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Provider 1700062296

NPI: 1700062296Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,388,335

Total Claims

44K

Beneficiaries

32K

1.4 claims/patient

Avg Cost/Claim

$376

Monthly Spending Trend

Yearly Spending

2018
$680K
+63%
2019
$1.1M
+67%
2020
$1.9M
+75%
2021
$3.3M
+25%
2022
$4.1M
-33%
2023
$2.7M
-2%
2024
$2.7M

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 34% of total spending.

99213Top 1%

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

$5.6M

13K claims · 34.5%

Your Cost: $443.87/claim|Median: $37.81
11.7× median
90837Top 1%

Psychotherapy, 60 minutes

$2.6M

5,896 claims · 16.2%

Your Cost: $449.41/claim|Median: $85.66
5.2× median
99214Top 1%

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

$2.4M

5,167 claims · 14.9%

Your Cost: $473.06/claim|Median: $53.41
8.9× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$1.3M

3,505 claims · 8.2%

Your Cost: $381.28/claim|Median: $84.12
4.5× median
90834Top 1%

Psychotherapy, 45 minutes

$1.1M

2,117 claims · 6.6%

Your Cost: $509.81/claim|Median: $63.65
8.0× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$632K

1,815 claims · 3.9%

Your Cost: $348.45/claim|Median: $39.70
8.8× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$559K

2,773 claims · 3.4%

Your Cost: $201.42/claim|Median: $9.56
21.1× median
99212Top 1%

Office/outpatient visit, low complexity

$532K

1,059 claims · 3.2%

Your Cost: $502.47/claim|Median: $25.06
20.1× median
99203Top 1%

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

$217K

479 claims · 1.3%

Your Cost: $452.43/claim|Median: $57.85
7.8× median
90832Top 1%

Psychotherapy, 30 minutes

$167K

339 claims · 1.0%

Your Cost: $492.81/claim|Median: $41.28
11.9× median
99211Top 1%

Office/outpatient visit, minimal complexity

$156K

302 claims · 1.0%

Your Cost: $516.70/claim|Median: $12.93
40.0× median
90853Top 1%

Group psychotherapy

$126K

240 claims · 0.8%

Your Cost: $524.60/claim|Median: $25.02
21.0× median
90471Top 1%

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

$123K

873 claims · 0.8%

Your Cost: $141.35/claim|Median: $9.80
14.4× median
36415Top 1%

Collection of venous blood by venipuncture

$100K

1,133 claims · 0.6%

Your Cost: $88.05/claim|Median: $1.57
56.1× median
91301

COVID-19 vaccine (Moderna), first dose

$99K

275 claims · 0.6%

90791Top 1%

Psychiatric diagnostic evaluation

$98K

199 claims · 0.6%

Your Cost: $494.82/claim|Median: $99.21
5.0× median
91300Top 1%

COVID-19 vaccine (Pfizer), first dose

$61K

207 claims · 0.4%

Your Cost: $294.95/claim|Median: $0.01
29495.3× median
99409Top 1%

$60K

92 claims · 0.4%

Your Cost: $646.89/claim|Median: $34.77
18.6× median
86328Top 1%

$57K

187 claims · 0.3%

Your Cost: $303.78/claim|Median: $20.52
14.8× median
80305Top 5%

$56K

1,288 claims · 0.3%

Your Cost: $43.18/claim|Median: $7.44
5.8× median
99204Top 1%

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

$47K

87 claims · 0.3%

Your Cost: $540.00/claim|Median: $84.03
6.4× median
H0004Top 1%

Behavioral health counseling & therapy, per 15 min

$27K

40 claims · 0.2%

Your Cost: $683.96/claim|Median: $74.63
9.2× median
90630Top 1%

$26K

120 claims · 0.2%

Your Cost: $217.73/claim|Median: $11.50
18.9× median
90656Top 1%

$22K

37 claims · 0.1%

Your Cost: $582.97/claim|Median: $8.67
67.2× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$16K

732 claims · 0.1%

Your Cost: $22.20/claim|Median: $5.50
4.0× median
D0140Top 1%

Limited oral evaluation, problem focused

$8K

23 claims · 0.0%

Your Cost: $356.09/claim|Median: $27.07
13.2× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$6K

160 claims · 0.0%

Your Cost: $38.94/claim|Median: $3.67
10.6× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$6K

27 claims · 0.0%

Your Cost: $218.00/claim|Median: $7.18
30.4× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$6K

14 claims · 0.0%

Your Cost: $416.70/claim|Median: $80.15
5.2× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$5K

59 claims · 0.0%

Your Cost: $87.97/claim|Median: $33.72
2.6× median
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