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Provider 1598256117

NPI: 1598256117Share
Active Billing Period:2018-122024-12(73 months)

Total Paid

$8.4M

$8,356,801

Total Claims

77K

Beneficiaries

41K

1.9 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2018
$1K
+86278%
2019
$911K
+35%
2020
$1.2M
+42%
2021
$1.7M
+2%
2022
$1.8M
-17%
2023
$1.5M
-15%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0016 (Alcohol or drug abuse services, prenatal)) accounts for 56% of total spending.

H0016Normal range

Alcohol or drug abuse services, prenatal

$4.7M

25K claims · 56.1%

Your Cost: $187.00/claim|Median: $182.66
1.0× median
H0033Normal range

Oral medication administration, direct observation

$2.4M

17K claims · 28.5%

Your Cost: $138.20/claim|Median: $31.37
4.4× median
H2010Normal range

Comprehensive medication services, per 15 min

$594K

9,389 claims · 7.1%

Your Cost: $63.31/claim|Median: $62.69
1.0× median
H0014Normal range

$339K

1,479 claims · 4.1%

Your Cost: $229.19/claim|Median: $137.81
1.7× median
99214Normal range

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

$211K

14K claims · 2.5%

Your Cost: $15.34/claim|Median: $53.41
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$107K

5,072 claims · 1.3%

Your Cost: $21.05/claim|Median: $41.28
0.5× median
90833Normal range

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

$14K

1,191 claims · 0.2%

Your Cost: $11.42/claim|Median: $38.83
0.3× median
99213Normal range

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

$9K

1,663 claims · 0.1%

Your Cost: $5.58/claim|Median: $37.81
0.1× median
80305Normal range

$7K

2,164 claims · 0.1%

Your Cost: $3.26/claim|Median: $7.44
0.4× median
90853Normal range

Group psychotherapy

$3K

366 claims · 0.0%

Your Cost: $8.39/claim|Median: $25.02
0.3× median
99204Normal range

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

$3K

37 claims · 0.0%

Your Cost: $74.00/claim|Median: $84.03
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$118

18 claims · 0.0%

Your Cost: $6.54/claim|Median: $25.06
0.3× median
81025Normal range

Urine pregnancy test

$27

12 claims · 0.0%

Your Cost: $2.21/claim|Median: $4.81
0.5× median