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Provider 1578996252

NPI: 1578996252Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,687,940

Total Claims

140K

Beneficiaries

89K

1.6 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$622K
+27%
2019
$790K
-1%
2020
$779K
+40%
2021
$1.1M
+25%
2022
$1.4M
+38%
2023
$1.9M
+15%
2024
$2.2M

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 21% of total spending.

99214Top 25%

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

$1.8M

24K claims · 20.9%

Your Cost: $75.79/claim|Median: $53.41
1.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

12K claims · 15.2%

Your Cost: $110.73/claim|Median: $85.65
1.3× median
99213Normal range

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

$1.2M

30K claims · 13.9%

Your Cost: $40.17/claim|Median: $37.81
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.1M

25K claims · 13.1%

Your Cost: $44.89/claim|Median: $23.99
1.9× median
99284Normal range

Emergency dept visit, high complexity

$529K

7,006 claims · 6.1%

Your Cost: $75.47/claim|Median: $69.51
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$523K

7,511 claims · 6.0%

Your Cost: $69.68/claim|Median: $85.66
0.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$402K

3,433 claims · 4.6%

Your Cost: $117.14/claim|Median: $67.32
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$390K

8,347 claims · 4.5%

Your Cost: $46.67/claim|Median: $63.65
0.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$348K

5,902 claims · 4.0%

Your Cost: $58.95/claim|Median: $35.30
1.7× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$226K

3,170 claims · 2.6%

Your Cost: $71.20/claim|Median: $43.85
1.6× median
90791Normal range

Psychiatric diagnostic evaluation

$184K

1,814 claims · 2.1%

Your Cost: $101.31/claim|Median: $99.21
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$141K

2,137 claims · 1.6%

Your Cost: $65.81/claim|Median: $77.33
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$116K

1,092 claims · 1.3%

Your Cost: $106.31/claim|Median: $74.09
1.4× median
99245Top 25%

Office consultation, high complexity

$104K

548 claims · 1.2%

Your Cost: $190.38/claim|Median: $143.30
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$39K

358 claims · 0.5%

Your Cost: $109.30/claim|Median: $108.91
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$30K

861 claims · 0.3%

Your Cost: $34.39/claim|Median: $41.28
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$28K

181 claims · 0.3%

Your Cost: $153.14/claim|Median: $111.09
1.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$27K

3,411 claims · 0.3%

Your Cost: $8.03/claim|Median: $9.56
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$21K

528 claims · 0.2%

Your Cost: $39.91/claim|Median: $42.48
0.9× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$17K

444 claims · 0.2%

Your Cost: $38.59/claim|Median: $38.83
1.0× median
99204Normal range

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

$13K

127 claims · 0.1%

Your Cost: $100.10/claim|Median: $84.03
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$12K

92 claims · 0.1%

Your Cost: $134.70/claim|Median: $121.58
1.1× median
99255Top 25%

$11K

67 claims · 0.1%

Your Cost: $166.27/claim|Median: $90.45
1.8× median
80305Normal range

$7K

1,090 claims · 0.1%

Your Cost: $6.57/claim|Median: $7.44
0.9× median
96101Normal range

$7K

30 claims · 0.1%

Your Cost: $217.41/claim|Median: $196.08
1.1× median
96131Normal range

Psychological testing evaluation, each additional hour

$4K

36 claims · 0.0%

Your Cost: $104.65/claim|Median: $133.38
0.8× median
99335Top 5%

$3K

41 claims · 0.0%

Your Cost: $81.07/claim|Median: $14.90
5.4× median
99347Top 25%

$3K

126 claims · 0.0%

Your Cost: $25.47/claim|Median: $11.74
2.2× median
96130Normal range

Psychological testing evaluation by professional, first hour

$3K

37 claims · 0.0%

Your Cost: $72.94/claim|Median: $79.21
0.9× median
90853Normal range

Group psychotherapy

$2K

116 claims · 0.0%

Your Cost: $20.92/claim|Median: $25.02
0.8× median
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