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Provider 1659897163

NPI: 1659897163Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,844,866

Total Claims

292K

Beneficiaries

285K

1.0 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$2K
+42336%
2019
$704K
+61%
2020
$1.1M
+8%
2021
$1.2M
+226%
2022
$4.0M
-80%
2023
$791K
-100%
2024
$169

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99345) accounts for 87% of total spending.

99345Top 10%

$6.9M

25K claims · 87.5%

Your Cost: $276.89/claim|Median: $56.78
4.9× median
99350Top 5%

$330K

2,113 claims · 4.2%

Your Cost: $156.10/claim|Median: $35.62
4.4× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$292K

32K claims · 3.7%

Your Cost: $9.28/claim|Median: $3.67
2.5× median
99501Normal range

$95K

1,931 claims · 1.2%

Your Cost: $49.38/claim|Median: $76.03
0.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$90K

445 claims · 1.2%

Your Cost: $202.92/claim|Median: $111.09
1.8× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$63K

157 claims · 0.8%

Your Cost: $403.36/claim|Median: $108.91
3.7× median
99344Top 25%

$21K

167 claims · 0.3%

Your Cost: $126.09/claim|Median: $50.43
2.5× median
99383Top 10%

Preventive visit, new patient, late childhood (5-11 yr)

$19K

146 claims · 0.2%

Your Cost: $132.05/claim|Median: $81.92
1.6× median
36416Top 5%

$18K

1,663 claims · 0.2%

Your Cost: $10.99/claim|Median: $1.31
8.4× median
83037Top 25%

$14K

1,562 claims · 0.2%

Your Cost: $8.74/claim|Median: $4.07
2.1× median
96161Top 25%

$13K

1,811 claims · 0.2%

Your Cost: $7.30/claim|Median: $2.49
2.9× median
99382Top 5%

Preventive visit, new patient, early childhood (1-4 yr)

$10K

72 claims · 0.1%

Your Cost: $144.00/claim|Median: $79.89
1.8× median
82044Top 5%

$6K

774 claims · 0.1%

Your Cost: $7.38/claim|Median: $2.74
2.7× median
82945Top 25%

$5K

787 claims · 0.1%

Your Cost: $6.23/claim|Median: $1.48
4.2× median
99213Normal range

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

$2K

7,735 claims · 0.0%

Your Cost: $0.31/claim|Median: $37.81
0.0× median
99214Normal range

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

$881

2,540 claims · 0.0%

Your Cost: $0.35/claim|Median: $53.41
0.0× median
1160FNormal range

$275

36K claims · 0.0%

Your Cost: $0.01/claim|Median: $0.01
0.8× median
G8427Normal range

$272

36K claims · 0.0%

Your Cost: $0.01/claim|Median: $0.02
0.4× median
1159FNormal range

$272

36K claims · 0.0%

Your Cost: $0.01/claim|Median: $0.01
0.8× median
G8510Normal range

$171

22K claims · 0.0%

Your Cost: $0.01/claim|Median: $1.96
0.0× median
1126FNormal range

$122

18K claims · 0.0%

Your Cost: $0.01/claim|Median: $0.02
0.3× median
3016FNormal range

$100

12K claims · 0.0%

Your Cost: $0.01/claim|Median: $0.01
0.8× median
1125FNormal range

$68

8,669 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.03
0.3× median
G8431Normal range

$33

4,583 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.37
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$25

300 claims · 0.0%

Your Cost: $0.08/claim|Median: $25.06
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$19

406 claims · 0.0%

Your Cost: $0.05/claim|Median: $7.18
0.0× median
3074FNormal range

$17

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
0.0× median
3078FNormal range

$16

8,941 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
0.0× median
1111FNormal range

$14

2,447 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.08
0.1× median
4010FNormal range

$9

905 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.01
1.0× median
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