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Provider 1588689483

NPI: 1588689483Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.8M

$7,769,408

Total Claims

2.2M

Beneficiaries

1.6M

1.4 claims/patient

Avg Cost/Claim

$3

Monthly Spending Trend

Yearly Spending

2018
$155K
+127%
2019
$352K
+140%
2020
$844K
+40%
2021
$1.2M
+51%
2022
$1.8M
+9%
2023
$1.9M
-22%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 21% of total spending.

99309Normal range

Nursing facility care, subsequent, low complexity

$1.6M

105K claims · 20.8%

Your Cost: $15.46/claim|Median: $14.00
1.1× median
99308Normal range

Nursing facility care, subsequent, straightforward

$1.6M

133K claims · 20.3%

Your Cost: $11.83/claim|Median: $9.79
1.2× median
99253Top 5%

$871K

7,610 claims · 11.2%

Your Cost: $114.41/claim|Median: $55.16
2.1× median
99252Top 10%

$601K

8,401 claims · 7.7%

Your Cost: $71.54/claim|Median: $38.63
1.9× median
90834Normal range

Psychotherapy, 45 minutes

$505K

46K claims · 6.5%

Your Cost: $11.04/claim|Median: $63.65
0.2× median
90833Normal range

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

$394K

21K claims · 5.1%

Your Cost: $18.41/claim|Median: $38.83
0.5× median
99306Normal range

$353K

11K claims · 4.5%

Your Cost: $30.96/claim|Median: $29.97
1.0× median
99214Normal range

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

$308K

4,980 claims · 4.0%

Your Cost: $61.79/claim|Median: $53.41
1.2× median
G9916Top 25%

$271K

245K claims · 3.5%

Your Cost: $1.11/claim|Median: $0.42
2.6× median
90832Normal range

Psychotherapy, 30 minutes

$217K

29K claims · 2.8%

Your Cost: $7.39/claim|Median: $41.28
0.2× median
1123FNormal range

$165K

246K claims · 2.1%

Your Cost: $0.67/claim|Median: $0.49
1.4× median
99254Top 5%

$157K

919 claims · 2.0%

Your Cost: $170.73/claim|Median: $81.43
2.1× median
4322FTop 1%

$126K

192K claims · 1.6%

Your Cost: $0.66/claim|Median: $0.14
4.7× median
90791Normal range

Psychiatric diagnostic evaluation

$118K

5,645 claims · 1.5%

Your Cost: $20.86/claim|Median: $99.21
0.2× median
G8427Normal range

$103K

263K claims · 1.3%

Your Cost: $0.39/claim|Median: $0.02
19.5× median
G9512Top 1%

$61K

158K claims · 0.8%

Your Cost: $0.38/claim|Median: $0.38
1.0× median
G8433Normal range

$52K

148K claims · 0.7%

Your Cost: $0.35/claim|Median: $0.03
11.6× median
99305Normal range

$48K

2,094 claims · 0.6%

Your Cost: $22.84/claim|Median: $19.28
1.2× median
G8734Normal range

$45K

158K claims · 0.6%

Your Cost: $0.29/claim|Median: $0.11
2.6× median
G9919Normal range

$30K

103K claims · 0.4%

Your Cost: $0.29/claim|Median: $8.66
0.0× median
G9922Normal range

$30K

100K claims · 0.4%

Your Cost: $0.29/claim|Median: $0.29
1.0× median
99310Normal range

$24K

882 claims · 0.3%

Your Cost: $27.75/claim|Median: $21.82
1.3× median
G9923Normal range

$19K

81K claims · 0.2%

Your Cost: $0.24/claim|Median: $0.12
2.0× median
G9920Normal range

$18K

80K claims · 0.2%

Your Cost: $0.23/claim|Median: $6.56
0.0× median
99335Normal range

$12K

1,689 claims · 0.2%

Your Cost: $7.23/claim|Median: $14.90
0.5× median
G8510Normal range

$12K

40K claims · 0.2%

Your Cost: $0.31/claim|Median: $1.96
0.2× median
G8535Normal range

$10K

30K claims · 0.1%

Your Cost: $0.32/claim|Median: $1.19
0.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$6K

349 claims · 0.1%

Your Cost: $17.04/claim|Median: $32.55
0.5× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$6K

307 claims · 0.1%

Your Cost: $18.14/claim|Median: $56.18
0.3× median
1124FNormal range

$4K

4,344 claims · 0.0%

Your Cost: $0.88/claim|Median: $2.37
0.4× median