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Provider 1699748921

NPI: 1699748921Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.1M

$8,082,602

Total Claims

86K

Beneficiaries

76K

1.1 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+10%
2019
$1.2M
-8%
2020
$1.1M
-8%
2021
$1.0M
+36%
2022
$1.4M
-11%
2023
$1.3M
-24%
2024
$946K

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 44% of total spending.

99213Top 5%

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

$3.6M

28K claims · 44.1%

Your Cost: $129.20/claim|Median: $37.81
3.4× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$1.4M

6,831 claims · 16.8%

Your Cost: $198.66/claim|Median: $101.33
2.0× median
99214Top 5%

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

$567K

4,836 claims · 7.0%

Your Cost: $117.23/claim|Median: $53.41
2.2× median
99212Top 5%

Office/outpatient visit, low complexity

$394K

3,098 claims · 4.9%

Your Cost: $127.03/claim|Median: $25.06
5.1× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$372K

2,239 claims · 4.6%

Your Cost: $165.93/claim|Median: $22.44
7.4× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$303K

1,835 claims · 3.8%

Your Cost: $165.28/claim|Median: $13.30
12.4× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$291K

1,691 claims · 3.6%

Your Cost: $172.15/claim|Median: $76.06
2.3× median
G0511Top 5%

RHC/FQHC visit, psychiatric collaborative care model

$233K

2,750 claims · 2.9%

Your Cost: $84.69/claim|Median: $11.35
7.5× median
90834Top 5%

Psychotherapy, 45 minutes

$137K

805 claims · 1.7%

Your Cost: $170.74/claim|Median: $63.65
2.7× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$137K

795 claims · 1.7%

Your Cost: $172.20/claim|Median: $72.71
2.4× median
G0467Normal range

Federally qualified health center visit, mental health

$132K

10K claims · 1.6%

Your Cost: $12.93/claim|Median: $21.91
0.6× median
90832Top 5%

Psychotherapy, 30 minutes

$101K

533 claims · 1.2%

Your Cost: $188.82/claim|Median: $41.28
4.6× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$75K

480 claims · 0.9%

Your Cost: $156.11/claim|Median: $32.55
4.8× median
G2025Top 10%

$67K

1,146 claims · 0.8%

Your Cost: $58.88/claim|Median: $15.63
3.8× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$53K

6,309 claims · 0.7%

Your Cost: $8.34/claim|Median: $5.50
1.5× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$41K

247 claims · 0.5%

Your Cost: $166.98/claim|Median: $74.82
2.2× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$40K

234 claims · 0.5%

Your Cost: $169.72/claim|Median: $80.15
2.1× median
0064ATop 5%

$37K

211 claims · 0.5%

Your Cost: $173.55/claim|Median: $34.17
5.1× median
99203Top 5%

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

$32K

216 claims · 0.4%

Your Cost: $148.73/claim|Median: $57.85
2.6× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$25K

161 claims · 0.3%

Your Cost: $156.43/claim|Median: $75.18
2.1× median
90471Normal range

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

$18K

2,133 claims · 0.2%

Your Cost: $8.53/claim|Median: $9.80
0.9× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$16K

92 claims · 0.2%

Your Cost: $175.21/claim|Median: $25.93
6.8× median
0134ATop 5%

$12K

66 claims · 0.1%

Your Cost: $177.24/claim|Median: $33.54
5.3× median
0003ATop 5%

COVID-19 vaccine admin, Pfizer, 3rd dose

$10K

58 claims · 0.1%

Your Cost: $179.62/claim|Median: $36.49
4.9× median
81000Top 5%

Urinalysis with microscopy, non-automated

$9K

1,808 claims · 0.1%

Your Cost: $4.74/claim|Median: $2.51
1.9× median
85018Top 10%

$7K

2,102 claims · 0.1%

Your Cost: $3.28/claim|Median: $1.71
1.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$6K

841 claims · 0.1%

Your Cost: $6.81/claim|Median: $17.85
0.4× median
90715Normal range

Tdap vaccine

$6K

443 claims · 0.1%

Your Cost: $12.78/claim|Median: $10.32
1.2× median
0004ATop 5%

$5K

33 claims · 0.1%

Your Cost: $163.72/claim|Median: $35.62
4.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

1,331 claims · 0.1%

Your Cost: $3.87/claim|Median: $7.18
0.5× median
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