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Provider 1649240698

NPI: 1649240698Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,066,501

Total Claims

471K

Beneficiaries

417K

1.1 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$111K
+821%
2019
$1.0M
+17%
2020
$1.2M
+16%
2021
$1.4M
+41%
2022
$2.0M
+7%
2023
$2.1M
-40%
2024
$1.3M

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 26% of total spending.

99213Normal range

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

$2.4M

45K claims · 26.4%

Your Cost: $52.72/claim|Median: $37.81
1.4× median
99214Normal range

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

$2.3M

32K claims · 25.3%

Your Cost: $72.68/claim|Median: $53.41
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$648K

14K claims · 7.1%

Your Cost: $45.06/claim|Median: $41.28
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$409K

6,984 claims · 4.5%

Your Cost: $58.53/claim|Median: $57.39
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$265K

3,547 claims · 2.9%

Your Cost: $74.71/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$208K

2,974 claims · 2.3%

Your Cost: $69.91/claim|Median: $69.35
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$170K

5,495 claims · 1.9%

Your Cost: $30.86/claim|Median: $43.38
0.7× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$163K

1,023 claims · 1.8%

Your Cost: $159.69/claim|Median: $108.91
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$155K

2,063 claims · 1.7%

Your Cost: $74.90/claim|Median: $74.82
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$150K

4,448 claims · 1.7%

Your Cost: $33.75/claim|Median: $25.06
1.3× median
D0330Normal range

Panoramic radiographic image

$129K

3,518 claims · 1.4%

Your Cost: $36.54/claim|Median: $37.36
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$107K

1,949 claims · 1.2%

Your Cost: $54.65/claim|Median: $71.00
0.8× median
90677Top 5%

$101K

491 claims · 1.1%

Your Cost: $206.71/claim|Median: $12.96
15.9× median
90791Normal range

Psychiatric diagnostic evaluation

$91K

813 claims · 1.0%

Your Cost: $111.78/claim|Median: $99.21
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$88K

792 claims · 1.0%

Your Cost: $111.70/claim|Median: $74.09
1.5× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$83K

897 claims · 0.9%

Your Cost: $92.60/claim|Median: $58.55
1.6× median
D0120Normal range

Periodic oral evaluation, established patient

$80K

5,855 claims · 0.9%

Your Cost: $13.64/claim|Median: $24.34
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$72K

5,646 claims · 0.8%

Your Cost: $12.74/claim|Median: $11.48
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$68K

4,110 claims · 0.8%

Your Cost: $16.60/claim|Median: $32.07
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$67K

822 claims · 0.7%

Your Cost: $81.55/claim|Median: $80.15
1.0× median
3008FNormal range

$66K

92K claims · 0.7%

Your Cost: $0.71/claim|Median: $0.06
11.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$61K

4,906 claims · 0.7%

Your Cost: $12.49/claim|Median: $7.18
1.7× median
G0467Normal range

Federally qualified health center visit, mental health

$59K

3,612 claims · 0.6%

Your Cost: $16.21/claim|Median: $21.91
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$58K

1,218 claims · 0.6%

Your Cost: $47.48/claim|Median: $54.60
0.9× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$51K

442 claims · 0.6%

Your Cost: $114.50/claim|Median: $74.78
1.5× median
0001FNormal range

$46K

96K claims · 0.5%

Your Cost: $0.48/claim|Median: $0.48
1.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$44K

7,466 claims · 0.5%

Your Cost: $5.94/claim|Median: $5.50
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$41K

750 claims · 0.5%

Your Cost: $54.68/claim|Median: $63.65
0.9× median
D0274Normal range

Bitewings, four radiographic images

$40K

2,028 claims · 0.4%

Your Cost: $19.71/claim|Median: $22.54
0.9× median
90471Normal range

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

$40K

10K claims · 0.4%

Your Cost: $3.82/claim|Median: $9.80
0.4× median
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