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Provider 1528424397

NPI: 1528424397Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.2M

$18,218,068

Total Claims

157K

Beneficiaries

134K

1.2 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+30%
2019
$2.5M
+2%
2020
$2.6M
-16%
2021
$2.1M
+44%
2022
$3.1M
+9%
2023
$3.4M
-23%
2024
$2.6M

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 30% of total spending.

99213Top 5%

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

$5.5M

39K claims · 30.1%

Your Cost: $140.30/claim|Median: $37.81
3.7× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$2.9M

15K claims · 15.9%

Your Cost: $194.34/claim|Median: $101.33
1.9× median
99214Top 5%

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

$1.5M

10K claims · 8.3%

Your Cost: $148.08/claim|Median: $53.41
2.8× median
H2015Top 25%

Comprehensive community support services, per 15 min

$1.0M

5,261 claims · 5.5%

Your Cost: $190.49/claim|Median: $96.24
2.0× median
90837Top 5%

Psychotherapy, 60 minutes

$956K

4,969 claims · 5.3%

Your Cost: $192.49/claim|Median: $85.66
2.2× median
90834Top 5%

Psychotherapy, 45 minutes

$803K

4,310 claims · 4.4%

Your Cost: $186.28/claim|Median: $63.65
2.9× median
90832Top 5%

Psychotherapy, 30 minutes

$757K

4,074 claims · 4.2%

Your Cost: $185.83/claim|Median: $41.28
4.5× median
H2014Top 25%

Skills training & development, per 15 min

$626K

3,327 claims · 3.4%

Your Cost: $188.13/claim|Median: $83.88
2.2× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$546K

3,337 claims · 3.0%

Your Cost: $163.66/claim|Median: $13.30
12.3× median
99212Top 5%

Office/outpatient visit, low complexity

$535K

3,904 claims · 2.9%

Your Cost: $137.14/claim|Median: $25.06
5.5× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$336K

2,201 claims · 1.8%

Your Cost: $152.56/claim|Median: $75.18
2.0× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$333K

2,170 claims · 1.8%

Your Cost: $153.31/claim|Median: $69.35
2.2× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$301K

1,893 claims · 1.7%

Your Cost: $159.08/claim|Median: $22.44
7.1× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$301K

1,845 claims · 1.7%

Your Cost: $163.19/claim|Median: $74.82
2.2× median
T1007Top 10%

Alcohol/drug services, treatment plan review

$275K

1,449 claims · 1.5%

Your Cost: $189.50/claim|Median: $64.10
3.0× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$192K

1,189 claims · 1.1%

Your Cost: $161.66/claim|Median: $80.15
2.0× median
G0511Top 5%

RHC/FQHC visit, psychiatric collaborative care model

$149K

1,644 claims · 0.8%

Your Cost: $90.54/claim|Median: $11.35
8.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$135K

720 claims · 0.7%

Your Cost: $187.90/claim|Median: $99.21
1.9× median
99203Top 5%

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

$133K

846 claims · 0.7%

Your Cost: $157.51/claim|Median: $57.85
2.7× median
G0467Normal range

Federally qualified health center visit, mental health

$118K

9,382 claims · 0.6%

Your Cost: $12.53/claim|Median: $21.91
0.6× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$107K

632 claims · 0.6%

Your Cost: $168.61/claim|Median: $72.71
2.3× median
90847Top 10%

Family psychotherapy with patient, 50 min

$87K

454 claims · 0.5%

Your Cost: $191.97/claim|Median: $77.33
2.5× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$82K

491 claims · 0.4%

Your Cost: $166.35/claim|Median: $76.06
2.2× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$64K

5,326 claims · 0.4%

Your Cost: $12.02/claim|Median: $5.50
2.2× median
G2025Top 10%

$59K

1,025 claims · 0.3%

Your Cost: $57.30/claim|Median: $15.63
3.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$42K

3,984 claims · 0.2%

Your Cost: $10.50/claim|Median: $17.85
0.6× median
99381Top 5%

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

$41K

250 claims · 0.2%

Your Cost: $165.64/claim|Median: $73.46
2.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$35K

2,388 claims · 0.2%

Your Cost: $14.57/claim|Median: $6.93
2.1× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$33K

186 claims · 0.2%

Your Cost: $176.75/claim|Median: $25.93
6.8× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$30K

195 claims · 0.2%

Your Cost: $153.73/claim|Median: $32.55
4.7× median
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