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Provider 1689066029

NPI: 1689066029Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.2M

$10,160,953

Total Claims

382K

Beneficiaries

347K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+16%
2019
$1.3M
+11%
2020
$1.5M
+10%
2021
$1.6M
+4%
2022
$1.7M
-2%
2023
$1.6M
-15%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 15% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$1.5M

16K claims · 14.8%

Your Cost: $95.71/claim|Median: $85.66
1.1× median
99214Normal range

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

$1.1M

45K claims · 10.9%

Your Cost: $24.80/claim|Median: $53.41
0.5× median
99213Normal range

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

$1.1M

67K claims · 10.6%

Your Cost: $16.01/claim|Median: $37.81
0.4× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$682K

22K claims · 6.7%

Your Cost: $31.29/claim|Median: $12.70
2.5× median
59425Normal range

Antepartum care only, 4-6 visits

$621K

9,409 claims · 6.1%

Your Cost: $65.99/claim|Median: $63.63
1.0× median
G0447Top 25%

$567K

28K claims · 5.6%

Your Cost: $20.36/claim|Median: $5.19
3.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$451K

3,562 claims · 4.4%

Your Cost: $126.61/claim|Median: $99.21
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$348K

7,129 claims · 3.4%

Your Cost: $48.77/claim|Median: $69.35
0.7× median
96110Top 5%

Developmental screening, per standardized instrument

$274K

4,316 claims · 2.7%

Your Cost: $63.57/claim|Median: $9.10
7.0× median
96156Top 25%

$271K

2,990 claims · 2.7%

Your Cost: $90.78/claim|Median: $22.36
4.1× median
J1050Top 1%

Injection, medroxyprogesterone acetate, one milligram

$248K

1,027 claims · 2.4%

Your Cost: $241.96/claim|Median: $41.92
5.8× median
90471Normal range

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

$237K

20K claims · 2.3%

Your Cost: $12.03/claim|Median: $9.80
1.2× median
59409Normal range

Vaginal delivery only

$227K

391 claims · 2.2%

Your Cost: $579.70/claim|Median: $619.91
0.9× median
G0442Top 10%

$213K

12K claims · 2.1%

Your Cost: $17.27/claim|Median: $4.91
3.5× median
99204Normal range

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

$196K

3,729 claims · 1.9%

Your Cost: $52.69/claim|Median: $84.03
0.6× median
G9920Top 10%

$156K

5,058 claims · 1.5%

Your Cost: $30.80/claim|Median: $6.56
4.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$152K

9,377 claims · 1.5%

Your Cost: $16.19/claim|Median: $9.56
1.7× median
90671Top 10%

$141K

961 claims · 1.4%

Your Cost: $146.72/claim|Median: $8.59
17.1× median
V5008Top 25%

$111K

5,667 claims · 1.1%

Your Cost: $19.66/claim|Median: $8.98
2.2× median
H1001Normal range

$105K

1,705 claims · 1.0%

Your Cost: $61.70/claim|Median: $60.48
1.0× median
99188Top 25%

$103K

5,035 claims · 1.0%

Your Cost: $20.45/claim|Median: $12.80
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$97K

1,808 claims · 1.0%

Your Cost: $53.47/claim|Median: $41.28
1.3× median
90715Top 25%

Tdap vaccine

$96K

3,296 claims · 0.9%

Your Cost: $29.14/claim|Median: $10.32
2.8× median
G0446Top 25%

$96K

5,295 claims · 0.9%

Your Cost: $18.07/claim|Median: $4.40
4.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$93K

6,983 claims · 0.9%

Your Cost: $13.30/claim|Median: $7.18
1.9× median
90697Top 5%

$89K

1,491 claims · 0.9%

Your Cost: $59.87/claim|Median: $7.24
8.3× median
90670Top 10%

$83K

3,597 claims · 0.8%

Your Cost: $23.14/claim|Median: $5.94
3.9× median
99406Top 25%

$72K

6,721 claims · 0.7%

Your Cost: $10.73/claim|Median: $6.53
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$64K

4,350 claims · 0.6%

Your Cost: $14.78/claim|Median: $75.18
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$57K

12K claims · 0.6%

Your Cost: $4.80/claim|Median: $3.67
1.3× median
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