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Provider 1568809598

NPI: 1568809598Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,095,712

Total Claims

192K

Beneficiaries

152K

1.3 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$328K
-26%
2019
$243K
+605%
2020
$1.7M
+74%
2021
$3.0M
-27%
2022
$2.2M
-11%
2023
$2.0M
-14%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 56% of total spending.

99214Normal range

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

$6.2M

85K claims · 55.7%

Your Cost: $72.58/claim|Median: $53.41
1.4× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$1.6M

27K claims · 14.6%

Your Cost: $60.63/claim|Median: $64.72
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.1M

39K claims · 10.2%

Your Cost: $28.97/claim|Median: $35.43
0.8× median
99213Normal range

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

$993K

19K claims · 8.9%

Your Cost: $53.61/claim|Median: $37.81
1.4× median
99204Top 25%

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

$404K

3,377 claims · 3.6%

Your Cost: $119.76/claim|Median: $84.03
1.4× median
L0650Normal range

$194K

574 claims · 1.7%

Your Cost: $337.75/claim|Median: $339.16
1.0× median
93922Top 25%

$164K

2,533 claims · 1.5%

Your Cost: $64.77/claim|Median: $26.06
2.5× median
95923Normal range

$142K

2,056 claims · 1.3%

Your Cost: $69.01/claim|Median: $44.24
1.6× median
95921Normal range

$93K

2,082 claims · 0.8%

Your Cost: $44.54/claim|Median: $31.18
1.4× median
L1833Normal range

$32K

105 claims · 0.3%

Your Cost: $303.79/claim|Median: $278.90
1.1× median
96138Normal range

$25K

1,557 claims · 0.2%

Your Cost: $15.99/claim|Median: $19.87
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$21K

671 claims · 0.2%

Your Cost: $32.04/claim|Median: $29.03
1.1× median
96132Normal range

$17K

999 claims · 0.1%

Your Cost: $16.64/claim|Median: $70.53
0.2× median
64483Normal range

$13K

170 claims · 0.1%

Your Cost: $75.82/claim|Median: $124.24
0.6× median
99490Normal range

Chronic care management services, 20 minutes per month

$12K

1,120 claims · 0.1%

Your Cost: $10.80/claim|Median: $6.31
1.7× median
A4209Top 25%

$11K

1,048 claims · 0.1%

Your Cost: $10.24/claim|Median: $1.41
7.3× median
J3490Normal range

Unclassified drugs

$10K

1,727 claims · 0.1%

Your Cost: $5.90/claim|Median: $5.70
1.0× median
99457Top 25%

$9K

385 claims · 0.1%

Your Cost: $22.58/claim|Median: $6.05
3.7× median
99203Top 5%

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

$6K

51 claims · 0.1%

Your Cost: $116.77/claim|Median: $57.85
2.0× median
97750Normal range

$5K

132 claims · 0.0%

Your Cost: $36.51/claim|Median: $30.89
1.2× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$4K

225 claims · 0.0%

Your Cost: $18.17/claim|Median: $40.58
0.4× median
93923Normal range

$4K

86 claims · 0.0%

Your Cost: $44.12/claim|Median: $38.08
1.2× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$3K

41 claims · 0.0%

Your Cost: $81.16/claim|Median: $75.26
1.1× median
20553Top 25%

$3K

70 claims · 0.0%

Your Cost: $44.18/claim|Median: $29.47
1.5× median
99452Normal range

$3K

513 claims · 0.0%

Your Cost: $5.44/claim|Median: $5.44
1.0× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$3K

717 claims · 0.0%

Your Cost: $3.86/claim|Median: $2.91
1.3× median
96130Normal range

Psychological testing evaluation by professional, first hour

$2K

238 claims · 0.0%

Your Cost: $8.26/claim|Median: $79.21
0.1× median
64493Normal range

$2K

20 claims · 0.0%

Your Cost: $86.71/claim|Median: $103.44
0.8× median
64494Normal range

$600

17 claims · 0.0%

Your Cost: $35.28/claim|Median: $34.70
1.0× median
77003Normal range

$462

179 claims · 0.0%

Your Cost: $2.58/claim|Median: $11.36
0.2× median
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