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Provider 1770521270

NPI: 1770521270Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,195,429

Total Claims

139K

Beneficiaries

83K

1.7 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+42%
2019
$1.5M
+40%
2020
$2.1M
-4%
2021
$2.1M
-43%
2022
$1.2M
+18%
2023
$1.4M
+35%
2024
$1.9M

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 56% of total spending.

99213Top 5%

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

$6.2M

60K claims · 55.6%

Your Cost: $102.94/claim|Median: $37.81
2.7× median
90834Top 10%

Psychotherapy, 45 minutes

$1.6M

15K claims · 14.5%

Your Cost: $110.85/claim|Median: $63.65
1.7× median
99212Top 10%

Office/outpatient visit, low complexity

$1.2M

14K claims · 10.7%

Your Cost: $86.92/claim|Median: $25.06
3.5× median
G0467Top 25%

Federally qualified health center visit, mental health

$463K

11K claims · 4.1%

Your Cost: $43.26/claim|Median: $21.91
2.0× median
99214Top 5%

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

$343K

2,604 claims · 3.1%

Your Cost: $131.87/claim|Median: $53.41
2.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$334K

5,092 claims · 3.0%

Your Cost: $65.55/claim|Median: $43.38
1.5× median
90832Top 10%

Psychotherapy, 30 minutes

$130K

1,223 claims · 1.2%

Your Cost: $106.39/claim|Median: $41.28
2.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$128K

3,297 claims · 1.1%

Your Cost: $38.76/claim|Median: $32.07
1.2× median
D0120Top 5%

Periodic oral evaluation, established patient

$96K

1,397 claims · 0.9%

Your Cost: $68.47/claim|Median: $24.34
2.8× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$93K

1,128 claims · 0.8%

Your Cost: $82.77/claim|Median: $22.44
3.7× median
11719Top 5%

$66K

2,870 claims · 0.6%

Your Cost: $23.01/claim|Median: $1.95
11.8× median
G2025Normal range

$57K

2,834 claims · 0.5%

Your Cost: $19.94/claim|Median: $15.63
1.3× median
D0330Normal range

Panoramic radiographic image

$53K

1,602 claims · 0.5%

Your Cost: $32.93/claim|Median: $37.36
0.9× median
D1330Top 5%

$44K

1,209 claims · 0.4%

Your Cost: $36.43/claim|Median: $5.73
6.4× median
G0470Normal range

Chronic care management services, FQHC/RHC

$39K

858 claims · 0.3%

Your Cost: $45.25/claim|Median: $45.95
1.0× median
36415Top 5%

Collection of venous blood by venipuncture

$35K

3,551 claims · 0.3%

Your Cost: $9.91/claim|Median: $1.57
6.3× median
D0140Top 10%

Limited oral evaluation, problem focused

$33K

617 claims · 0.3%

Your Cost: $53.01/claim|Median: $27.07
2.0× median
90833Top 5%

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

$33K

251 claims · 0.3%

Your Cost: $129.89/claim|Median: $38.83
3.3× median
11057Top 25%

$24K

617 claims · 0.2%

Your Cost: $39.23/claim|Median: $15.10
2.6× median
11721Top 25%

$23K

1,255 claims · 0.2%

Your Cost: $18.23/claim|Median: $8.56
2.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$22K

236 claims · 0.2%

Your Cost: $92.51/claim|Median: $76.06
1.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$17K

213 claims · 0.2%

Your Cost: $80.00/claim|Median: $57.39
1.4× median
11056Top 25%

Paring or cutting of benign hyperkeratotic lesions, two to four

$15K

516 claims · 0.1%

Your Cost: $28.98/claim|Median: $11.01
2.6× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$15K

166 claims · 0.1%

Your Cost: $89.60/claim|Median: $13.30
6.7× median
D0251Normal range

$11K

1,429 claims · 0.1%

Your Cost: $8.05/claim|Median: $13.20
0.6× median
0001FTop 1%

$10K

192 claims · 0.1%

Your Cost: $51.51/claim|Median: $0.48
107.3× median
90658Top 25%

$8K

466 claims · 0.1%

Your Cost: $17.70/claim|Median: $8.96
2.0× median
90471Normal range

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

$8K

771 claims · 0.1%

Your Cost: $10.43/claim|Median: $9.80
1.1× median
D5899Top 25%

$6K

39 claims · 0.1%

Your Cost: $161.75/claim|Median: $30.31
5.3× median
G0071Top 5%

$5K

133 claims · 0.0%

Your Cost: $36.10/claim|Median: $7.20
5.0× median
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