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Provider 1730152281

NPI: 1730152281Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.6M

$8,571,949

Total Claims

69K

Beneficiaries

56K

1.2 claims/patient

Avg Cost/Claim

$125

Monthly Spending Trend

Yearly Spending

2018
$832K
+8%
2019
$902K
-14%
2020
$772K
+56%
2021
$1.2M
+35%
2022
$1.6M
+5%
2023
$1.7M
-10%
2024
$1.5M

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 18% of total spending.

99213Top 5%

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

$1.6M

12K claims · 18.4%

Your Cost: $128.66/claim|Median: $37.81
3.4× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$1.6M

7,865 claims · 18.1%

Your Cost: $197.76/claim|Median: $101.33
2.0× median
99214Top 5%

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

$1.2M

8,444 claims · 13.6%

Your Cost: $137.88/claim|Median: $53.41
2.6× median
H2015Top 25%

Comprehensive community support services, per 15 min

$1.0M

5,510 claims · 12.1%

Your Cost: $188.84/claim|Median: $96.24
2.0× median
90834Top 5%

Psychotherapy, 45 minutes

$760K

4,147 claims · 8.9%

Your Cost: $183.21/claim|Median: $63.65
2.9× median
99212Top 5%

Office/outpatient visit, low complexity

$458K

3,294 claims · 5.3%

Your Cost: $139.13/claim|Median: $25.06
5.6× median
90832Top 5%

Psychotherapy, 30 minutes

$364K

1,970 claims · 4.2%

Your Cost: $184.78/claim|Median: $41.28
4.5× median
90837Top 5%

Psychotherapy, 60 minutes

$363K

1,960 claims · 4.2%

Your Cost: $185.34/claim|Median: $85.66
2.2× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$303K

1,808 claims · 3.5%

Your Cost: $167.50/claim|Median: $22.44
7.5× median
90853Top 5%

Group psychotherapy

$265K

1,380 claims · 3.1%

Your Cost: $192.24/claim|Median: $25.02
7.7× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$153K

1,069 claims · 1.8%

Your Cost: $142.93/claim|Median: $13.30
10.7× median
G0511Top 5%

RHC/FQHC visit, psychiatric collaborative care model

$107K

1,269 claims · 1.2%

Your Cost: $84.28/claim|Median: $11.35
7.4× median
G0467Normal range

Federally qualified health center visit, mental health

$75K

5,977 claims · 0.9%

Your Cost: $12.49/claim|Median: $21.91
0.6× median
T1007Top 10%

Alcohol/drug services, treatment plan review

$70K

368 claims · 0.8%

Your Cost: $190.33/claim|Median: $64.10
3.0× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$69K

417 claims · 0.8%

Your Cost: $166.07/claim|Median: $76.06
2.2× median
G2025Top 25%

$42K

785 claims · 0.5%

Your Cost: $53.96/claim|Median: $15.63
3.5× median
99204Top 5%

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

$31K

186 claims · 0.4%

Your Cost: $168.19/claim|Median: $84.03
2.0× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$27K

2,333 claims · 0.3%

Your Cost: $11.46/claim|Median: $5.50
2.1× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$16K

93 claims · 0.2%

Your Cost: $175.23/claim|Median: $33.85
5.2× median
90791Top 10%

Psychiatric diagnostic evaluation

$15K

80 claims · 0.2%

Your Cost: $186.78/claim|Median: $99.21
1.9× median
90471Normal range

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

$12K

1,082 claims · 0.1%

Your Cost: $11.14/claim|Median: $9.80
1.1× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$11K

67 claims · 0.1%

Your Cost: $164.89/claim|Median: $72.71
2.3× median
0064ATop 5%

$11K

61 claims · 0.1%

Your Cost: $177.86/claim|Median: $34.17
5.2× median
0134ATop 5%

$10K

56 claims · 0.1%

Your Cost: $176.91/claim|Median: $33.54
5.3× median
D1110Normal range

Prophylaxis, adult cleaning

$9K

374 claims · 0.1%

Your Cost: $24.28/claim|Median: $43.38
0.6× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$9K

58 claims · 0.1%

Your Cost: $156.40/claim|Median: $40.11
3.9× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$7K

51 claims · 0.1%

Your Cost: $142.00/claim|Median: $32.55
4.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$6K

238 claims · 0.1%

Your Cost: $27.07/claim|Median: $39.70
0.7× median
87804Normal range

Influenza virus detection, rapid test

$4K

397 claims · 0.1%

Your Cost: $11.10/claim|Median: $12.59
0.9× median
3352FTop 5%

$4K

57 claims · 0.0%

Your Cost: $66.08/claim|Median: $0.02
3304.2× median
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