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Provider 1598930869

NPI: 1598930869Share
Active Billing Period:2021-07→2024-12(42 months)

Total Paid

$17.8M

$17,757,712

Total Claims

64K

Beneficiaries

52K

1.2 claims/patient

Avg Cost/Claim

$276

Monthly Spending Trend

Yearly Spending

2021
$3.5M
+66%
2022
$5.8M
-23%
2023
$4.5M
-15%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 38% of total spending.

S5145Top 10%

Foster care, therapeutic, child, per diem

$6.7M

4,462 claims · 37.9%

Your Cost: $1,506.53/claim|Median: $216.31
7.0× median
H0041Top 25%

$5.8M

15K claims · 32.5%

Your Cost: $385.49/claim|Median: $192.56
2.0× median
H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$2.1M

13K claims · 11.6%

Your Cost: $153.03/claim|Median: $74.63
2.1× median
99215Top 5%

Office/outpatient visit, high complexity

$689K

3,457 claims · 3.9%

Your Cost: $199.18/claim|Median: $74.09
2.7× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$472K

1,647 claims · 2.7%

Your Cost: $286.37/claim|Median: $75.18
3.8× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$409K

1,354 claims · 2.3%

Your Cost: $302.33/claim|Median: $74.82
4.0× median
99214Top 5%

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

$264K

2,050 claims · 1.5%

Your Cost: $128.66/claim|Median: $53.41
2.4× median
99417Top 5%

$260K

1,762 claims · 1.5%

Your Cost: $147.31/claim|Median: $34.90
4.2× median
90791Top 5%

Psychiatric diagnostic evaluation

$216K

871 claims · 1.2%

Your Cost: $247.42/claim|Median: $99.21
2.5× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$185K

559 claims · 1.0%

Your Cost: $330.68/claim|Median: $80.15
4.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$168K

631 claims · 0.9%

Your Cost: $265.72/claim|Median: $69.35
3.8× median
99213Top 5%

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

$132K

1,313 claims · 0.7%

Your Cost: $100.84/claim|Median: $37.81
2.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$110K

3,773 claims · 0.6%

Your Cost: $29.13/claim|Median: $17.85
1.6× median
99212Top 10%

Office/outpatient visit, low complexity

$103K

1,583 claims · 0.6%

Your Cost: $64.84/claim|Median: $25.06
2.6× median
H0049Top 10%

$71K

1,509 claims · 0.4%

Your Cost: $46.99/claim|Median: $9.27
5.1× median
97803Top 10%

Medical nutrition therapy, reassessment, group, thirty minutes

$30K

364 claims · 0.2%

Your Cost: $82.99/claim|Median: $24.33
3.4× median
87426Top 10%

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

$28K

620 claims · 0.2%

Your Cost: $44.64/claim|Median: $30.04
1.5× median
92551Normal range

Screening audiometry, pure tone, air only

$22K

2,685 claims · 0.1%

Your Cost: $8.25/claim|Median: $6.61
1.2× median
97802Top 10%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$18K

160 claims · 0.1%

Your Cost: $114.60/claim|Median: $12.70
9.0× median
99383Top 1%

Preventive visit, new patient, late childhood (5-11 yr)

$10K

27 claims · 0.1%

Your Cost: $379.66/claim|Median: $81.92
4.6× median
96110Top 5%

Developmental screening, per standardized instrument

$9K

133 claims · 0.1%

Your Cost: $70.94/claim|Median: $9.10
7.8× median
G2023Normal range

Specimen collection for COVID-19 testing

$3K

432 claims · 0.0%

Your Cost: $6.03/claim|Median: $17.15
0.4× median
87804Normal range

Influenza virus detection, rapid test

$2K

164 claims · 0.0%

Your Cost: $15.09/claim|Median: $12.59
1.2× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$2K

32 claims · 0.0%

Your Cost: $71.21/claim|Median: $3.67
19.4× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$1K

13 claims · 0.0%

Your Cost: $82.90/claim|Median: $65.45
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$383

96 claims · 0.0%

Your Cost: $3.99/claim|Median: $11.48
0.3× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$289

25 claims · 0.0%

Your Cost: $11.54/claim|Median: $17.67
0.7× median
99429Normal range

$225

14 claims · 0.0%

Your Cost: $16.07/claim|Median: $28.58
0.6× median
86580Normal range

Tuberculosis (TB) skin test

$195

40 claims · 0.0%

Your Cost: $4.88/claim|Median: $4.46
1.1× median
81025Normal range

Urine pregnancy test

$51

25 claims · 0.0%

Your Cost: $2.02/claim|Median: $4.81
0.4× median
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