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Provider 1740357169

NPI: 1740357169Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,919,850

Total Claims

25K

Beneficiaries

20K

1.2 claims/patient

Avg Cost/Claim

$392

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-5%
2019
$992K
+2%
2020
$1.0M
+42%
2021
$1.4M
+17%
2022
$1.7M
+16%
2023
$1.9M
-6%
2024
$1.8M

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 27% of total spending.

99213Top 1%

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

$2.7M

5,957 claims · 26.9%

Your Cost: $448.13/claim|Median: $37.81
11.9× median
99214Top 1%

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

$1.7M

3,339 claims · 17.0%

Your Cost: $505.86/claim|Median: $53.41
9.5× median
90834Top 1%

Psychotherapy, 45 minutes

$1.1M

2,052 claims · 11.4%

Your Cost: $550.16/claim|Median: $63.65
8.6× median
90833Top 1%

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

$601K

1,042 claims · 6.1%

Your Cost: $576.61/claim|Median: $38.83
14.8× median
99215Top 1%

Office/outpatient visit, high complexity

$520K

884 claims · 5.2%

Your Cost: $588.13/claim|Median: $74.09
7.9× median
90837Top 1%

Psychotherapy, 60 minutes

$478K

836 claims · 4.8%

Your Cost: $571.71/claim|Median: $85.66
6.7× median
99211Top 1%

Office/outpatient visit, minimal complexity

$429K

1,010 claims · 4.3%

Your Cost: $424.84/claim|Median: $12.93
32.9× median
D0140Top 1%

Limited oral evaluation, problem focused

$352K

1,295 claims · 3.5%

Your Cost: $271.76/claim|Median: $27.07
10.0× median
99212Top 1%

Office/outpatient visit, low complexity

$308K

626 claims · 3.1%

Your Cost: $491.58/claim|Median: $25.06
19.6× median
90832Top 1%

Psychotherapy, 30 minutes

$250K

407 claims · 2.5%

Your Cost: $615.36/claim|Median: $41.28
14.9× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$225K

387 claims · 2.3%

Your Cost: $581.87/claim|Median: $47.08
12.4× median
D1206Top 1%

Topical application of fluoride varnish

$201K

657 claims · 2.0%

Your Cost: $306.01/claim|Median: $18.12
16.9× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$181K

1,557 claims · 1.8%

Your Cost: $116.35/claim|Median: $10.51
11.1× median
91301

COVID-19 vaccine (Moderna), first dose

$147K

391 claims · 1.5%

H2014Top 5%

Skills training & development, per 15 min

$146K

231 claims · 1.5%

Your Cost: $631.37/claim|Median: $83.88
7.5× median
90791Top 1%

Psychiatric diagnostic evaluation

$106K

168 claims · 1.1%

Your Cost: $633.57/claim|Median: $99.21
6.4× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$100K

179 claims · 1.0%

Your Cost: $559.12/claim|Median: $59.72
9.4× median
91300Top 1%

COVID-19 vaccine (Pfizer), first dose

$66K

129 claims · 0.7%

Your Cost: $510.95/claim|Median: $0.01
51095.3× median
D0120Top 1%

Periodic oral evaluation, established patient

$43K

267 claims · 0.4%

Your Cost: $161.47/claim|Median: $24.34
6.6× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$37K

146 claims · 0.4%

Your Cost: $255.06/claim|Median: $32.07
8.0× median
G0108Top 1%

Diabetes self-management training, individual

$33K

71 claims · 0.3%

Your Cost: $458.20/claim|Median: $35.89
12.8× median
99205Top 1%

Office/outpatient visit, new patient, high complexity

$32K

57 claims · 0.3%

Your Cost: $557.68/claim|Median: $111.09
5.0× median
91307Top 1%

$32K

60 claims · 0.3%

Your Cost: $525.90/claim|Median: $0.01
52590.0× median
90471Top 1%

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

$31K

110 claims · 0.3%

Your Cost: $284.31/claim|Median: $9.80
29.0× median
H0031Top 1%

Mental health assessment by non-physician

$19K

26 claims · 0.2%

Your Cost: $719.00/claim|Median: $96.18
7.5× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$16K

66 claims · 0.2%

Your Cost: $243.95/claim|Median: $71.00
3.4× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$15K

24 claims · 0.2%

Your Cost: $640.00/claim|Median: $108.91
5.9× median
D1110Top 1%

Prophylaxis, adult cleaning

$10K

78 claims · 0.1%

Your Cost: $133.32/claim|Median: $43.38
3.1× median
D1120Top 1%

Prophylaxis, adult

$9K

121 claims · 0.1%

Your Cost: $77.21/claim|Median: $33.86
2.3× median
90480Top 1%

$9K

16 claims · 0.1%

Your Cost: $531.38/claim|Median: $25.29
21.0× median
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