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CAROLINAS PHYSICIANS NETWORK INC

Psychologist·SHELBY, NC·NPI: 1700228418Share

Compared to Psychologist Peers

Total spending distribution among 7 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.6M is at the 75th percentile among 7 Psychologist providers.

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

Total Paid

$29.6M

$29,636,970

Total Claims

1.5M

Beneficiaries

1.2M

1.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+30%
2019
$4.0M
-19%
2020
$3.2M
+42%
2021
$4.6M
+12%
2022
$5.1M
-2%
2023
$5.0M
-10%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 25% of total spending.

99213Top 25%

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

$7.3M

120K claims · 24.5%

Your Cost: $60.69/claim|Median: $37.81
1.6× median
99214Top 25%

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

$6.2M

69K claims · 20.9%

Your Cost: $90.36/claim|Median: $53.41
1.7× median
99199Normal range

Unlisted special service, procedure, or report

$3.6M

673K claims · 12.1%

Your Cost: $5.33/claim|Median: $5.39
1.0× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.7M

31K claims · 9.1%

Your Cost: $85.52/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.3M

27K claims · 7.9%

Your Cost: $87.28/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.5M

17K claims · 5.2%

Your Cost: $91.59/claim|Median: $74.82
1.2× median
90472Top 10%

Immunization administration, each additional vaccine

$873K

30K claims · 2.9%

Your Cost: $29.17/claim|Median: $11.79
2.5× median
90471Top 25%

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

$861K

48K claims · 2.9%

Your Cost: $18.06/claim|Median: $9.80
1.8× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$830K

18K claims · 2.8%

Your Cost: $47.09/claim|Median: $17.85
2.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$741K

7,549 claims · 2.5%

Your Cost: $98.10/claim|Median: $80.15
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$564K

9,338 claims · 1.9%

Your Cost: $60.41/claim|Median: $65.64
0.9× median
85027Top 25%

Complete blood count (CBC), automated

$408K

57K claims · 1.4%

Your Cost: $7.20/claim|Median: $3.72
1.9× median
96110Normal range

Developmental screening, per standardized instrument

$194K

42K claims · 0.7%

Your Cost: $4.57/claim|Median: $9.10
0.5× median
54150Top 25%

$170K

1,218 claims · 0.6%

Your Cost: $139.64/claim|Median: $84.60
1.7× median
99215Top 25%

Office/outpatient visit, high complexity

$163K

1,301 claims · 0.5%

Your Cost: $125.17/claim|Median: $74.09
1.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$153K

3,455 claims · 0.5%

Your Cost: $44.26/claim|Median: $39.70
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$126K

33K claims · 0.4%

Your Cost: $3.84/claim|Median: $3.67
1.0× median
90474Top 25%

$121K

6,800 claims · 0.4%

Your Cost: $17.87/claim|Median: $8.42
2.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$100K

3,143 claims · 0.3%

Your Cost: $31.75/claim|Median: $57.30
0.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$76K

2,908 claims · 0.3%

Your Cost: $26.25/claim|Median: $28.46
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$75K

5,822 claims · 0.3%

Your Cost: $12.90/claim|Median: $11.48
1.1× median
83655Top 25%

$71K

5,241 claims · 0.2%

Your Cost: $13.58/claim|Median: $10.49
1.3× median
99051Top 25%

$51K

2,122 claims · 0.2%

Your Cost: $23.85/claim|Median: $7.89
3.0× median
D1206Normal range

Topical application of fluoride varnish

$44K

3,128 claims · 0.1%

Your Cost: $14.08/claim|Median: $18.12
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$39K

1,068 claims · 0.1%

Your Cost: $36.87/claim|Median: $25.06
1.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$27K

2,104 claims · 0.1%

Your Cost: $12.89/claim|Median: $12.93
1.0× median
92551Normal range

Screening audiometry, pure tone, air only

$26K

37K claims · 0.1%

Your Cost: $0.72/claim|Median: $6.61
0.1× median
0071ATop 25%

$24K

567 claims · 0.1%

Your Cost: $41.79/claim|Median: $38.71
1.1× median
99422Top 25%

Online digital E/M, 11-20 min

$22K

813 claims · 0.1%

Your Cost: $27.15/claim|Median: $17.90
1.5× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$21K

508 claims · 0.1%

Your Cost: $40.50/claim|Median: $33.72
1.2× median
0072ATop 25%

$20K

462 claims · 0.1%

Your Cost: $44.25/claim|Median: $39.57
1.1× median
90677Normal range

$19K

2,571 claims · 0.1%

Your Cost: $7.43/claim|Median: $12.96
0.6× median
90651Normal range

HPV vaccine, 9-valent

$19K

2,362 claims · 0.1%

Your Cost: $7.86/claim|Median: $8.93
0.9× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$17K

342 claims · 0.1%

Your Cost: $48.67/claim|Median: $36.70
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$16K

164 claims · 0.1%

Your Cost: $98.43/claim|Median: $99.21
1.0× median
87807Top 25%

$14K

1,177 claims · 0.0%

Your Cost: $12.24/claim|Median: $10.06
1.2× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$14K

218 claims · 0.0%

Your Cost: $62.67/claim|Median: $12.70
4.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$13K

201 claims · 0.0%

Your Cost: $66.37/claim|Median: $77.33
0.9× median
96161Normal range

$12K

3,680 claims · 0.0%

Your Cost: $3.21/claim|Median: $2.49
1.3× median
90734Normal range

$10K

1,687 claims · 0.0%

Your Cost: $6.14/claim|Median: $6.40
1.0× median
99173Normal range

$10K

38K claims · 0.0%

Your Cost: $0.26/claim|Median: $2.16
0.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$9K

249 claims · 0.0%

Your Cost: $36.17/claim|Median: $24.33
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$8K

15K claims · 0.0%

Your Cost: $0.56/claim|Median: $7.18
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$8K

129 claims · 0.0%

Your Cost: $61.86/claim|Median: $63.65
1.0× median
99050Top 25%

$8K

355 claims · 0.0%

Your Cost: $22.48/claim|Median: $11.81
1.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$7K

195 claims · 0.0%

Your Cost: $35.63/claim|Median: $30.04
1.2× median
95117Normal range

$6K

630 claims · 0.0%

Your Cost: $9.45/claim|Median: $8.34
1.1× median
80061Top 25%

Lipid panel

$5K

359 claims · 0.0%

Your Cost: $15.10/claim|Median: $8.41
1.8× median
99423Normal range

Online digital E/M, 21+ min

$5K

120 claims · 0.0%

Your Cost: $44.09/claim|Median: $38.12
1.2× median
90633Normal range

$3K

7,199 claims · 0.0%

Your Cost: $0.41/claim|Median: $3.56
0.1× median

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