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Provider 1669447413

NPI: 1669447413Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.2M

$17,172,064

Total Claims

292K

Beneficiaries

256K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+15%
2019
$3.0M
-7%
2020
$2.8M
+6%
2021
$3.0M
+2%
2022
$3.1M
-48%
2023
$1.6M
-39%
2024
$960K

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 48% of total spending.

99213Top 10%

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

$8.3M

102K claims · 48.3%

Your Cost: $81.05/claim|Median: $37.81
2.1× median
99214Top 25%

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

$2.5M

27K claims · 14.7%

Your Cost: $94.58/claim|Median: $53.41
1.8× median
99211Top 10%

Office/outpatient visit, minimal complexity

$588K

9,319 claims · 3.4%

Your Cost: $63.12/claim|Median: $12.93
4.9× median
90837Top 25%

Psychotherapy, 60 minutes

$497K

4,098 claims · 2.9%

Your Cost: $121.31/claim|Median: $85.66
1.4× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$460K

4,727 claims · 2.7%

Your Cost: $97.35/claim|Median: $47.08
2.1× median
90834Top 25%

Psychotherapy, 45 minutes

$333K

3,940 claims · 1.9%

Your Cost: $84.42/claim|Median: $63.65
1.3× median
99212Top 5%

Office/outpatient visit, low complexity

$297K

2,198 claims · 1.7%

Your Cost: $135.28/claim|Median: $25.06
5.4× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$276K

2,582 claims · 1.6%

Your Cost: $106.81/claim|Median: $75.18
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$260K

2,525 claims · 1.5%

Your Cost: $102.81/claim|Median: $74.82
1.4× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$244K

2,270 claims · 1.4%

Your Cost: $107.65/claim|Median: $59.72
1.8× median
99203Top 5%

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

$213K

1,778 claims · 1.2%

Your Cost: $119.91/claim|Median: $57.85
2.1× median
D9450Normal range

$207K

18K claims · 1.2%

Your Cost: $11.70/claim|Median: $21.95
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$198K

2,267 claims · 1.2%

Your Cost: $87.29/claim|Median: $72.71
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$173K

1,680 claims · 1.0%

Your Cost: $103.17/claim|Median: $80.15
1.3× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$169K

1,512 claims · 1.0%

Your Cost: $111.51/claim|Median: $69.35
1.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$154K

2,084 claims · 0.9%

Your Cost: $74.05/claim|Median: $76.06
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$145K

4,833 claims · 0.8%

Your Cost: $30.05/claim|Median: $43.38
0.7× median
92340Top 25%

Fitting of spectacles, except for aphakia

$144K

5,125 claims · 0.8%

Your Cost: $28.19/claim|Median: $19.46
1.4× median
90658Top 10%

$108K

5,659 claims · 0.6%

Your Cost: $19.07/claim|Median: $8.96
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$103K

743 claims · 0.6%

Your Cost: $138.62/claim|Median: $74.09
1.9× median
90471Normal range

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

$100K

13K claims · 0.6%

Your Cost: $7.60/claim|Median: $9.80
0.8× median
87428Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$81K

1,299 claims · 0.5%

Your Cost: $62.36/claim|Median: $39.63
1.6× median
77067Top 10%

Screening mammography, bilateral, including CAD

$76K

638 claims · 0.4%

Your Cost: $119.02/claim|Median: $39.33
3.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$70K

1,760 claims · 0.4%

Your Cost: $39.88/claim|Median: $36.70
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$70K

1,539 claims · 0.4%

Your Cost: $45.50/claim|Median: $41.28
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$67K

4,340 claims · 0.4%

Your Cost: $15.33/claim|Median: $24.34
0.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$65K

1,821 claims · 0.4%

Your Cost: $35.74/claim|Median: $33.72
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$63K

2,637 claims · 0.4%

Your Cost: $23.93/claim|Median: $27.07
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$62K

1,511 claims · 0.4%

Your Cost: $41.34/claim|Median: $71.00
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$53K

1,396 claims · 0.3%

Your Cost: $37.93/claim|Median: $46.33
0.8× median
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