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Provider 1568560308

NPI: 1568560308Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,635,953

Total Claims

339K

Beneficiaries

314K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-1%
2019
$1.3M
-26%
2020
$941K
+47%
2021
$1.4M
-1%
2022
$1.4M
-8%
2023
$1.3M
-10%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 42% of total spending.

G0467Top 25%

Federally qualified health center visit, mental health

$3.6M

76K claims · 41.8%

Your Cost: $47.33/claim|Median: $21.91
2.2× median
G0470Normal range

Chronic care management services, FQHC/RHC

$687K

15K claims · 8.0%

Your Cost: $46.77/claim|Median: $45.95
1.0× median
99213Normal range

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

$569K

28K claims · 6.6%

Your Cost: $20.13/claim|Median: $37.81
0.5× median
G0466Normal range

$546K

7,403 claims · 6.3%

Your Cost: $73.76/claim|Median: $63.31
1.2× median
59426Top 10%

Antepartum care only, high risk, additional visits

$504K

537 claims · 5.8%

Your Cost: $938.83/claim|Median: $122.30
7.7× median
99214Normal range

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

$354K

13K claims · 4.1%

Your Cost: $27.99/claim|Median: $53.41
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$327K

8,382 claims · 3.8%

Your Cost: $39.03/claim|Median: $75.18
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$246K

9,351 claims · 2.8%

Your Cost: $26.26/claim|Median: $69.35
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$219K

5,701 claims · 2.5%

Your Cost: $38.45/claim|Median: $74.82
0.5× median
90472Normal range

Immunization administration, each additional vaccine

$161K

15K claims · 1.9%

Your Cost: $10.74/claim|Median: $11.79
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$128K

8,098 claims · 1.5%

Your Cost: $15.78/claim|Median: $41.28
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$112K

2,787 claims · 1.3%

Your Cost: $40.25/claim|Median: $80.15
0.5× median
90471Normal range

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

$111K

22K claims · 1.3%

Your Cost: $5.02/claim|Median: $9.80
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$106K

2,440 claims · 1.2%

Your Cost: $43.26/claim|Median: $85.66
0.5× median
96110Normal range

Developmental screening, per standardized instrument

$99K

16K claims · 1.2%

Your Cost: $6.20/claim|Median: $9.10
0.7× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$95K

2,294 claims · 1.1%

Your Cost: $41.53/claim|Median: $41.92
1.0× median
99381Normal range

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

$82K

2,951 claims · 1.0%

Your Cost: $27.82/claim|Median: $73.46
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$75K

2,279 claims · 0.9%

Your Cost: $32.87/claim|Median: $72.71
0.5× median
D1120Normal range

Prophylaxis, adult

$62K

1,566 claims · 0.7%

Your Cost: $39.78/claim|Median: $33.86
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$61K

2,510 claims · 0.7%

Your Cost: $24.41/claim|Median: $63.65
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$54K

1,415 claims · 0.6%

Your Cost: $38.43/claim|Median: $74.09
0.5× median
D1206Normal range

Topical application of fluoride varnish

$51K

2,264 claims · 0.6%

Your Cost: $22.59/claim|Median: $18.12
1.2× median
D0191Normal range

$36K

2,617 claims · 0.4%

Your Cost: $13.92/claim|Median: $11.16
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$30K

2,666 claims · 0.4%

Your Cost: $11.35/claim|Median: $25.06
0.5× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$27K

926 claims · 0.3%

Your Cost: $29.61/claim|Median: $81.92
0.4× median
Q0091Normal range

$26K

2,572 claims · 0.3%

Your Cost: $10.17/claim|Median: $11.15
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$26K

608 claims · 0.3%

Your Cost: $42.97/claim|Median: $76.06
0.6× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$23K

858 claims · 0.3%

Your Cost: $26.53/claim|Median: $79.89
0.3× median
D1110Top 25%

Prophylaxis, adult cleaning

$21K

284 claims · 0.2%

Your Cost: $74.66/claim|Median: $43.38
1.7× median
90651Normal range

HPV vaccine, 9-valent

$21K

2,628 claims · 0.2%

Your Cost: $7.88/claim|Median: $8.93
0.9× median
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