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Provider 1730232182

NPI: 1730232182Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,146,301

Total Claims

325K

Beneficiaries

234K

1.4 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-0%
2019
$1.2M
+32%
2020
$1.6M
-0%
2021
$1.6M
+0%
2022
$1.6M
+2%
2023
$1.6M
-16%
2024
$1.4M

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 61% of total spending.

99213Normal range

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

$6.2M

180K claims · 61.3%

Your Cost: $34.47/claim|Median: $37.81
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$1.7M

48K claims · 17.1%

Your Cost: $36.19/claim|Median: $41.28
0.9× median
T1007Normal range

Alcohol/drug services, treatment plan review

$752K

13K claims · 7.4%

Your Cost: $57.84/claim|Median: $64.10
0.9× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$135K

3,926 claims · 1.3%

Your Cost: $34.28/claim|Median: $17.85
1.9× median
87804Normal range

Influenza virus detection, rapid test

$131K

9,875 claims · 1.3%

Your Cost: $13.26/claim|Median: $12.59
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$98K

7,373 claims · 1.0%

Your Cost: $13.25/claim|Median: $11.48
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$90K

1,153 claims · 0.9%

Your Cost: $78.15/claim|Median: $99.21
0.8× median
99214Normal range

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

$69K

1,259 claims · 0.7%

Your Cost: $54.55/claim|Median: $53.41
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$68K

1,952 claims · 0.7%

Your Cost: $34.66/claim|Median: $22.44
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$64K

1,023 claims · 0.6%

Your Cost: $62.44/claim|Median: $74.82
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$56K

879 claims · 0.6%

Your Cost: $63.73/claim|Median: $69.35
0.9× median
99173Top 5%

$53K

1,892 claims · 0.5%

Your Cost: $27.87/claim|Median: $2.16
12.9× median
99212Normal range

Office/outpatient visit, low complexity

$52K

1,988 claims · 0.5%

Your Cost: $26.22/claim|Median: $25.06
1.0× median
H0001Normal range

Alcohol and/or drug assessment

$49K

949 claims · 0.5%

Your Cost: $51.15/claim|Median: $94.22
0.5× median
H0002Normal range

Behavioral health screening

$48K

909 claims · 0.5%

Your Cost: $52.72/claim|Median: $38.77
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$47K

685 claims · 0.5%

Your Cost: $69.25/claim|Median: $75.18
0.9× median
J0696Top 10%

$47K

3,160 claims · 0.5%

Your Cost: $14.94/claim|Median: $1.34
11.2× median
99203Normal range

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

$46K

862 claims · 0.5%

Your Cost: $53.92/claim|Median: $57.85
0.9× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$44K

1,350 claims · 0.4%

Your Cost: $32.87/claim|Median: $30.53
1.1× median
G2025Normal range

$40K

4,269 claims · 0.4%

Your Cost: $9.44/claim|Median: $15.63
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$39K

583 claims · 0.4%

Your Cost: $67.02/claim|Median: $80.15
0.8× median
99051Normal range

$37K

13K claims · 0.4%

Your Cost: $2.74/claim|Median: $7.89
0.3× median
99204Normal range

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

$24K

320 claims · 0.2%

Your Cost: $75.13/claim|Median: $84.03
0.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$21K

2,070 claims · 0.2%

Your Cost: $10.10/claim|Median: $12.63
0.8× median
99441Normal range

Telephone E/M by physician, 5-10 min

$18K

910 claims · 0.2%

Your Cost: $20.10/claim|Median: $13.30
1.5× median
99307Top 1%

$18K

406 claims · 0.2%

Your Cost: $44.86/claim|Median: $6.57
6.8× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$14K

1,810 claims · 0.1%

Your Cost: $7.96/claim|Median: $11.35
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$14K

278 claims · 0.1%

Your Cost: $51.32/claim|Median: $63.65
0.8× median
87807Top 25%

$12K

1,035 claims · 0.1%

Your Cost: $11.72/claim|Median: $10.06
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$12K

143 claims · 0.1%

Your Cost: $83.36/claim|Median: $111.09
0.8× median
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