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Provider 1619973518

NPI: 1619973518Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.7M

$11,726,582

Total Claims

400K

Beneficiaries

315K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$513K
+50%
2019
$767K
+80%
2020
$1.4M
+69%
2021
$2.3M
-9%
2022
$2.1M
+21%
2023
$2.6M
-21%
2024
$2.0M

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 42% of total spending.

99213Top 10%

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

$4.9M

67K claims · 42.2%

Your Cost: $73.47/claim|Median: $37.81
1.9× median
99212Top 10%

Office/outpatient visit, low complexity

$979K

12K claims · 8.4%

Your Cost: $83.25/claim|Median: $25.06
3.3× median
99214Top 10%

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

$510K

4,518 claims · 4.3%

Your Cost: $112.87/claim|Median: $53.41
2.1× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$346K

6,803 claims · 3.0%

Your Cost: $50.91/claim|Median: $144.04
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$303K

3,584 claims · 2.6%

Your Cost: $84.62/claim|Median: $72.71
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$300K

3,700 claims · 2.6%

Your Cost: $81.04/claim|Median: $76.06
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$274K

7,538 claims · 2.3%

Your Cost: $36.41/claim|Median: $24.49
1.5× median
95004Top 25%

Percutaneous allergy skin tests, each

$256K

1,138 claims · 2.2%

Your Cost: $225.23/claim|Median: $134.97
1.7× median
95117Top 5%

$251K

13K claims · 2.1%

Your Cost: $19.57/claim|Median: $8.34
2.3× median
H0001Normal range

Alcohol and/or drug assessment

$247K

2,636 claims · 2.1%

Your Cost: $93.85/claim|Median: $94.22
1.0× median
G0447Top 1%

$241K

5,057 claims · 2.1%

Your Cost: $47.58/claim|Median: $5.19
9.2× median
99203Top 10%

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

$240K

2,416 claims · 2.0%

Your Cost: $99.48/claim|Median: $57.85
1.7× median
G0442Top 5%

$212K

8,763 claims · 1.8%

Your Cost: $24.23/claim|Median: $4.91
4.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$166K

1,985 claims · 1.4%

Your Cost: $83.71/claim|Median: $80.15
1.0× median
97032Normal range

Electrical stimulation, manual

$164K

11K claims · 1.4%

Your Cost: $14.50/claim|Median: $9.42
1.5× median
94060Top 5%

$151K

988 claims · 1.3%

Your Cost: $152.98/claim|Median: $25.18
6.1× median
99000Top 10%

$150K

8,134 claims · 1.3%

Your Cost: $18.46/claim|Median: $2.30
8.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$148K

1,732 claims · 1.3%

Your Cost: $85.40/claim|Median: $74.82
1.1× median
96110Top 1%

Developmental screening, per standardized instrument

$129K

1,135 claims · 1.1%

Your Cost: $113.81/claim|Median: $9.10
12.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$125K

6,481 claims · 1.1%

Your Cost: $19.27/claim|Median: $16.79
1.1× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$98K

886 claims · 0.8%

Your Cost: $110.39/claim|Median: $13.30
8.3× median
97035Top 25%

Ultrasound therapy

$87K

7,131 claims · 0.7%

Your Cost: $12.25/claim|Median: $7.31
1.7× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$84K

1,573 claims · 0.7%

Your Cost: $53.21/claim|Median: $40.58
1.3× median
99401Top 5%

$73K

2,048 claims · 0.6%

Your Cost: $35.82/claim|Median: $16.53
2.2× median
97530Normal range

Therapeutic activities, each 15 min

$65K

3,698 claims · 0.6%

Your Cost: $17.65/claim|Median: $33.11
0.5× median
95024Top 10%

$59K

377 claims · 0.5%

Your Cost: $157.66/claim|Median: $60.31
2.6× median
G0439Top 25%

Annual wellness visit, subsequent visit

$59K

2,048 claims · 0.5%

Your Cost: $28.64/claim|Median: $5.42
5.3× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$54K

5,042 claims · 0.5%

Your Cost: $10.66/claim|Median: $17.67
0.6× median
97162Top 10%

PT evaluation, moderate complexity

$52K

527 claims · 0.4%

Your Cost: $98.24/claim|Median: $46.10
2.1× median
36415Top 25%

Collection of venous blood by venipuncture

$50K

19K claims · 0.4%

Your Cost: $2.70/claim|Median: $1.57
1.7× median
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