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Provider 1730295296

NPI: 1730295296Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.2M

$16,213,489

Total Claims

538K

Beneficiaries

514K

1.0 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$3.7M
+3%
2019
$3.8M
-10%
2020
$3.4M
-43%
2021
$1.9M
-14%
2022
$1.7M
-10%
2023
$1.5M
-87%
2024
$190K

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 23% of total spending.

99213Top 25%

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

$3.7M

64K claims · 22.8%

Your Cost: $57.95/claim|Median: $37.81
1.5× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$2.5M

54K claims · 15.2%

Your Cost: $45.15/claim|Median: $17.85
2.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.0M

24K claims · 12.0%

Your Cost: $80.93/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.9M

22K claims · 11.9%

Your Cost: $88.09/claim|Median: $75.18
1.2× median
99214Top 25%

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

$1.3M

16K claims · 8.2%

Your Cost: $84.71/claim|Median: $53.41
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

12K claims · 6.7%

Your Cost: $87.86/claim|Median: $74.82
1.2× median
96110Top 25%

Developmental screening, per standardized instrument

$653K

38K claims · 4.0%

Your Cost: $17.22/claim|Median: $9.10
1.9× median
D0190Normal range

$425K

28K claims · 2.6%

Your Cost: $15.01/claim|Median: $12.78
1.2× median
H0025Top 25%

Behavioral health prevention education, per session

$343K

3,006 claims · 2.1%

Your Cost: $113.99/claim|Median: $36.25
3.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$317K

11K claims · 2.0%

Your Cost: $30.15/claim|Median: $57.30
0.5× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$274K

26K claims · 1.7%

Your Cost: $10.59/claim|Median: $3.67
2.9× median
99173Top 10%

$237K

26K claims · 1.5%

Your Cost: $9.28/claim|Median: $2.16
4.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$223K

2,286 claims · 1.4%

Your Cost: $97.64/claim|Median: $80.15
1.2× median
G8510Top 25%

$197K

20K claims · 1.2%

Your Cost: $9.95/claim|Median: $1.96
5.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$89K

1,537 claims · 0.5%

Your Cost: $58.02/claim|Median: $62.48
0.9× median
D1206Normal range

Topical application of fluoride varnish

$88K

5,557 claims · 0.5%

Your Cost: $15.89/claim|Median: $18.12
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$85K

2,225 claims · 0.5%

Your Cost: $38.25/claim|Median: $25.06
1.5× median
90471Top 25%

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

$79K

4,434 claims · 0.5%

Your Cost: $17.72/claim|Median: $9.80
1.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$61K

1,617 claims · 0.4%

Your Cost: $37.81/claim|Median: $37.22
1.0× median
H0002Top 25%

Behavioral health screening

$59K

579 claims · 0.4%

Your Cost: $101.15/claim|Median: $38.77
2.6× median
90670Normal range

$58K

15K claims · 0.4%

Your Cost: $3.92/claim|Median: $5.94
0.7× median
99174Top 25%

$56K

3,567 claims · 0.3%

Your Cost: $15.58/claim|Median: $5.27
3.0× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$44K

424 claims · 0.3%

Your Cost: $104.79/claim|Median: $53.97
1.9× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$44K

22K claims · 0.3%

Your Cost: $1.98/claim|Median: $0.79
2.5× median
99000Normal range

$34K

20K claims · 0.2%

Your Cost: $1.73/claim|Median: $2.30
0.8× median
83655Top 25%

$32K

2,430 claims · 0.2%

Your Cost: $13.30/claim|Median: $10.49
1.3× median
36416Normal range

$30K

17K claims · 0.2%

Your Cost: $1.79/claim|Median: $1.31
1.4× median
D1120Normal range

Prophylaxis, adult

$23K

733 claims · 0.1%

Your Cost: $31.93/claim|Median: $33.86
0.9× median
H0031Normal range

Mental health assessment by non-physician

$22K

207 claims · 0.1%

Your Cost: $107.73/claim|Median: $96.18
1.1× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$22K

169 claims · 0.1%

Your Cost: $130.71/claim|Median: $91.47
1.4× median
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