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Provider 1629078274

NPI: 1629078274Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,640,423

Total Claims

30K

Beneficiaries

20K

1.5 claims/patient

Avg Cost/Claim

$290

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-8%
2019
$1.4M
-3%
2020
$1.3M
-6%
2021
$1.3M
+20%
2022
$1.5M
-31%
2023
$1.0M
-38%
2024
$644K

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 33% of total spending.

99213Top 1%

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

$2.9M

6,387 claims · 33.4%

Your Cost: $451.50/claim|Median: $37.81
11.9× median
99214Top 1%

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

$1.7M

3,955 claims · 20.2%

Your Cost: $441.46/claim|Median: $53.41
8.3× median
99211Top 1%

Office/outpatient visit, minimal complexity

$703K

1,329 claims · 8.1%

Your Cost: $528.67/claim|Median: $12.93
40.9× median
H0005Top 1%

Alcohol and/or drug services, group counseling

$633K

1,326 claims · 7.3%

Your Cost: $477.12/claim|Median: $47.35
10.1× median
S0215Top 25%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$547K

11K claims · 6.3%

Your Cost: $48.44/claim|Median: $21.33
2.3× median
D1110Top 1%

Prophylaxis, adult cleaning

$328K

659 claims · 3.8%

Your Cost: $497.67/claim|Median: $43.38
11.5× median
D0140Top 1%

Limited oral evaluation, problem focused

$238K

448 claims · 2.8%

Your Cost: $530.49/claim|Median: $27.07
19.6× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$205K

392 claims · 2.4%

Your Cost: $523.39/claim|Median: $74.63
7.0× median
90837Top 1%

Psychotherapy, 60 minutes

$183K

336 claims · 2.1%

Your Cost: $545.86/claim|Median: $85.66
6.4× median
D0191Top 1%

$179K

452 claims · 2.1%

Your Cost: $395.35/claim|Median: $11.16
35.4× median
99215Top 1%

Office/outpatient visit, high complexity

$162K

396 claims · 1.9%

Your Cost: $410.16/claim|Median: $74.09
5.5× median
90471Top 1%

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

$150K

319 claims · 1.7%

Your Cost: $469.71/claim|Median: $9.80
47.9× median
D0120Top 1%

Periodic oral evaluation, established patient

$149K

298 claims · 1.7%

Your Cost: $501.56/claim|Median: $24.34
20.6× median
D1120Top 1%

Prophylaxis, adult

$123K

226 claims · 1.4%

Your Cost: $542.49/claim|Median: $33.86
16.0× median
G0467Top 5%

Federally qualified health center visit, mental health

$93K

454 claims · 1.1%

Your Cost: $205.56/claim|Median: $21.91
9.4× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$66K

151 claims · 0.8%

Your Cost: $435.79/claim|Median: $22.44
19.4× median
D0190Top 1%

$46K

119 claims · 0.5%

Your Cost: $388.46/claim|Median: $12.78
30.4× median
98968Top 1%

$44K

90 claims · 0.5%

Your Cost: $485.05/claim|Median: $28.39
17.1× median
97803Top 1%

Medical nutrition therapy, reassessment, group, thirty minutes

$26K

57 claims · 0.3%

Your Cost: $461.07/claim|Median: $24.33
19.0× median
90834Top 1%

Psychotherapy, 45 minutes

$26K

55 claims · 0.3%

Your Cost: $466.47/claim|Median: $63.65
7.3× median
90480Top 1%

$22K

30 claims · 0.2%

Your Cost: $719.00/claim|Median: $25.29
28.4× median
D9110Top 1%

$22K

43 claims · 0.2%

Your Cost: $501.54/claim|Median: $38.08
13.2× median
0064ATop 5%

$20K

61 claims · 0.2%

Your Cost: $327.76/claim|Median: $34.17
9.6× median
0134ATop 5%

$8K

77 claims · 0.1%

Your Cost: $105.98/claim|Median: $33.54
3.2× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$7K

17 claims · 0.1%

Your Cost: $437.92/claim|Median: $57.39
7.6× median
99212Top 1%

Office/outpatient visit, low complexity

$6K

17 claims · 0.1%

Your Cost: $375.36/claim|Median: $25.06
15.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$6K

177 claims · 0.1%

Your Cost: $32.62/claim|Median: $33.85
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$5K

197 claims · 0.1%

Your Cost: $26.04/claim|Median: $25.93
1.0× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$5K

15 claims · 0.1%

Your Cost: $329.86/claim|Median: $32.55
10.1× median
G2025Top 1%

$5K

16 claims · 0.1%

Your Cost: $293.06/claim|Median: $15.63
18.7× median
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