Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1578890273

NPI: 1578890273Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.0M

$15,982,033

Total Claims

71K

Beneficiaries

69K

1.0 claims/patient

Avg Cost/Claim

$224

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+0%
2019
$2.4M
-6%
2020
$2.3M
+6%
2021
$2.4M
+8%
2022
$2.6M
+1%
2023
$2.6M
-53%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T1023 (Screening to determine appropriateness of consideration for program)) accounts for 63% of total spending.

T1023Normal range

Screening to determine appropriateness of consideration for program

$10.0M

60K claims · 62.7%

Your Cost: $168.40/claim|Median: $106.70
1.6× median
T1024Top 5%

Evaluation & treatment, integrated specialty team

$5.9M

9,701 claims · 37.0%

Your Cost: $609.50/claim|Median: $119.08
5.1× median
G9004Normal range

$36K

1,301 claims · 0.2%

Your Cost: $27.72/claim|Median: $55.49
0.5× median
G9011Top 25%

$9K

146 claims · 0.1%

Your Cost: $59.79/claim|Median: $39.92
1.5× median
3074FNormal range

$3

280 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.11
0.1× median
3078FNormal range

$3

261 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.08
0.1× median