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Provider 1700027927

NPI: 1700027927Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.6M

$7,584,427

Total Claims

17K

Beneficiaries

13K

1.3 claims/patient

Avg Cost/Claim

$450

Monthly Spending Trend

Yearly Spending

2018
$964K
+74%
2019
$1.7M
+2%
2020
$1.7M
-51%
2021
$833K
+17%
2022
$976K
-35%
2023
$631K
+24%
2024
$784K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 39% of total spending.

H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$3.0M

6,006 claims · 39.5%

Your Cost: $498.27/claim|Median: $74.63
6.7× median
99211Top 1%

Office/outpatient visit, minimal complexity

$2.5M

4,969 claims · 33.2%

Your Cost: $506.69/claim|Median: $12.93
39.2× median
99214Top 1%

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

$400K

680 claims · 5.3%

Your Cost: $588.65/claim|Median: $53.41
11.0× median
99212Top 1%

Office/outpatient visit, low complexity

$370K

754 claims · 4.9%

Your Cost: $491.26/claim|Median: $25.06
19.6× median
99347Top 1%

$354K

883 claims · 4.7%

Your Cost: $400.64/claim|Median: $11.74
34.1× median
99213Top 1%

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

$268K

617 claims · 3.5%

Your Cost: $435.08/claim|Median: $37.81
11.5× median
H0005Top 1%

Alcohol and/or drug services, group counseling

$266K

687 claims · 3.5%

Your Cost: $386.99/claim|Median: $47.35
8.2× median
90471Top 1%

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

$257K

976 claims · 3.4%

Your Cost: $263.50/claim|Median: $9.80
26.9× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$54K

136 claims · 0.7%

Your Cost: $394.26/claim|Median: $13.30
29.6× median
H0001Top 1%

Alcohol and/or drug assessment

$24K

56 claims · 0.3%

Your Cost: $437.36/claim|Median: $94.22
4.6× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$22K

44 claims · 0.3%

Your Cost: $495.41/claim|Median: $25.93
19.1× median
D9310Top 1%

$16K

53 claims · 0.2%

Your Cost: $299.58/claim|Median: $46.20
6.5× median
99215Top 1%

Office/outpatient visit, high complexity

$16K

22 claims · 0.2%

Your Cost: $719.00/claim|Median: $74.09
9.7× median
D1110Top 1%

Prophylaxis, adult cleaning

$15K

46 claims · 0.2%

Your Cost: $326.41/claim|Median: $43.38
7.5× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$8K

18 claims · 0.1%

Your Cost: $455.00/claim|Median: $7.18
63.4× median
D1351Top 1%

Sealant, per tooth

$3K

24 claims · 0.0%

Your Cost: $139.71/claim|Median: $26.10
5.4× median
A4206Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
97110Normal range

Therapeutic exercises, each 15 min

$0

117 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.49
D1330Normal range

$0

54 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
D0190Normal range

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.78
4551FNormal range

$0

635 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $20.04
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