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Provider 1588691620

NPI: 1588691620Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,815,663

Total Claims

382K

Beneficiaries

321K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+52%
2019
$2.6M
-36%
2020
$1.7M
+8%
2021
$1.8M
+23%
2022
$2.2M
+38%
2023
$3.1M
-10%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 45% of total spending.

99213Normal range

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

$7.1M

155K claims · 44.8%

Your Cost: $45.80/claim|Median: $37.81
1.2× median
99214Normal range

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

$2.2M

38K claims · 14.2%

Your Cost: $58.23/claim|Median: $53.41
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$1.5M

37K claims · 9.2%

Your Cost: $39.41/claim|Median: $41.28
1.0× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$822K

29K claims · 5.2%

Your Cost: $27.94/claim|Median: $121.16
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$575K

11K claims · 3.6%

Your Cost: $53.60/claim|Median: $63.65
0.8× median
H0044Normal range

Supported housing, per diem

$571K

2,309 claims · 3.6%

Your Cost: $247.43/claim|Median: $797.87
0.3× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$439K

7,767 claims · 2.8%

Your Cost: $56.54/claim|Median: $39.63
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$179K

5,011 claims · 1.1%

Your Cost: $35.73/claim|Median: $25.06
1.4× median
T1016Normal range

Case management, each 15 min

$174K

5,394 claims · 1.1%

Your Cost: $32.30/claim|Median: $49.62
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$171K

2,391 claims · 1.1%

Your Cost: $71.56/claim|Median: $75.18
1.0× median
T1017Normal range

Targeted case management, per 15 min

$171K

3,123 claims · 1.1%

Your Cost: $54.76/claim|Median: $69.56
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$159K

2,023 claims · 1.0%

Your Cost: $78.64/claim|Median: $74.82
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$145K

1,504 claims · 0.9%

Your Cost: $96.72/claim|Median: $99.21
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$134K

4,840 claims · 0.8%

Your Cost: $27.74/claim|Median: $55.04
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$131K

4,630 claims · 0.8%

Your Cost: $28.29/claim|Median: $21.91
1.3× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$120K

15K claims · 0.8%

Your Cost: $7.83/claim|Median: $9.80
0.8× median
G2025Normal range

$96K

6,159 claims · 0.6%

Your Cost: $15.62/claim|Median: $15.63
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$92K

9,468 claims · 0.6%

Your Cost: $9.69/claim|Median: $11.48
0.8× median
G0470Normal range

Chronic care management services, FQHC/RHC

$74K

5,595 claims · 0.5%

Your Cost: $13.29/claim|Median: $45.95
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$70K

797 claims · 0.4%

Your Cost: $87.46/claim|Median: $80.15
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$67K

822 claims · 0.4%

Your Cost: $81.19/claim|Median: $74.09
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$66K

935 claims · 0.4%

Your Cost: $70.38/claim|Median: $69.35
1.0× median
90833Normal range

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

$58K

1,981 claims · 0.4%

Your Cost: $29.14/claim|Median: $38.83
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$57K

476 claims · 0.4%

Your Cost: $120.10/claim|Median: $108.91
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$55K

1,646 claims · 0.3%

Your Cost: $33.62/claim|Median: $33.85
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$53K

3,744 claims · 0.3%

Your Cost: $14.24/claim|Median: $11.79
1.2× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$47K

26 claims · 0.3%

Your Cost: $1,795.81/claim|Median: $1,482.45
1.2× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$42K

1,033 claims · 0.3%

Your Cost: $40.34/claim|Median: $36.70
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$38K

735 claims · 0.2%

Your Cost: $52.19/claim|Median: $72.71
0.7× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$33K

1,646 claims · 0.2%

Your Cost: $19.90/claim|Median: $25.93
0.8× median
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