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NORTHBAY HEALTHCARE GROUP

Psychiatry & Neurology, Addiction Medicine·FAIRFIELD, CA·NPI: 1780736736Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$32.7M

$32,742,405

Total Claims

603K

Beneficiaries

526K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+6%
2019
$1.9M
+107%
2020
$4.0M
+10%
2021
$4.4M
+56%
2022
$6.8M
+13%
2023
$7.7M
-20%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 22% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$7.3M

71K claims · 22.2%

Your Cost: $102.28/claim|Median: $69.51
1.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$4.8M

34K claims · 14.8%

Your Cost: $144.02/claim|Median: $85.65
1.7× median
99214Normal range

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

$3.7M

113K claims · 11.2%

Your Cost: $32.42/claim|Median: $53.41
0.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.9M

15K claims · 5.7%

Your Cost: $129.28/claim|Median: $54.68
2.4× median
99283Normal range

Emergency dept visit, moderate complexity

$1.8M

29K claims · 5.5%

Your Cost: $61.96/claim|Median: $42.48
1.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.6M

33K claims · 4.9%

Your Cost: $48.20/claim|Median: $35.30
1.4× median
99213Normal range

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

$1.1M

79K claims · 3.3%

Your Cost: $13.75/claim|Median: $37.81
0.4× median
99204Normal range

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

$1.1M

12K claims · 3.2%

Your Cost: $85.70/claim|Median: $84.03
1.0× median
99291Top 25%

Critical care, first 30-74 minutes

$1.0M

6,098 claims · 3.2%

Your Cost: $169.91/claim|Median: $101.24
1.7× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$867K

966 claims · 2.6%

Your Cost: $897.33/claim|Median: $470.36
1.9× median
99223Normal range

Initial hospital care, per day, high complexity

$813K

9,856 claims · 2.5%

Your Cost: $82.54/claim|Median: $67.32
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$614K

15K claims · 1.9%

Your Cost: $39.80/claim|Median: $23.99
1.7× median
93010Top 5%

Electrocardiogram, interpretation and report only

$560K

32K claims · 1.7%

Your Cost: $17.39/claim|Median: $5.60
3.1× median
97110Normal range

Therapeutic exercises, each 15 min

$479K

21K claims · 1.5%

Your Cost: $23.11/claim|Median: $24.49
0.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$422K

1,435 claims · 1.3%

Your Cost: $293.86/claim|Median: $151.68
1.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$332K

5,554 claims · 1.0%

Your Cost: $59.75/claim|Median: $43.85
1.4× median
45380Top 25%

Colonoscopy with biopsy

$276K

688 claims · 0.8%

Your Cost: $400.60/claim|Median: $200.68
2.0× median
99215Normal range

Office/outpatient visit, high complexity

$275K

5,253 claims · 0.8%

Your Cost: $52.36/claim|Median: $74.09
0.7× median
99203Normal range

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

$267K

4,164 claims · 0.8%

Your Cost: $64.04/claim|Median: $57.85
1.1× median
H1001Top 25%

$252K

2,709 claims · 0.8%

Your Cost: $92.97/claim|Median: $60.48
1.5× median
97139Normal range

$215K

8,383 claims · 0.7%

Your Cost: $25.69/claim|Median: $28.71
0.9× median
G0500Top 5%

$192K

2,415 claims · 0.6%

Your Cost: $79.68/claim|Median: $5.04
15.8× median
99282Normal range

Emergency dept visit, low complexity

$180K

4,710 claims · 0.6%

Your Cost: $38.31/claim|Median: $37.72
1.0× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$175K

1,328 claims · 0.5%

Your Cost: $131.85/claim|Median: $36.13
3.6× median
95886Top 25%

$143K

1,026 claims · 0.4%

Your Cost: $139.82/claim|Median: $67.70
2.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$133K

9,884 claims · 0.4%

Your Cost: $13.47/claim|Median: $7.18
1.9× median
99255Top 25%

$129K

910 claims · 0.4%

Your Cost: $141.25/claim|Median: $90.45
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$126K

5,834 claims · 0.4%

Your Cost: $21.60/claim|Median: $69.35
0.3× median
59025Normal range

Fetal non-stress test

$118K

5,347 claims · 0.4%

Your Cost: $22.10/claim|Median: $26.45
0.8× median
97802Top 5%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$118K

849 claims · 0.4%

Your Cost: $138.99/claim|Median: $12.70
10.9× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$99K

3,679 claims · 0.3%

Your Cost: $26.87/claim|Median: $9.70
2.8× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$87K

1,949 claims · 0.3%

Your Cost: $44.87/claim|Median: $24.33
1.8× median
59409Top 10%

Vaginal delivery only

$79K

82 claims · 0.2%

Your Cost: $965.16/claim|Median: $619.91
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$77K

729 claims · 0.2%

Your Cost: $106.18/claim|Median: $111.09
1.0× median
97750Normal range

$76K

1,833 claims · 0.2%

Your Cost: $41.56/claim|Median: $30.89
1.3× median
95912Top 5%

$70K

202 claims · 0.2%

Your Cost: $344.12/claim|Median: $141.23
2.4× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$58K

1,280 claims · 0.2%

Your Cost: $45.25/claim|Median: $27.28
1.7× median
97010Top 10%

Hot/cold packs application

$57K

3,042 claims · 0.2%

Your Cost: $18.63/claim|Median: $4.47
4.2× median
64615Top 25%

$54K

383 claims · 0.2%

Your Cost: $142.14/claim|Median: $82.82
1.7× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$54K

1,203 claims · 0.2%

Your Cost: $45.14/claim|Median: $29.03
1.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$53K

1,026 claims · 0.2%

Your Cost: $51.88/claim|Median: $51.25
1.0× median
99292Top 5%

$50K

259 claims · 0.2%

Your Cost: $193.49/claim|Median: $57.64
3.4× median
93297Top 25%

$50K

3,515 claims · 0.2%

Your Cost: $14.23/claim|Median: $8.99
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$46K

7,590 claims · 0.1%

Your Cost: $6.05/claim|Median: $75.18
0.1× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$41K

75 claims · 0.1%

Your Cost: $551.24/claim|Median: $255.17
2.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$41K

309 claims · 0.1%

Your Cost: $133.22/claim|Median: $121.58
1.1× median
59425Top 25%

Antepartum care only, 4-6 visits

$39K

448 claims · 0.1%

Your Cost: $87.90/claim|Median: $63.63
1.4× median
90670Normal range

$38K

4,159 claims · 0.1%

Your Cost: $9.05/claim|Median: $5.94
1.5× median
51798Top 10%

$31K

1,254 claims · 0.1%

Your Cost: $24.84/claim|Median: $6.59
3.8× median
94729Top 5%

$31K

494 claims · 0.1%

Your Cost: $62.82/claim|Median: $12.24
5.1× median

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$1.73B

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