

Subsequent hospital care, per day, moderate complexity

$13.3M

222K claims · 77.1%

Your Cost: $59.80/claim|Median: $23.99
2.5× median
99214Normal range

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

$786K

14K claims · 4.6%

Your Cost: $54.58/claim|Median: $53.41
1.0× median
99213Normal range

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

$602K

12K claims · 3.5%

Your Cost: $50.88/claim|Median: $37.81
1.3× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$558K

6,849 claims · 3.2%

Your Cost: $81.53/claim|Median: $35.30
2.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$468K

6,416 claims · 2.7%

Your Cost: $72.90/claim|Median: $51.25
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$374K

3,975 claims · 2.2%

Your Cost: $94.00/claim|Median: $108.91
0.9× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$289K

3,543 claims · 1.7%

Your Cost: $81.55/claim|Median: $43.85
1.9× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$272K

4,205 claims · 1.6%

Your Cost: $64.63/claim|Median: $37.22
1.7× median
90833Top 25%

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

$111K

1,939 claims · 0.6%

Your Cost: $57.14/claim|Median: $38.83
1.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$99K

829 claims · 0.6%

Your Cost: $119.48/claim|Median: $67.32
1.8× median
90834Normal range

Psychotherapy, 45 minutes

$82K

7,724 claims · 0.5%

Your Cost: $10.61/claim|Median: $63.65
0.2× median
90836Top 5%

Psychotherapy, 45 min, add-on to E/M

$72K

543 claims · 0.4%

Your Cost: $133.39/claim|Median: $56.18
2.4× median
90832Normal range

Psychotherapy, 30 minutes

$54K

4,909 claims · 0.3%

Your Cost: $10.90/claim|Median: $41.28
0.3× median
90870Normal range

$51K

1,469 claims · 0.3%

Your Cost: $34.77/claim|Median: $68.07
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$41K

773 claims · 0.2%

Your Cost: $53.58/claim|Median: $74.09
0.7× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$23K

749 claims · 0.1%

Your Cost: $30.71/claim|Median: $16.77
1.8× median
99284Top 25%

Emergency dept visit, high complexity

$15K

120 claims · 0.1%

Your Cost: $122.94/claim|Median: $69.51
1.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$14K

1,313 claims · 0.1%

Your Cost: $11.01/claim|Median: $9.56
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$14K

850 claims · 0.1%

Your Cost: $16.25/claim|Median: $85.66
0.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$7K

379 claims · 0.0%

Your Cost: $19.49/claim|Median: $22.44
0.9× median
99443Normal range

Telephone E/M by physician, 21-30 min

$6K

146 claims · 0.0%

Your Cost: $42.98/claim|Median: $32.55
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$4K

165 claims · 0.0%

Your Cost: $25.23/claim|Median: $99.21
0.3× median
99221Top 10%

Initial hospital care, straightforward/low

$1K

14 claims · 0.0%

Your Cost: $97.58/claim|Median: $39.96
2.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$983

391 claims · 0.0%

Your Cost: $2.52/claim|Median: $5.60
0.4× median
99334Top 10%

$938

25 claims · 0.0%

Your Cost: $37.54/claim|Median: $9.92
3.8× median
98966Normal range

$279

132 claims · 0.0%

Your Cost: $2.11/claim|Median: $6.84
0.3× median
99335Normal range

$191

14 claims · 0.0%

Your Cost: $13.64/claim|Median: $14.90
0.9× median
99347Normal range

$167

15 claims · 0.0%

Your Cost: $11.15/claim|Median: $11.74
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33
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