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Provider 1770506024

NPI: 1770506024Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$9.1M

$9,053,672

Total Claims

118K

Beneficiaries

46K

2.6 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$521K
+70%
2019
$883K
+29%
2020
$1.1M
+32%
2021
$1.5M
+15%
2022
$1.7M
+5%
2023
$1.8M
-18%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 34% of total spending.

99232Top 10%

Subsequent hospital care, per day, moderate complexity

$3.1M

57K claims · 33.8%

Your Cost: $53.90/claim|Median: $23.99
2.2× median
90853Top 5%

Group psychotherapy

$2.5M

19K claims · 27.6%

Your Cost: $131.83/claim|Median: $25.02
5.3× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$1.4M

8,967 claims · 15.8%

Your Cost: $159.95/claim|Median: $108.91
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$681K

9,638 claims · 7.5%

Your Cost: $70.64/claim|Median: $35.30
2.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$607K

7,320 claims · 6.7%

Your Cost: $82.96/claim|Median: $43.85
1.9× median
99223Top 10%

Initial hospital care, per day, high complexity

$231K

1,639 claims · 2.6%

Your Cost: $140.93/claim|Median: $67.32
2.1× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$226K

7,524 claims · 2.5%

Your Cost: $29.98/claim|Median: $16.77
1.8× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$163K

3,165 claims · 1.8%

Your Cost: $51.41/claim|Median: $37.22
1.4× median
99221Top 25%

Initial hospital care, straightforward/low

$46K

689 claims · 0.5%

Your Cost: $66.91/claim|Median: $39.96
1.7× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$32K

347 claims · 0.4%

Your Cost: $92.15/claim|Median: $51.25
1.8× median
99252Top 25%

$32K

582 claims · 0.4%

Your Cost: $54.70/claim|Median: $38.63
1.4× median
99251Normal range

$31K

935 claims · 0.3%

Your Cost: $33.00/claim|Median: $28.38
1.2× median
99253Top 25%

$6K

66 claims · 0.1%

Your Cost: $84.76/claim|Median: $55.16
1.5× median
99214Normal range

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

$2K

61 claims · 0.0%

Your Cost: $35.54/claim|Median: $53.41
0.7× median
99254Normal range

$2K

18 claims · 0.0%

Your Cost: $104.14/claim|Median: $81.43
1.3× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$64

641 claims · 0.0%

Your Cost: $0.10/claim|Median: $135.70
0.0× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$0

530 claims · 0.0%

Your Cost: $0.00/claim|Median: $129.75