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Provider 1811405616

NPI: 1811405616Share
Active Billing Period:2018-04→2022-11(55 months)
Billing appears to have stoppedLast active: 2022-11

Total Paid

$8.0M

$7,977,461

Total Claims

177K

Beneficiaries

87K

2.0 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$994K
-3%
2019
$968K
+199%
2020
$2.9M
-18%
2021
$2.4M
-68%
2022
$755K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0482 (Drug test, definitive, 15-21 drug classes)) accounts for 22% of total spending.

G0482Top 25%

Drug test, definitive, 15-21 drug classes

$1.7M

13K claims · 21.8%

Your Cost: $136.37/claim|Median: $75.26
1.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.3M

28K claims · 16.3%

Your Cost: $46.36/claim|Median: $35.43
1.3× median
99213Normal range

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

$1.3M

27K claims · 16.0%

Your Cost: $46.61/claim|Median: $37.81
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$1.2M

29K claims · 15.2%

Your Cost: $42.40/claim|Median: $41.28
1.0× median
82075Top 5%

Alcohol (ethanol) breath test

$425K

14K claims · 5.3%

Your Cost: $29.49/claim|Median: $16.59
1.8× median
90833Normal range

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

$401K

11K claims · 5.0%

Your Cost: $37.66/claim|Median: $38.83
1.0× median
99214Normal range

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

$352K

5,579 claims · 4.4%

Your Cost: $63.17/claim|Median: $53.41
1.2× median
99406Top 10%

$272K

17K claims · 3.4%

Your Cost: $16.43/claim|Median: $6.53
2.5× median
99401Top 25%

$226K

7,642 claims · 2.8%

Your Cost: $29.52/claim|Median: $16.53
1.8× median
99407Top 10%

$150K

4,656 claims · 1.9%

Your Cost: $32.29/claim|Median: $13.29
2.4× median
99402Normal range

$139K

2,854 claims · 1.7%

Your Cost: $48.60/claim|Median: $31.79
1.5× median
81025Top 5%

Urine pregnancy test

$114K

6,522 claims · 1.4%

Your Cost: $17.55/claim|Median: $4.81
3.6× median
86328Top 25%

$99K

2,621 claims · 1.2%

Your Cost: $37.85/claim|Median: $20.52
1.8× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$73K

734 claims · 0.9%

Your Cost: $99.48/claim|Median: $37.56
2.6× median
90863Normal range

$30K

1,738 claims · 0.4%

Your Cost: $17.06/claim|Median: $29.71
0.6× median
80305Top 5%

$24K

793 claims · 0.3%

Your Cost: $30.84/claim|Median: $7.44
4.1× median
90853Normal range

Group psychotherapy

$24K

1,309 claims · 0.3%

Your Cost: $18.30/claim|Median: $25.02
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$23K

274 claims · 0.3%

Your Cost: $83.73/claim|Median: $85.66
1.0× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$19K

381 claims · 0.2%

Your Cost: $49.20/claim|Median: $64.72
0.8× median
99204Normal range

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

$12K

204 claims · 0.2%

Your Cost: $59.55/claim|Median: $84.03
0.7× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$9K

615 claims · 0.1%

Your Cost: $14.58/claim|Median: $9.70
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$7K

114 claims · 0.1%

Your Cost: $60.66/claim|Median: $63.65
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$7K

219 claims · 0.1%

Your Cost: $29.75/claim|Median: $25.06
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$6K

85 claims · 0.1%

Your Cost: $72.41/claim|Median: $72.71
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$6K

73 claims · 0.1%

Your Cost: $77.31/claim|Median: $76.06
1.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$5K

97 claims · 0.1%

Your Cost: $53.47/claim|Median: $76.22
0.7× median
99203Normal range

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

$5K

99 claims · 0.1%

Your Cost: $51.74/claim|Median: $57.85
0.9× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$5K

608 claims · 0.1%

Your Cost: $7.64/claim|Median: $90.89
0.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$4K

283 claims · 0.1%

Your Cost: $14.96/claim|Median: $9.56
1.6× median
H0031Top 25%

Mental health assessment by non-physician

$3K

21 claims · 0.0%

Your Cost: $165.40/claim|Median: $96.18
1.7× median
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