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Provider 1629158126

NPI: 1629158126Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,688,101

Total Claims

221K

Beneficiaries

150K

1.5 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-20%
2019
$1.5M
-28%
2020
$1.1M
-9%
2021
$963K
+0%
2022
$964K
+34%
2023
$1.3M
-14%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 26% of total spending.

99213Normal range

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

$2.3M

72K claims · 26.1%

Your Cost: $31.31/claim|Median: $37.81
0.8× median
99214Normal range

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

$1.9M

41K claims · 21.5%

Your Cost: $45.96/claim|Median: $53.41
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$1.5M

34K claims · 17.1%

Your Cost: $43.25/claim|Median: $63.65
0.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$846K

25K claims · 9.7%

Your Cost: $33.89/claim|Median: $35.43
1.0× median
99417Top 5%

$507K

2,474 claims · 5.8%

Your Cost: $205.01/claim|Median: $34.90
5.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$466K

4,209 claims · 5.4%

Your Cost: $110.83/claim|Median: $108.91
1.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$406K

18K claims · 4.7%

Your Cost: $22.45/claim|Median: $37.56
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$236K

4,169 claims · 2.7%

Your Cost: $56.49/claim|Median: $74.09
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$213K

3,574 claims · 2.5%

Your Cost: $59.60/claim|Median: $85.66
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$188K

9,212 claims · 2.2%

Your Cost: $20.43/claim|Median: $25.06
0.8× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$77K

2,290 claims · 0.9%

Your Cost: $33.48/claim|Median: $64.72
0.5× median
90868Normal range

$39K

559 claims · 0.5%

Your Cost: $70.14/claim|Median: $140.66
0.5× median
90853Normal range

Group psychotherapy

$25K

1,163 claims · 0.3%

Your Cost: $21.16/claim|Median: $25.02
0.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$15K

862 claims · 0.2%

Your Cost: $16.83/claim|Median: $22.44
0.8× median
99204Normal range

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

$12K

163 claims · 0.1%

Your Cost: $73.59/claim|Median: $84.03
0.9× median
98968Normal range

$9K

622 claims · 0.1%

Your Cost: $14.72/claim|Median: $28.39
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$9K

111 claims · 0.1%

Your Cost: $77.50/claim|Median: $99.21
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$8K

299 claims · 0.1%

Your Cost: $28.33/claim|Median: $41.28
0.7× median
98967Normal range

$7K

537 claims · 0.1%

Your Cost: $12.13/claim|Median: $18.97
0.6× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$2K

123 claims · 0.0%

Your Cost: $19.24/claim|Median: $56.18
0.3× median
96103Top 25%

$1K

90 claims · 0.0%

Your Cost: $15.12/claim|Median: $5.95
2.5× median
90838Normal range

Psychotherapy, 60 min, add-on to E/M

$1K

19 claims · 0.0%

Your Cost: $54.48/claim|Median: $67.05
0.8× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$811

101 claims · 0.0%

Your Cost: $8.03/claim|Median: $72.96
0.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$793

13 claims · 0.0%

Your Cost: $60.98/claim|Median: $32.55
1.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$525

43 claims · 0.0%

Your Cost: $12.20/claim|Median: $12.93
0.9× median
90833Normal range

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

$226

45 claims · 0.0%

Your Cost: $5.02/claim|Median: $38.83
0.1× median
96146Normal range

$42

59 claims · 0.0%

Your Cost: $0.72/claim|Median: $0.79
0.9× median
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