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Provider 1780702571

NPI: 1780702571Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,369,067

Total Claims

481K

Beneficiaries

440K

1.1 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-34%
2019
$1.4M
-15%
2020
$1.2M
+19%
2021
$1.5M
-7%
2022
$1.4M
+7%
2023
$1.4M
-10%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 60% of total spending.

G0467Top 25%

Federally qualified health center visit, mental health

$6.3M

130K claims · 60.4%

Your Cost: $48.34/claim|Median: $21.91
2.2× median
G0470Normal range

Chronic care management services, FQHC/RHC

$824K

17K claims · 7.9%

Your Cost: $49.15/claim|Median: $45.95
1.1× median
99213Normal range

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

$718K

54K claims · 6.9%

Your Cost: $13.21/claim|Median: $37.81
0.3× median
99214Normal range

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

$542K

30K claims · 5.2%

Your Cost: $18.07/claim|Median: $53.41
0.3× median
G0466Normal range

$327K

5,428 claims · 3.2%

Your Cost: $60.24/claim|Median: $63.31
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$133K

4,851 claims · 1.3%

Your Cost: $27.33/claim|Median: $75.18
0.4× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$131K

1,871 claims · 1.3%

Your Cost: $70.05/claim|Median: $41.92
1.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$131K

7,028 claims · 1.3%

Your Cost: $18.63/claim|Median: $47.08
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$122K

16K claims · 1.2%

Your Cost: $7.73/claim|Median: $25.06
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$96K

3,767 claims · 0.9%

Your Cost: $25.58/claim|Median: $74.82
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$86K

4,721 claims · 0.8%

Your Cost: $18.23/claim|Median: $63.65
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$84K

6,024 claims · 0.8%

Your Cost: $14.01/claim|Median: $41.28
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$80K

3,781 claims · 0.8%

Your Cost: $21.08/claim|Median: $69.35
0.3× median
S0621Normal range

$79K

3,858 claims · 0.8%

Your Cost: $20.39/claim|Median: $44.45
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$66K

2,685 claims · 0.6%

Your Cost: $24.40/claim|Median: $74.09
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$57K

2,088 claims · 0.5%

Your Cost: $27.19/claim|Median: $80.15
0.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$56K

1,460 claims · 0.5%

Your Cost: $38.08/claim|Median: $39.33
1.0× median
90471Normal range

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

$41K

9,837 claims · 0.4%

Your Cost: $4.14/claim|Median: $9.80
0.4× median
90472Normal range

Immunization administration, each additional vaccine

$40K

5,189 claims · 0.4%

Your Cost: $7.77/claim|Median: $11.79
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$35K

1,296 claims · 0.3%

Your Cost: $26.78/claim|Median: $99.21
0.3× median
92015Normal range

Determination of refractive state

$29K

7,348 claims · 0.3%

Your Cost: $3.94/claim|Median: $10.36
0.4× median
V2020Normal range

Frames, purchases

$29K

2,050 claims · 0.3%

Your Cost: $13.98/claim|Median: $19.33
0.7× median
99204Normal range

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

$24K

1,008 claims · 0.2%

Your Cost: $23.72/claim|Median: $84.03
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$19K

4,522 claims · 0.2%

Your Cost: $4.26/claim|Median: $9.56
0.4× median
99203Normal range

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

$18K

1,019 claims · 0.2%

Your Cost: $17.87/claim|Median: $57.85
0.3× median
92340Normal range

Fitting of spectacles, except for aphakia

$17K

1,477 claims · 0.2%

Your Cost: $11.77/claim|Median: $19.46
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$16K

2,117 claims · 0.2%

Your Cost: $7.41/claim|Median: $74.63
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$15K

4,448 claims · 0.1%

Your Cost: $3.47/claim|Median: $5.50
0.6× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$14K

1,230 claims · 0.1%

Your Cost: $11.70/claim|Median: $21.41
0.5× median
99000Top 25%

$14K

2,259 claims · 0.1%

Your Cost: $6.25/claim|Median: $2.30
2.7× median
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