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Provider 1730124025

NPI: 1730124025Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$17,954,093

Total Claims

264K

Beneficiaries

167K

1.6 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$561K
+64%
2019
$922K
+150%
2020
$2.3M
+21%
2021
$2.8M
+33%
2022
$3.7M
+12%
2023
$4.2M
-18%
2024
$3.5M

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 25% of total spending.

99213Top 10%

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

$4.4M

54K claims · 24.6%

Your Cost: $81.14/claim|Median: $37.81
2.1× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$2.3M

18K claims · 12.7%

Your Cost: $125.12/claim|Median: $74.63
1.7× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$1.8M

23K claims · 9.9%

Your Cost: $78.72/claim|Median: $76.05
1.0× median
90832Top 10%

Psychotherapy, 30 minutes

$1.6M

15K claims · 9.0%

Your Cost: $111.60/claim|Median: $41.28
2.7× median
90834Top 5%

Psychotherapy, 45 minutes

$1.5M

9,734 claims · 8.2%

Your Cost: $150.40/claim|Median: $63.65
2.4× median
99214Top 5%

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

$944K

6,915 claims · 5.3%

Your Cost: $136.54/claim|Median: $53.41
2.6× median
99212Top 10%

Office/outpatient visit, low complexity

$909K

11K claims · 5.1%

Your Cost: $81.22/claim|Median: $25.06
3.2× median
90791Top 10%

Psychiatric diagnostic evaluation

$666K

3,900 claims · 3.7%

Your Cost: $170.77/claim|Median: $99.21
1.7× median
92551Top 1%

Screening audiometry, pure tone, air only

$433K

7,149 claims · 2.4%

Your Cost: $60.58/claim|Median: $6.61
9.2× median
90846Top 25%

Family psychotherapy without patient, 50 min

$420K

3,790 claims · 2.3%

Your Cost: $110.75/claim|Median: $76.61
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$348K

3,526 claims · 1.9%

Your Cost: $98.82/claim|Median: $74.82
1.3× median
D1120Top 25%

Prophylaxis, adult

$285K

6,956 claims · 1.6%

Your Cost: $41.02/claim|Median: $33.86
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$267K

3,122 claims · 1.5%

Your Cost: $85.46/claim|Median: $80.15
1.1× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$185K

1,666 claims · 1.0%

Your Cost: $110.84/claim|Median: $75.18
1.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$168K

5,925 claims · 0.9%

Your Cost: $28.43/claim|Median: $24.34
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$98K

2,118 claims · 0.5%

Your Cost: $46.50/claim|Median: $43.38
1.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$95K

716 claims · 0.5%

Your Cost: $132.26/claim|Median: $215.80
0.6× median
99173Top 10%

$92K

5,635 claims · 0.5%

Your Cost: $16.25/claim|Median: $2.16
7.5× median
D1351Top 25%

Sealant, per tooth

$91K

2,337 claims · 0.5%

Your Cost: $38.81/claim|Median: $26.10
1.5× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$90K

1,432 claims · 0.5%

Your Cost: $62.74/claim|Median: $38.83
1.6× median
D1206Normal range

Topical application of fluoride varnish

$84K

3,513 claims · 0.5%

Your Cost: $23.93/claim|Median: $18.12
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$81K

5,965 claims · 0.5%

Your Cost: $13.62/claim|Median: $17.85
0.8× median
90847Top 10%

Family psychotherapy with patient, 50 min

$71K

356 claims · 0.4%

Your Cost: $200.19/claim|Median: $77.33
2.6× median
99203Top 25%

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

$66K

824 claims · 0.4%

Your Cost: $80.21/claim|Median: $57.85
1.4× median
96160Top 5%

Patient-focused health risk assessment

$59K

1,948 claims · 0.3%

Your Cost: $30.50/claim|Median: $2.10
14.5× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$54K

280 claims · 0.3%

Your Cost: $194.51/claim|Median: $108.91
1.8× median
96112Normal range

Developmental test administration

$54K

478 claims · 0.3%

Your Cost: $112.97/claim|Median: $102.95
1.1× median
90882Normal range

Environmental intervention

$53K

1,865 claims · 0.3%

Your Cost: $28.48/claim|Median: $45.05
0.6× median
96133Normal range

$41K

705 claims · 0.2%

Your Cost: $58.04/claim|Median: $185.94
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$39K

3,029 claims · 0.2%

Your Cost: $12.88/claim|Median: $7.18
1.8× median
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