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Provider 1538137757

NPI: 1538137757Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,930,266

Total Claims

118K

Beneficiaries

99K

1.2 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$755K
+52%
2019
$1.2M
+5%
2020
$1.2M
+38%
2021
$1.7M
-24%
2022
$1.3M
+7%
2023
$1.4M
+14%
2024
$1.5M

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 50% of total spending.

99213Top 1%

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

$4.5M

25K claims · 49.9%

Your Cost: $179.32/claim|Median: $37.81
4.7× median
99214Top 1%

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

$2.0M

8,897 claims · 22.1%

Your Cost: $221.82/claim|Median: $53.41
4.2× median
X5622Top 25%

$1.2M

7,736 claims · 13.3%

Your Cost: $154.06/claim|Median: $52.61
2.9× median
90834Top 5%

Psychotherapy, 45 minutes

$780K

4,182 claims · 8.7%

Your Cost: $186.60/claim|Median: $63.65
2.9× median
99212Top 5%

Office/outpatient visit, low complexity

$147K

1,402 claims · 1.6%

Your Cost: $105.08/claim|Median: $25.06
4.2× median
90832Top 5%

Psychotherapy, 30 minutes

$123K

658 claims · 1.4%

Your Cost: $187.28/claim|Median: $41.28
4.5× median
99203Top 5%

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

$86K

401 claims · 1.0%

Your Cost: $214.68/claim|Median: $57.85
3.7× median
90837Top 5%

Psychotherapy, 60 minutes

$64K

242 claims · 0.7%

Your Cost: $263.87/claim|Median: $85.66
3.1× median
90791Top 10%

Psychiatric diagnostic evaluation

$41K

202 claims · 0.5%

Your Cost: $202.71/claim|Median: $99.21
2.0× median
S0302Normal range

$35K

6,924 claims · 0.4%

Your Cost: $5.12/claim|Median: $9.05
0.6× median
99215Top 5%

Office/outpatient visit, high complexity

$14K

59 claims · 0.2%

Your Cost: $244.79/claim|Median: $74.09
3.3× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$6K

27 claims · 0.1%

Your Cost: $224.17/claim|Median: $76.06
2.9× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$5K

26 claims · 0.1%

Your Cost: $185.05/claim|Median: $72.71
2.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1K

1,674 claims · 0.0%

Your Cost: $0.83/claim|Median: $69.35
0.0× median
99188Normal range

$1K

4,427 claims · 0.0%

Your Cost: $0.29/claim|Median: $12.80
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$1K

12K claims · 0.0%

Your Cost: $0.09/claim|Median: $9.80
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$699

1,354 claims · 0.0%

Your Cost: $0.52/claim|Median: $75.18
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$615

280 claims · 0.0%

Your Cost: $2.20/claim|Median: $80.15
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$615

587 claims · 0.0%

Your Cost: $1.05/claim|Median: $74.82
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$436

8,149 claims · 0.0%

Your Cost: $0.05/claim|Median: $1.57
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$214

4,331 claims · 0.0%

Your Cost: $0.05/claim|Median: $7.18
0.0× median
90656Normal range

$114

334 claims · 0.0%

Your Cost: $0.34/claim|Median: $8.67
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$19

4,631 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
92551Normal range

Screening audiometry, pure tone, air only

$0

3,177 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
87430Normal range

$0

421 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.41
80081Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $59.44
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$0

216 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.03
82950Normal range

$0

174 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.18
86706Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.39
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