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Provider 1801817150

NPI: 1801817150Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.4M

$8,400,617

Total Claims

208K

Beneficiaries

110K

1.9 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$551K
+44%
2019
$795K
-17%
2020
$659K
+77%
2021
$1.2M
+38%
2022
$1.6M
+13%
2023
$1.8M
-0%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (99231 (Subsequent hospital care, per day, low complexity)) accounts for 37% of total spending.

99231Top 25%

Subsequent hospital care, per day, low complexity

$3.1M

126K claims · 37.0%

Your Cost: $24.69/claim|Median: $16.77
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2.8M

25K claims · 33.2%

Your Cost: $111.31/claim|Median: $108.91
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$829K

20K claims · 9.9%

Your Cost: $41.81/claim|Median: $37.22
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$731K

18K claims · 8.7%

Your Cost: $41.17/claim|Median: $23.99
1.7× median
99213Normal range

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

$589K

14K claims · 7.0%

Your Cost: $41.99/claim|Median: $37.81
1.1× median
99214Normal range

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

$178K

2,601 claims · 2.1%

Your Cost: $68.27/claim|Median: $53.41
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$112K

1,761 claims · 1.3%

Your Cost: $63.86/claim|Median: $51.25
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$56K

630 claims · 0.7%

Your Cost: $89.11/claim|Median: $85.66
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$4K

65 claims · 0.0%

Your Cost: $57.95/claim|Median: $74.09
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$3K

52 claims · 0.0%

Your Cost: $48.83/claim|Median: $63.65
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2K

44 claims · 0.0%

Your Cost: $53.59/claim|Median: $35.30
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

12 claims · 0.0%

Your Cost: $114.09/claim|Median: $111.09
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$1K

12 claims · 0.0%

Your Cost: $104.38/claim|Median: $99.21
1.1× median
99308Normal range

Nursing facility care, subsequent, straightforward

$1K

94 claims · 0.0%

Your Cost: $11.76/claim|Median: $9.79
1.2× median
99334Top 25%

$331

13 claims · 0.0%

Your Cost: $25.47/claim|Median: $9.92
2.6× median