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Provider 1578565347

NPI: 1578565347Share
Active Billing Period:2018-01→2024-12(80 months)

Total Paid

$15.8M

$15,829,975

Total Claims

51K

Beneficiaries

32K

1.6 claims/patient

Avg Cost/Claim

$313

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-35%
2019
$2.6M
-39%
2020
$1.6M
-10%
2021
$1.4M
+105%
2022
$3.0M
-42%
2023
$1.7M
-20%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90853 (Group psychotherapy)) accounts for 38% of total spending.

90853Top 1%

Group psychotherapy

$6.1M

14K claims · 38.4%

Your Cost: $446.29/claim|Median: $25.02
17.8× median
99211Top 1%

Office/outpatient visit, minimal complexity

$2.7M

4,702 claims · 16.8%

Your Cost: $564.12/claim|Median: $12.93
43.6× median
99213Top 1%

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

$1.7M

3,344 claims · 11.0%

Your Cost: $521.14/claim|Median: $37.81
13.8× median
90837Top 1%

Psychotherapy, 60 minutes

$1.2M

2,745 claims · 7.6%

Your Cost: $440.95/claim|Median: $85.66
5.1× median
99212Top 1%

Office/outpatient visit, low complexity

$535K

1,253 claims · 3.4%

Your Cost: $426.87/claim|Median: $25.06
17.0× median
D0191Top 1%

$505K

1,002 claims · 3.2%

Your Cost: $503.91/claim|Median: $11.16
45.2× median
99411Top 5%

$478K

1,359 claims · 3.0%

Your Cost: $351.83/claim|Median: $9.35
37.6× median
D1110Top 1%

Prophylaxis, adult cleaning

$265K

659 claims · 1.7%

Your Cost: $402.29/claim|Median: $43.38
9.3× median
90471Top 1%

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

$256K

481 claims · 1.6%

Your Cost: $531.24/claim|Median: $9.80
54.2× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$229K

511 claims · 1.4%

Your Cost: $447.46/claim|Median: $47.08
9.5× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$215K

251 claims · 1.4%

Your Cost: $855.68/claim|Median: $33.85
25.3× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$192K

263 claims · 1.2%

Your Cost: $729.86/claim|Median: $25.93
28.1× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$184K

410 claims · 1.2%

Your Cost: $447.64/claim|Median: $38.23
11.7× median
99214Top 1%

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

$170K

282 claims · 1.1%

Your Cost: $603.12/claim|Median: $53.41
11.3× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$167K

333 claims · 1.1%

Your Cost: $502.50/claim|Median: $32.07
15.7× median
90834Top 1%

Psychotherapy, 45 minutes

$111K

298 claims · 0.7%

Your Cost: $372.83/claim|Median: $63.65
5.9× median
H0005Top 1%

Alcohol and/or drug services, group counseling

$107K

225 claims · 0.7%

Your Cost: $476.98/claim|Median: $47.35
10.1× median
96160Top 1%

Patient-focused health risk assessment

$106K

316 claims · 0.7%

Your Cost: $334.03/claim|Median: $2.10
159.1× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$90K

2,507 claims · 0.6%

Your Cost: $35.95/claim|Median: $30.04
1.2× median
D0140Top 1%

Limited oral evaluation, problem focused

$63K

144 claims · 0.4%

Your Cost: $437.15/claim|Median: $27.07
16.1× median
92002Top 1%

Intermediate eye exam, new patient

$49K

129 claims · 0.3%

Your Cost: $382.77/claim|Median: $41.61
9.2× median
90832Top 1%

Psychotherapy, 30 minutes

$41K

116 claims · 0.3%

Your Cost: $356.26/claim|Median: $41.28
8.6× median
D2391Top 1%

Resin-based composite, one surface, posterior

$38K

142 claims · 0.2%

Your Cost: $264.11/claim|Median: $54.60
4.8× median
D2150Top 1%

Amalgam, two surfaces, primary or permanent

$24K

110 claims · 0.2%

Your Cost: $220.63/claim|Median: $66.00
3.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$23K

1,067 claims · 0.1%

Your Cost: $21.68/claim|Median: $24.95
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$23K

1,069 claims · 0.1%

Your Cost: $21.60/claim|Median: $23.39
0.9× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$22K

38 claims · 0.1%

Your Cost: $583.76/claim|Median: $17.85
32.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$21K

215 claims · 0.1%

Your Cost: $98.45/claim|Median: $100.62
1.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$21K

50 claims · 0.1%

Your Cost: $411.88/claim|Median: $24.34
16.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$19K

1,919 claims · 0.1%

Your Cost: $9.75/claim|Median: $10.51
0.9× median
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