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Provider 1720082571

NPI: 1720082571Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$12.3M

$12,349,203

Total Claims

131K

Beneficiaries

120K

1.1 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+37%
2019
$1.9M
-30%
2020
$1.3M
+52%
2021
$2.0M
-1%
2022
$2.0M
+12%
2023
$2.2M
-25%
2024
$1.7M

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 37% of total spending.

99213Top 1%

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

$4.6M

21K claims · 37.5%

Your Cost: $218.17/claim|Median: $37.81
5.8× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.8M

12K claims · 14.3%

Your Cost: $152.68/claim|Median: $121.16
1.3× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$1.7M

7,352 claims · 13.4%

Your Cost: $224.73/claim|Median: $74.82
3.0× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$1.0M

4,195 claims · 8.3%

Your Cost: $242.87/claim|Median: $80.15
3.0× median
99214Top 1%

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

$838K

3,505 claims · 6.8%

Your Cost: $238.96/claim|Median: $53.41
4.5× median
99383Top 5%

Preventive visit, new patient, late childhood (5-11 yr)

$623K

2,950 claims · 5.0%

Your Cost: $211.10/claim|Median: $81.92
2.6× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$253K

1,140 claims · 2.0%

Your Cost: $221.96/claim|Median: $20.83
10.7× median
99212Top 1%

Office/outpatient visit, low complexity

$218K

1,040 claims · 1.8%

Your Cost: $209.99/claim|Median: $25.06
8.4× median
87426Top 5%

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

$207K

4,308 claims · 1.7%

Your Cost: $47.94/claim|Median: $30.04
1.6× median
99384Top 5%

Preventive visit, new patient, adolescent (12-17 yr)

$182K

875 claims · 1.5%

Your Cost: $208.54/claim|Median: $83.63
2.5× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$132K

628 claims · 1.1%

Your Cost: $209.83/claim|Median: $75.18
2.8× median
90834Top 5%

Psychotherapy, 45 minutes

$126K

574 claims · 1.0%

Your Cost: $219.72/claim|Median: $63.65
3.5× median
90837Top 5%

Psychotherapy, 60 minutes

$115K

512 claims · 0.9%

Your Cost: $225.43/claim|Median: $85.66
2.6× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$90K

5,753 claims · 0.7%

Your Cost: $15.71/claim|Median: $12.70
1.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$67K

5,706 claims · 0.5%

Your Cost: $11.74/claim|Median: $24.33
0.5× median
M0243Normal range

$62K

228 claims · 0.5%

Your Cost: $273.82/claim|Median: $215.21
1.3× median
G0447Top 10%

$62K

2,898 claims · 0.5%

Your Cost: $21.26/claim|Median: $5.19
4.1× median
90832Top 5%

Psychotherapy, 30 minutes

$40K

183 claims · 0.3%

Your Cost: $218.29/claim|Median: $41.28
5.3× median
99490Top 10%

Chronic care management services, 20 minutes per month

$35K

1,164 claims · 0.3%

Your Cost: $30.38/claim|Median: $6.31
4.8× median
G9153Normal range

$32K

920 claims · 0.3%

Your Cost: $35.15/claim|Median: $43.70
0.8× median
G2023Top 10%

Specimen collection for COVID-19 testing

$25K

1,016 claims · 0.2%

Your Cost: $24.56/claim|Median: $17.15
1.4× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$23K

109 claims · 0.2%

Your Cost: $213.02/claim|Median: $69.35
3.1× median
M0247Top 25%

$19K

52 claims · 0.1%

Your Cost: $356.09/claim|Median: $235.71
1.5× median
90791Top 5%

Psychiatric diagnostic evaluation

$14K

67 claims · 0.1%

Your Cost: $210.12/claim|Median: $99.21
2.1× median
99382Top 5%

Preventive visit, new patient, early childhood (1-4 yr)

$14K

64 claims · 0.1%

Your Cost: $211.61/claim|Median: $79.89
2.6× median
92552Normal range

Pure tone audiometry, air only, each ear

$13K

3,148 claims · 0.1%

Your Cost: $4.24/claim|Median: $12.63
0.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$11K

1,187 claims · 0.1%

Your Cost: $9.68/claim|Median: $17.85
0.5× median
87804Normal range

Influenza virus detection, rapid test

$10K

3,685 claims · 0.1%

Your Cost: $2.60/claim|Median: $12.59
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$7K

7,636 claims · 0.1%

Your Cost: $0.87/claim|Median: $3.67
0.2× median
99203Top 5%

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

$5K

30 claims · 0.0%

Your Cost: $182.82/claim|Median: $57.85
3.2× median
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