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Provider 1609985571

NPI: 1609985571Share
Active Billing Period:2019-04→2024-12(69 months)

Total Paid

$9.0M

$9,006,154

Total Claims

96K

Beneficiaries

52K

1.9 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2019
$1.4M
-10%
2020
$1.3M
+19%
2021
$1.5M
-12%
2022
$1.3M
+34%
2023
$1.8M
-4%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (90832 (Psychotherapy, 30 minutes)) accounts for 36% of total spending.

90832Top 10%

Psychotherapy, 30 minutes

$3.3M

29K claims · 36.1%

Your Cost: $113.40/claim|Median: $41.28
2.7× median
99213Top 5%

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

$2.0M

21K claims · 22.5%

Your Cost: $96.93/claim|Median: $37.81
2.6× median
92507Top 5%

Speech/hearing/language treatment

$933K

7,663 claims · 10.4%

Your Cost: $121.74/claim|Median: $49.45
2.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$849K

14K claims · 9.4%

Your Cost: $58.99/claim|Median: $24.49
2.4× median
97530Top 25%

Therapeutic activities, each 15 min

$498K

6,846 claims · 5.5%

Your Cost: $72.69/claim|Median: $33.11
2.2× median
11721Top 1%

$258K

2,764 claims · 2.9%

Your Cost: $93.34/claim|Median: $8.56
10.9× median
D9110Top 1%

$200K

1,985 claims · 2.2%

Your Cost: $100.56/claim|Median: $38.08
2.6× median
D0120Top 10%

Periodic oral evaluation, established patient

$175K

3,266 claims · 1.9%

Your Cost: $53.46/claim|Median: $24.34
2.2× median
99214Top 25%

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

$158K

2,047 claims · 1.8%

Your Cost: $77.21/claim|Median: $53.41
1.4× median
11056Top 1%

Paring or cutting of benign hyperkeratotic lesions, two to four

$150K

776 claims · 1.7%

Your Cost: $192.76/claim|Median: $11.01
17.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$145K

1,987 claims · 1.6%

Your Cost: $73.21/claim|Median: $43.38
1.7× median
97537Top 25%

$95K

1,295 claims · 1.1%

Your Cost: $73.39/claim|Median: $24.64
3.0× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$87K

1,335 claims · 1.0%

Your Cost: $65.20/claim|Median: $20.04
3.3× median
11719Top 1%

$84K

798 claims · 0.9%

Your Cost: $105.18/claim|Median: $1.95
53.9× median
97116Top 10%

Gait training

$52K

1,196 claims · 0.6%

Your Cost: $43.45/claim|Median: $12.48
3.5× median
90834Top 5%

Psychotherapy, 45 minutes

$24K

169 claims · 0.3%

Your Cost: $140.62/claim|Median: $63.65
2.2× median
11720Top 1%

$12K

130 claims · 0.1%

Your Cost: $91.41/claim|Median: $4.64
19.7× median
90853Top 25%

Group psychotherapy

$6K

97 claims · 0.1%

Your Cost: $59.22/claim|Median: $25.02
2.4× median
90833Top 5%

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

$3K

41 claims · 0.0%

Your Cost: $83.50/claim|Median: $38.83
2.2× median
97535Top 25%

Self-care/home management training, per 15 minutes

$2K

56 claims · 0.0%

Your Cost: $37.18/claim|Median: $18.18
2.0× median
90791Top 25%

Psychiatric diagnostic evaluation

$2K

16 claims · 0.0%

Your Cost: $126.54/claim|Median: $99.21
1.3× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$922

15 claims · 0.0%

Your Cost: $61.48/claim|Median: $24.33
2.5× median
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