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Provider 1740555267

NPI: 1740555267Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,733,170

Total Claims

230K

Beneficiaries

147K

1.6 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$802K
+60%
2019
$1.3M
-5%
2020
$1.2M
-45%
2021
$667K
+43%
2022
$956K
+86%
2023
$1.8M
+14%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99308 (Nursing facility care, subsequent, straightforward)) accounts for 52% of total spending.

99308Top 5%

Nursing facility care, subsequent, straightforward

$4.6M

119K claims · 52.3%

Your Cost: $38.31/claim|Median: $9.79
3.9× median
99307Top 5%

$1.8M

50K claims · 20.9%

Your Cost: $36.52/claim|Median: $6.57
5.6× median
99213Top 5%

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

$921K

9,183 claims · 10.5%

Your Cost: $100.31/claim|Median: $37.81
2.7× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$573K

17K claims · 6.6%

Your Cost: $33.55/claim|Median: $14.00
2.4× median
90832Normal range

Psychotherapy, 30 minutes

$361K

11K claims · 4.1%

Your Cost: $32.06/claim|Median: $41.28
0.8× median
99347Top 10%

$154K

2,965 claims · 1.8%

Your Cost: $51.96/claim|Median: $11.74
4.4× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$80K

5,826 claims · 0.9%

Your Cost: $13.68/claim|Median: $11.35
1.2× median
99214Top 10%

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

$59K

558 claims · 0.7%

Your Cost: $104.97/claim|Median: $53.41
2.0× median
G2025Top 25%

$50K

2,071 claims · 0.6%

Your Cost: $24.35/claim|Median: $15.63
1.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$22K

536 claims · 0.2%

Your Cost: $40.37/claim|Median: $108.91
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$21K

662 claims · 0.2%

Your Cost: $31.75/claim|Median: $99.21
0.3× median
99334Top 10%

$19K

530 claims · 0.2%

Your Cost: $35.89/claim|Median: $9.92
3.6× median
99304Top 25%

$17K

469 claims · 0.2%

Your Cost: $35.45/claim|Median: $13.51
2.6× median
99318Normal range

$16K

612 claims · 0.2%

Your Cost: $25.65/claim|Median: $15.64
1.6× median
99221Normal range

Initial hospital care, straightforward/low

$8K

312 claims · 0.1%

Your Cost: $26.53/claim|Median: $39.96
0.7× median
99203Top 10%

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

$7K

62 claims · 0.1%

Your Cost: $114.90/claim|Median: $57.85
2.0× median
99341Normal range

$6K

119 claims · 0.1%

Your Cost: $50.23/claim|Median: $20.60
2.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$6K

52 claims · 0.1%

Your Cost: $107.09/claim|Median: $40.11
2.7× median
94681Normal range

$4K

206 claims · 0.1%

Your Cost: $21.60/claim|Median: $24.79
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$4K

603 claims · 0.0%

Your Cost: $6.05/claim|Median: $16.77
0.4× median
99348Top 25%

$4K

97 claims · 0.0%

Your Cost: $36.36/claim|Median: $17.17
2.1× median
99335Normal range

$2K

178 claims · 0.0%

Your Cost: $12.51/claim|Median: $14.90
0.8× median
99306Normal range

$2K

42 claims · 0.0%

Your Cost: $49.43/claim|Median: $29.97
1.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1K

172 claims · 0.0%

Your Cost: $6.47/claim|Median: $23.99
0.3× median
99483Normal range

$829

15 claims · 0.0%

Your Cost: $55.28/claim|Median: $34.89
1.6× median
99310Normal range

$619

23 claims · 0.0%

Your Cost: $26.91/claim|Median: $21.82
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$559

447 claims · 0.0%

Your Cost: $1.25/claim|Median: $9.56
0.1× median
99305Normal range

$524

20 claims · 0.0%

Your Cost: $26.20/claim|Median: $19.28
1.4× median
99316Normal range

$297

14 claims · 0.0%

Your Cost: $21.21/claim|Median: $25.78
0.8× median
94200Normal range

$291

208 claims · 0.0%

Your Cost: $1.40/claim|Median: $7.93
0.2× median
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