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Provider 1548340813

NPI: 1548340813Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,303,945

Total Claims

223K

Beneficiaries

184K

1.2 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+5%
2019
$2.4M
+9%
2020
$2.7M
-9%
2021
$2.4M
-6%
2022
$2.3M
-26%
2023
$1.7M
-15%
2024
$1.4M

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 47% of total spending.

99213Top 5%

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

$7.2M

50K claims · 47.4%

Your Cost: $145.32/claim|Median: $37.81
3.8× median
99214Top 5%

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

$2.8M

20K claims · 18.1%

Your Cost: $139.20/claim|Median: $53.41
2.6× median
99212Top 5%

Office/outpatient visit, low complexity

$1.5M

9,043 claims · 9.5%

Your Cost: $161.02/claim|Median: $25.06
6.4× median
G0467Top 10%

Federally qualified health center visit, mental health

$1.0M

10K claims · 6.8%

Your Cost: $100.59/claim|Median: $21.91
4.6× median
X5622Normal range

$898K

7,793 claims · 5.9%

Your Cost: $115.28/claim|Median: $52.61
2.2× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$578K

2,893 claims · 3.8%

Your Cost: $199.65/claim|Median: $40.11
5.0× median
90832Top 5%

Psychotherapy, 30 minutes

$474K

3,032 claims · 3.1%

Your Cost: $156.42/claim|Median: $41.28
3.8× median
90837Top 5%

Psychotherapy, 60 minutes

$295K

1,478 claims · 1.9%

Your Cost: $199.41/claim|Median: $85.66
2.3× median
99203Top 5%

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

$181K

1,124 claims · 1.2%

Your Cost: $160.76/claim|Median: $57.85
2.8× median
G2025Top 25%

$88K

2,277 claims · 0.6%

Your Cost: $38.47/claim|Median: $15.63
2.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$43K

2,161 claims · 0.3%

Your Cost: $20.12/claim|Median: $74.82
0.3× median
99215Top 5%

Office/outpatient visit, high complexity

$40K

190 claims · 0.3%

Your Cost: $208.62/claim|Median: $74.09
2.8× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$40K

253 claims · 0.3%

Your Cost: $156.35/claim|Median: $72.71
2.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$34K

1,546 claims · 0.2%

Your Cost: $21.72/claim|Median: $75.18
0.3× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$26K

137 claims · 0.2%

Your Cost: $188.55/claim|Median: $76.06
2.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$21K

1,138 claims · 0.1%

Your Cost: $18.25/claim|Median: $80.15
0.2× median
S0302Normal range

$19K

2,489 claims · 0.1%

Your Cost: $7.71/claim|Median: $9.05
0.9× median
96156Top 5%

$17K

132 claims · 0.1%

Your Cost: $127.14/claim|Median: $22.36
5.7× median
99204Normal range

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

$7K

59 claims · 0.0%

Your Cost: $110.39/claim|Median: $84.03
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$5K

520 claims · 0.0%

Your Cost: $10.53/claim|Median: $69.35
0.2× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$5K

24 claims · 0.0%

Your Cost: $211.88/claim|Median: $27.38
7.7× median
G0466Top 5%

$5K

20 claims · 0.0%

Your Cost: $238.75/claim|Median: $63.31
3.8× median
90791Normal range

Psychiatric diagnostic evaluation

$5K

335 claims · 0.0%

Your Cost: $13.56/claim|Median: $99.21
0.1× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$2K

396 claims · 0.0%

Your Cost: $5.67/claim|Median: $17.67
0.3× median
36415Normal range

Collection of venous blood by venipuncture

$2K

16K claims · 0.0%

Your Cost: $0.10/claim|Median: $1.57
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$1K

6,539 claims · 0.0%

Your Cost: $0.18/claim|Median: $5.50
0.0× median
99188Normal range

$899

3,110 claims · 0.0%

Your Cost: $0.29/claim|Median: $12.80
0.0× median
96150Normal range

Health behavior assessment, initial

$865

64 claims · 0.0%

Your Cost: $13.52/claim|Median: $17.83
0.8× median
82962Normal range

Blood glucose test by monitoring device

$542

7,829 claims · 0.0%

Your Cost: $0.07/claim|Median: $1.40
0.0× median
90471Normal range

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

$493

9,717 claims · 0.0%

Your Cost: $0.05/claim|Median: $9.80
0.0× median
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