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Provider 1578641924

NPI: 1578641924Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.5M

$14,504,855

Total Claims

208K

Beneficiaries

93K

2.2 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$817K
+17%
2019
$959K
+51%
2020
$1.4M
+21%
2021
$1.7M
-10%
2022
$1.6M
+185%
2023
$4.5M
-22%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (90792 (Psychiatric diagnostic evaluation with medical services)) accounts for 61% of total spending.

90792Top 10%

Psychiatric diagnostic evaluation with medical services

$8.8M

28K claims · 60.7%

Your Cost: $317.15/claim|Median: $108.91
2.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$2.9M

131K claims · 20.0%

Your Cost: $22.13/claim|Median: $16.77
1.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$547K

11K claims · 3.8%

Your Cost: $50.09/claim|Median: $37.22
1.3× median
99221Normal range

Initial hospital care, straightforward/low

$535K

10K claims · 3.7%

Your Cost: $51.37/claim|Median: $39.96
1.3× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$439K

5,536 claims · 3.0%

Your Cost: $79.24/claim|Median: $51.25
1.5× median
99291Top 10%

Critical care, first 30-74 minutes

$422K

1,879 claims · 2.9%

Your Cost: $224.57/claim|Median: $101.24
2.2× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$355K

7,064 claims · 2.4%

Your Cost: $50.20/claim|Median: $23.99
2.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$162K

3,503 claims · 1.1%

Your Cost: $46.15/claim|Median: $35.30
1.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$135K

2,929 claims · 0.9%

Your Cost: $46.12/claim|Median: $43.85
1.1× median
99213Normal range

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

$64K

1,978 claims · 0.4%

Your Cost: $32.56/claim|Median: $37.81
0.9× median
99223Top 10%

Initial hospital care, per day, high complexity

$47K

344 claims · 0.3%

Your Cost: $137.07/claim|Median: $67.32
2.0× median
99284Normal range

Emergency dept visit, high complexity

$39K

461 claims · 0.3%

Your Cost: $83.89/claim|Median: $69.51
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$31K

2,754 claims · 0.2%

Your Cost: $11.12/claim|Median: $25.06
0.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$15K

534 claims · 0.1%

Your Cost: $28.52/claim|Median: $85.65
0.3× median
99214Normal range

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

$4K

233 claims · 0.0%

Your Cost: $15.02/claim|Median: $53.41
0.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$3K

102 claims · 0.0%

Your Cost: $28.09/claim|Median: $32.55
0.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$1K

512 claims · 0.0%

Your Cost: $2.85/claim|Median: $22.44
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$988

14 claims · 0.0%

Your Cost: $70.57/claim|Median: $99.21
0.7× median
99218Normal range

$941

65 claims · 0.0%

Your Cost: $14.47/claim|Median: $51.50
0.3× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$551

49 claims · 0.0%

Your Cost: $11.25/claim|Median: $24.33
0.5× median
99441Normal range

Telephone E/M by physician, 5-10 min

$153

13 claims · 0.0%

Your Cost: $11.76/claim|Median: $13.30
0.9× median
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