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Provider 1669422846

NPI: 1669422846Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.3M

$12,335,942

Total Claims

1.5M

Beneficiaries

859K

1.8 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+40%
2019
$2.2M
+12%
2020
$2.5M
-27%
2021
$1.8M
-34%
2022
$1.2M
+13%
2023
$1.4M
+24%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 64% of total spending.

99309Normal range

Nursing facility care, subsequent, low complexity

$7.9M

640K claims · 64.1%

Your Cost: $12.35/claim|Median: $14.00
0.9× median
99308Normal range

Nursing facility care, subsequent, straightforward

$2.2M

248K claims · 17.7%

Your Cost: $8.77/claim|Median: $9.79
0.9× median
99199Normal range

Unlisted special service, procedure, or report

$931K

306K claims · 7.6%

Your Cost: $3.04/claim|Median: $5.39
0.6× median
99306Normal range

$259K

11K claims · 2.1%

Your Cost: $22.94/claim|Median: $29.97
0.8× median
99336Normal range

$245K

19K claims · 2.0%

Your Cost: $13.01/claim|Median: $20.35
0.6× median
99305Normal range

$163K

7,600 claims · 1.3%

Your Cost: $21.44/claim|Median: $19.28
1.1× median
99335Normal range

$151K

13K claims · 1.2%

Your Cost: $11.31/claim|Median: $14.90
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$131K

39K claims · 1.1%

Your Cost: $3.33/claim|Median: $41.28
0.1× median
99310Normal range

$131K

6,402 claims · 1.1%

Your Cost: $20.46/claim|Median: $21.82
0.9× median
99307Normal range

$68K

12K claims · 0.5%

Your Cost: $5.71/claim|Median: $6.57
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$49K

7,060 claims · 0.4%

Your Cost: $6.99/claim|Median: $108.91
0.1× median
99349Normal range

$33K

1,222 claims · 0.3%

Your Cost: $27.21/claim|Median: $24.29
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$20K

3,554 claims · 0.2%

Your Cost: $5.63/claim|Median: $63.65
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$16K

1,952 claims · 0.1%

Your Cost: $8.06/claim|Median: $85.66
0.1× median
99334Normal range

$14K

1,362 claims · 0.1%

Your Cost: $10.63/claim|Median: $9.92
1.1× median
99318Normal range

$11K

1,121 claims · 0.1%

Your Cost: $10.23/claim|Median: $15.64
0.7× median
99348Normal range

$9K

495 claims · 0.1%

Your Cost: $17.60/claim|Median: $17.17
1.0× median
99497Normal range

$7K

1,656 claims · 0.1%

Your Cost: $4.15/claim|Median: $10.99
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$7K

523 claims · 0.1%

Your Cost: $12.87/claim|Median: $99.21
0.1× median
G0179Normal range

Physician recertification for home health plan of care

$2K

583 claims · 0.0%

Your Cost: $3.37/claim|Median: $6.63
0.5× median
99304Normal range

$1K

42 claims · 0.0%

Your Cost: $25.18/claim|Median: $13.51
1.9× median
94004Normal range

$1K

202 claims · 0.0%

Your Cost: $5.20/claim|Median: $22.42
0.2× median
99316Normal range

$176

22 claims · 0.0%

Your Cost: $8.00/claim|Median: $25.78
0.3× median
G0180Normal range

$123

28 claims · 0.0%

Your Cost: $4.38/claim|Median: $8.31
0.5× median
99406Normal range

$10

213 claims · 0.0%

Your Cost: $0.05/claim|Median: $6.53
0.0× median
1123FNormal range

$0

21K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.49
G8427Normal range

$0

99K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G9916Normal range

$0

910 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.42

$0

13 claims · 0.0%

90833Normal range

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

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.83