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Provider 1588244750

NPI: 1588244750Share
Active Billing Period:2022-01→2024-12(36 months)

Total Paid

$10.6M

$10,645,083

Total Claims

113K

Beneficiaries

97K

1.2 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2022
$919K
+235%
2023
$3.1M
+116%
2024
$6.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 36% of total spending.

G9012Top 25%

Other specified case management service, per 15 minutes

$3.8M

14K claims · 35.5%

Your Cost: $272.58/claim|Median: $137.85
2.0× median
99214Normal range

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

$3.1M

62K claims · 29.5%

Your Cost: $50.76/claim|Median: $53.41
1.0× median
99211Top 1%

Office/outpatient visit, minimal complexity

$1.7M

6,897 claims · 16.2%

Your Cost: $250.19/claim|Median: $12.93
19.3× median
99213Normal range

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

$702K

18K claims · 6.6%

Your Cost: $39.25/claim|Median: $37.81
1.0× median
99491Top 5%

$366K

3,710 claims · 3.4%

Your Cost: $98.74/claim|Median: $9.86
10.0× median
99340Normal range

$291K

1,769 claims · 2.7%

Your Cost: $164.32/claim|Median: $163.40
1.0× median
99437Top 10%

$253K

3,647 claims · 2.4%

Your Cost: $69.42/claim|Median: $8.33
8.3× median
H0006Top 1%

Alcohol and/or drug services, case management

$129K

470 claims · 1.2%

Your Cost: $273.83/claim|Median: $43.10
6.4× median
G2087Top 25%

$73K

283 claims · 0.7%

Your Cost: $258.30/claim|Median: $48.10
5.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$70K

594 claims · 0.7%

Your Cost: $117.93/claim|Median: $111.09
1.1× median
99204Normal range

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

$41K

446 claims · 0.4%

Your Cost: $91.37/claim|Median: $84.03
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$25K

288 claims · 0.2%

Your Cost: $85.28/claim|Median: $74.09
1.2× median
H0001Top 5%

Alcohol and/or drug assessment

$22K

64 claims · 0.2%

Your Cost: $350.00/claim|Median: $94.22
3.7× median
99406Top 25%

$17K

1,401 claims · 0.2%

Your Cost: $11.80/claim|Median: $6.53
1.8× median
99492Top 25%

$7K

68 claims · 0.1%

Your Cost: $108.73/claim|Median: $68.72
1.6× median
99203Normal range

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

$3K

43 claims · 0.0%

Your Cost: $66.38/claim|Median: $57.85
1.1× median
99493Normal range

$711

12 claims · 0.0%

Your Cost: $59.26/claim|Median: $73.13
0.8× median
99484Top 25%

$339

14 claims · 0.0%

Your Cost: $24.22/claim|Median: $7.13
3.4× median
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