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Provider 1780689034

NPI: 1780689034Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$11.5M

$11,548,535

Total Claims

120K

Beneficiaries

100K

1.2 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$5.4M
-26%
2019
$4.0M
-78%
2020
$881K
-76%
2021
$213K
+73%
2022
$368K
-72%
2023
$102K
+434%
2024
$543K

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 59% of total spending.

99213Top 5%

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

$6.8M

50K claims · 59.2%

Your Cost: $136.80/claim|Median: $37.81
3.6× median
99214Top 5%

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

$1.5M

11K claims · 13.2%

Your Cost: $140.52/claim|Median: $53.41
2.6× median
D0999Normal range

Unspecified diagnostic procedure, by report

$681K

4,723 claims · 5.9%

Your Cost: $144.17/claim|Median: $101.33
1.4× median
90837Top 10%

Psychotherapy, 60 minutes

$468K

3,428 claims · 4.0%

Your Cost: $136.38/claim|Median: $85.66
1.6× median
99212Top 5%

Office/outpatient visit, low complexity

$419K

3,620 claims · 3.6%

Your Cost: $115.63/claim|Median: $25.06
4.6× median
90832Top 10%

Psychotherapy, 30 minutes

$180K

1,619 claims · 1.6%

Your Cost: $110.91/claim|Median: $41.28
2.7× median
G0467Normal range

Federally qualified health center visit, mental health

$178K

9,222 claims · 1.5%

Your Cost: $19.35/claim|Median: $21.91
0.9× median
90853Top 5%

Group psychotherapy

$153K

1,083 claims · 1.3%

Your Cost: $140.83/claim|Median: $25.02
5.6× median
99203Top 5%

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

$147K

943 claims · 1.3%

Your Cost: $155.76/claim|Median: $57.85
2.7× median
90834Top 25%

Psychotherapy, 45 minutes

$145K

1,339 claims · 1.3%

Your Cost: $107.98/claim|Median: $63.65
1.7× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$126K

750 claims · 1.1%

Your Cost: $168.41/claim|Median: $80.15
2.1× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$91K

562 claims · 0.8%

Your Cost: $161.72/claim|Median: $75.18
2.2× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$89K

596 claims · 0.8%

Your Cost: $148.98/claim|Median: $40.11
3.7× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$85K

534 claims · 0.7%

Your Cost: $158.97/claim|Median: $69.35
2.3× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$74K

443 claims · 0.6%

Your Cost: $166.69/claim|Median: $74.82
2.2× median
90791Normal range

Psychiatric diagnostic evaluation

$70K

564 claims · 0.6%

Your Cost: $124.81/claim|Median: $99.21
1.3× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$56K

399 claims · 0.5%

Your Cost: $141.31/claim|Median: $106.70
1.3× median
99204Top 10%

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

$31K

204 claims · 0.3%

Your Cost: $149.94/claim|Median: $84.03
1.8× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$23K

145 claims · 0.2%

Your Cost: $160.89/claim|Median: $72.71
2.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$22K

158 claims · 0.2%

Your Cost: $138.62/claim|Median: $108.91
1.3× median
G0470Normal range

Chronic care management services, FQHC/RHC

$13K

829 claims · 0.1%

Your Cost: $15.44/claim|Median: $45.95
0.3× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$12K

75 claims · 0.1%

Your Cost: $165.51/claim|Median: $76.06
2.2× median
95117Top 1%

$12K

79 claims · 0.1%

Your Cost: $155.08/claim|Median: $8.34
18.6× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$11K

25 claims · 0.1%

Your Cost: $450.00/claim|Median: $786.43
0.6× median
99384Top 5%

Preventive visit, new patient, adolescent (12-17 yr)

$10K

57 claims · 0.1%

Your Cost: $171.93/claim|Median: $83.63
2.1× median
90863Top 10%

$9K

93 claims · 0.1%

Your Cost: $96.39/claim|Median: $29.71
3.2× median
T1007Top 25%

Alcohol/drug services, treatment plan review

$9K

62 claims · 0.1%

Your Cost: $141.30/claim|Median: $64.10
2.2× median
0013ATop 5%

$8K

50 claims · 0.1%

Your Cost: $165.25/claim|Median: $35.38
4.7× median
99383Top 5%

Preventive visit, new patient, late childhood (5-11 yr)

$6K

37 claims · 0.1%

Your Cost: $164.42/claim|Median: $81.92
2.0× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$6K

46 claims · 0.0%

Your Cost: $124.25/claim|Median: $36.70
3.4× median
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