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Provider 1649227265

NPI: 1649227265Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,062,820

Total Claims

138K

Beneficiaries

121K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$992K
+38%
2019
$1.4M
-16%
2020
$1.2M
+12%
2021
$1.3M
-2%
2022
$1.3M
-10%
2023
$1.1M
-25%
2024
$848K

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 36% of total spending.

99214Top 25%

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

$2.9M

36K claims · 35.8%

Your Cost: $79.51/claim|Median: $53.41
1.5× median
99213Top 25%

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

$1.3M

20K claims · 15.5%

Your Cost: $63.47/claim|Median: $37.81
1.7× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$941K

2,016 claims · 11.7%

Your Cost: $466.80/claim|Median: $470.36
1.0× median
99204Top 10%

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

$579K

3,986 claims · 7.2%

Your Cost: $145.17/claim|Median: $84.03
1.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$250K

2,276 claims · 3.1%

Your Cost: $110.03/claim|Median: $233.73
0.5× median
99203Top 25%

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

$248K

2,688 claims · 3.1%

Your Cost: $92.20/claim|Median: $57.85
1.6× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$232K

1,995 claims · 2.9%

Your Cost: $116.33/claim|Median: $75.18
1.5× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$191K

1,868 claims · 2.4%

Your Cost: $102.28/claim|Median: $255.03
0.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$171K

1,768 claims · 2.1%

Your Cost: $96.79/claim|Median: $69.35
1.4× median
90832Top 25%

Psychotherapy, 30 minutes

$145K

2,224 claims · 1.8%

Your Cost: $65.28/claim|Median: $41.28
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$134K

1,515 claims · 1.7%

Your Cost: $88.37/claim|Median: $74.09
1.2× median
64615Normal range

$99K

847 claims · 1.2%

Your Cost: $116.78/claim|Median: $82.82
1.4× median
95886Normal range

$94K

952 claims · 1.2%

Your Cost: $99.05/claim|Median: $67.70
1.5× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$80K

697 claims · 1.0%

Your Cost: $115.24/claim|Median: $74.82
1.5× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$74K

3,646 claims · 0.9%

Your Cost: $20.19/claim|Median: $7.18
2.8× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$71K

401 claims · 0.9%

Your Cost: $178.10/claim|Median: $111.09
1.6× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$55K

419 claims · 0.7%

Your Cost: $130.74/claim|Median: $59.72
2.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$41K

771 claims · 0.5%

Your Cost: $53.14/claim|Median: $24.49
2.2× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$38K

495 claims · 0.5%

Your Cost: $76.90/claim|Median: $47.08
1.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$37K

521 claims · 0.5%

Your Cost: $71.21/claim|Median: $40.11
1.8× median
95951Normal range

$34K

154 claims · 0.4%

Your Cost: $222.08/claim|Median: $183.28
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$32K

2,878 claims · 0.4%

Your Cost: $11.18/claim|Median: $9.10
1.2× median
99493Top 10%

$31K

238 claims · 0.4%

Your Cost: $129.86/claim|Median: $73.13
1.8× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$26K

345 claims · 0.3%

Your Cost: $74.29/claim|Median: $20.04
3.7× median
95004Normal range

Percutaneous allergy skin tests, each

$24K

505 claims · 0.3%

Your Cost: $48.03/claim|Median: $134.97
0.4× median
94060Normal range

$24K

1,763 claims · 0.3%

Your Cost: $13.58/claim|Median: $25.18
0.5× median
90471Normal range

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

$22K

9,583 claims · 0.3%

Your Cost: $2.27/claim|Median: $9.80
0.2× median
95720Normal range

$20K

163 claims · 0.3%

Your Cost: $125.59/claim|Median: $120.95
1.0× median
90791Top 25%

Psychiatric diagnostic evaluation

$20K

144 claims · 0.3%

Your Cost: $140.93/claim|Median: $99.21
1.4× median
90670Top 25%

$19K

870 claims · 0.2%

Your Cost: $21.85/claim|Median: $5.94
3.7× median
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