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Provider 1689765737

NPI: 1689765737Share
Active Billing Period:2018-10→2024-12(75 months)

Total Paid

$15.4M

$15,390,095

Total Claims

122K

Beneficiaries

102K

1.2 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$32K
+7172%
2019
$2.4M
-7%
2020
$2.2M
+32%
2021
$2.9M
+15%
2022
$3.3M
+0%
2023
$3.3M
-60%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 32% of total spending.

99214Top 25%

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

$5.0M

51K claims · 32.3%

Your Cost: $98.29/claim|Median: $53.41
1.8× median
99213Top 25%

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

$1.8M

27K claims · 11.8%

Your Cost: $67.33/claim|Median: $37.81
1.8× median
95819Top 10%

Electroencephalogram with sleep recording

$1.5M

4,008 claims · 9.7%

Your Cost: $371.92/claim|Median: $62.75
5.9× median
99215Top 25%

Office/outpatient visit, high complexity

$1.4M

11K claims · 9.0%

Your Cost: $131.00/claim|Median: $74.09
1.8× median
95813Top 25%

$903K

2,795 claims · 5.9%

Your Cost: $322.96/claim|Median: $121.48
2.7× median
99204Top 10%

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

$775K

5,165 claims · 5.0%

Your Cost: $150.11/claim|Median: $84.03
1.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$659K

6,684 claims · 4.3%

Your Cost: $98.53/claim|Median: $121.58
0.8× median
H0031Top 10%

Mental health assessment by non-physician

$617K

2,360 claims · 4.0%

Your Cost: $261.34/claim|Median: $96.18
2.7× median
95716Normal range

$449K

504 claims · 2.9%

Your Cost: $890.60/claim|Median: $685.48
1.3× median
95700Top 10%

$397K

1,200 claims · 2.6%

Your Cost: $330.64/claim|Median: $154.31
2.1× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$375K

1,426 claims · 2.4%

Your Cost: $262.79/claim|Median: $84.12
3.1× median
99245Normal range

Office consultation, high complexity

$338K

2,298 claims · 2.2%

Your Cost: $146.90/claim|Median: $143.30
1.0× median
95816Top 10%

$249K

871 claims · 1.6%

Your Cost: $285.60/claim|Median: $56.87
5.0× median
95951Top 25%

$203K

586 claims · 1.3%

Your Cost: $346.01/claim|Median: $183.28
1.9× median
95812Normal range

$191K

897 claims · 1.2%

Your Cost: $212.52/claim|Median: $104.99
2.0× median
95720Normal range

$146K

1,200 claims · 0.9%

Your Cost: $121.53/claim|Median: $120.95
1.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$139K

712 claims · 0.9%

Your Cost: $195.15/claim|Median: $111.09
1.8× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$116K

827 claims · 0.8%

Your Cost: $140.29/claim|Median: $79.21
1.8× median
90837Normal range

Psychotherapy, 60 minutes

$76K

782 claims · 0.5%

Your Cost: $96.83/claim|Median: $85.66
1.1× median
96131Normal range

Psychological testing evaluation, each additional hour

$35K

421 claims · 0.2%

Your Cost: $82.25/claim|Median: $133.38
0.6× median
99203Top 10%

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

$18K

161 claims · 0.1%

Your Cost: $110.01/claim|Median: $57.85
1.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$13K

30 claims · 0.1%

Your Cost: $441.92/claim|Median: $233.73
1.9× median
99243Normal range

Office or other outpatient consultation, low complexity

$10K

124 claims · 0.1%

Your Cost: $82.60/claim|Median: $82.43
1.0× median
99255Top 5%

$7K

27 claims · 0.0%

Your Cost: $249.40/claim|Median: $90.45
2.8× median
96146Normal range

$237

199 claims · 0.0%

Your Cost: $1.19/claim|Median: $0.79
1.5× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.96
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