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Provider 1639176373

NPI: 1639176373Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.8M

$8,785,251

Total Claims

215K

Beneficiaries

139K

1.5 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$682K
+85%
2019
$1.3M
+13%
2020
$1.4M
+30%
2021
$1.8M
+13%
2022
$2.1M
-38%
2023
$1.3M
-85%
2024
$194K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 32% of total spending.

99214Normal range

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

$2.8M

51K claims · 32.1%

Your Cost: $55.55/claim|Median: $53.41
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$2.0M

47K claims · 22.8%

Your Cost: $42.68/claim|Median: $63.65
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$621K

18K claims · 7.1%

Your Cost: $34.05/claim|Median: $41.28
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$563K

8,668 claims · 6.4%

Your Cost: $64.92/claim|Median: $99.21
0.7× median
90853Normal range

Group psychotherapy

$542K

35K claims · 6.2%

Your Cost: $15.54/claim|Median: $25.02
0.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$488K

9,107 claims · 5.6%

Your Cost: $53.61/claim|Median: $77.33
0.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$470K

5,379 claims · 5.4%

Your Cost: $87.41/claim|Median: $91.63
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$291K

6,737 claims · 3.3%

Your Cost: $43.15/claim|Median: $23.99
1.8× median
99213Normal range

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

$166K

4,789 claims · 1.9%

Your Cost: $34.70/claim|Median: $37.81
0.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$154K

1,838 claims · 1.8%

Your Cost: $83.78/claim|Median: $51.25
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$113K

1,270 claims · 1.3%

Your Cost: $88.82/claim|Median: $74.09
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$112K

1,469 claims · 1.3%

Your Cost: $75.91/claim|Median: $85.66
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$108K

2,406 claims · 1.2%

Your Cost: $44.93/claim|Median: $37.22
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$77K

9,157 claims · 0.9%

Your Cost: $8.36/claim|Median: $9.56
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$74K

4,293 claims · 0.8%

Your Cost: $17.22/claim|Median: $16.77
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$68K

821 claims · 0.8%

Your Cost: $82.75/claim|Median: $108.91
0.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$40K

1,488 claims · 0.5%

Your Cost: $26.62/claim|Median: $55.04
0.5× median
99223Normal range

Initial hospital care, per day, high complexity

$22K

242 claims · 0.3%

Your Cost: $91.96/claim|Median: $67.32
1.4× median
99221Top 25%

Initial hospital care, straightforward/low

$14K

235 claims · 0.2%

Your Cost: $61.06/claim|Median: $39.96
1.5× median
T2022Top 5%

Case management, per month

$12K

16 claims · 0.1%

Your Cost: $724.12/claim|Median: $202.77
3.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$11K

3,851 claims · 0.1%

Your Cost: $2.90/claim|Median: $3.67
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$10K

261 claims · 0.1%

Your Cost: $37.51/claim|Median: $35.30
1.1× median
80305Top 25%

$7K

700 claims · 0.1%

Your Cost: $10.12/claim|Median: $7.44
1.4× median
99204Normal range

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

$3K

33 claims · 0.0%

Your Cost: $85.10/claim|Median: $84.03
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$1K

51 claims · 0.0%

Your Cost: $22.23/claim|Median: $25.06
0.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$920

53 claims · 0.0%

Your Cost: $17.36/claim|Median: $22.44
0.8× median
99443Normal range

Telephone E/M by physician, 21-30 min

$712

50 claims · 0.0%

Your Cost: $14.24/claim|Median: $32.55
0.4× median
99441Normal range

Telephone E/M by physician, 5-10 min

$142

15 claims · 0.0%

Your Cost: $9.46/claim|Median: $13.30
0.7× median
97810Normal range

$38

32 claims · 0.0%

Your Cost: $1.18/claim|Median: $23.92
0.0× median
97811Normal range

$28

32 claims · 0.0%

Your Cost: $0.88/claim|Median: $19.71
0.0× median
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