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Provider 1659521052

NPI: 1659521052Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.3M

$10,318,177

Total Claims

37K

Beneficiaries

34K

1.1 claims/patient

Avg Cost/Claim

$277

Monthly Spending Trend

Yearly Spending

2018
$75K
+95%
2019
$146K
+573%
2020
$979K
+144%
2021
$2.4M
+8%
2022
$2.6M
-31%
2023
$1.8M
+34%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 16% of total spending.

90834Top 1%

Psychotherapy, 45 minutes

$1.7M

3,271 claims · 16.2%

Your Cost: $509.89/claim|Median: $63.65
8.0× median
99213Top 1%

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

$1.7M

5,577 claims · 16.0%

Your Cost: $296.25/claim|Median: $37.81
7.8× median
99212Top 1%

Office/outpatient visit, low complexity

$1.6M

4,214 claims · 15.1%

Your Cost: $369.40/claim|Median: $25.06
14.7× median
90832Top 1%

Psychotherapy, 30 minutes

$700K

1,550 claims · 6.8%

Your Cost: $451.34/claim|Median: $41.28
10.9× median
90833Top 1%

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

$672K

1,153 claims · 6.5%

Your Cost: $582.43/claim|Median: $38.83
15.0× median
90837Top 1%

Psychotherapy, 60 minutes

$453K

659 claims · 4.4%

Your Cost: $687.73/claim|Median: $85.66
8.0× median

COVID-19 vaccine (Moderna), first dose

$442K

865 claims · 4.3%

G0397Top 1%

$296K

586 claims · 2.9%

Your Cost: $505.82/claim|Median: $142.31
3.6× median
80053Top 1%

Comprehensive metabolic panel

$254K

1,185 claims · 2.5%

Your Cost: $214.70/claim|Median: $7.24
29.7× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$245K

414 claims · 2.4%

Your Cost: $592.11/claim|Median: $20.83
28.4× median
80061Top 1%

Lipid panel

$234K

1,379 claims · 2.3%

Your Cost: $169.75/claim|Median: $8.41
20.2× median
0064ATop 1%

$143K

274 claims · 1.4%

Your Cost: $521.34/claim|Median: $34.17
15.3× median
H0005Top 1%

Alcohol and/or drug services, group counseling

$142K

244 claims · 1.4%

Your Cost: $582.90/claim|Median: $47.35
12.3× median
99211Top 1%

Office/outpatient visit, minimal complexity

$139K

330 claims · 1.3%

Your Cost: $422.04/claim|Median: $12.93
32.6× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$129K

647 claims · 1.2%

Your Cost: $198.63/claim|Median: $33.85
5.9× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$125K

712 claims · 1.2%

Your Cost: $176.07/claim|Median: $25.93
6.8× median
90471Top 1%

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

$125K

310 claims · 1.2%

Your Cost: $403.67/claim|Median: $9.80
41.2× median
90791Top 1%

Psychiatric diagnostic evaluation

$102K

155 claims · 1.0%

Your Cost: $656.09/claim|Median: $99.21
6.6× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$89K

337 claims · 0.9%

Your Cost: $265.49/claim|Median: $16.79
15.8× median
99214Normal range

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

$87K

1,435 claims · 0.8%

Your Cost: $60.67/claim|Median: $53.41
1.1× median
80050Top 1%

General health panel

$82K

298 claims · 0.8%

Your Cost: $275.05/claim|Median: $25.59
10.7× median
87430Top 1%

$75K

262 claims · 0.7%

Your Cost: $287.71/claim|Median: $9.41
30.6× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$75K

181 claims · 0.7%

Your Cost: $416.08/claim|Median: $74.82
5.6× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$69K

922 claims · 0.7%

Your Cost: $74.43/claim|Median: $17.85
4.2× median
80305Top 1%

$60K

99 claims · 0.6%

Your Cost: $607.76/claim|Median: $7.44
81.7× median
H0050Top 1%

$60K

105 claims · 0.6%

Your Cost: $572.32/claim|Median: $46.71
12.3× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$56K

475 claims · 0.5%

Your Cost: $118.40/claim|Median: $39.70
3.0× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$42K

121 claims · 0.4%

Your Cost: $349.23/claim|Median: $80.15
4.4× median
85027Top 1%

Complete blood count (CBC), automated

$42K

296 claims · 0.4%

Your Cost: $140.24/claim|Median: $3.72
37.7× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$40K

79 claims · 0.4%

Your Cost: $506.57/claim|Median: $36.70
13.8× median