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Provider 1841263399

NPI: 1841263399Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,051,766

Total Claims

786K

Beneficiaries

691K

1.1 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$37K
+3546%
2019
$1.3M
-8%
2020
$1.2M
+7%
2021
$1.3M
+24%
2022
$1.6M
-5%
2023
$1.6M
-42%
2024
$902K

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 33% of total spending.

99213Normal range

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

$2.7M

78K claims · 33.0%

Your Cost: $33.84/claim|Median: $37.81
0.9× median
99214Normal range

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

$1.0M

22K claims · 13.0%

Your Cost: $48.52/claim|Median: $53.41
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$501K

18K claims · 6.2%

Your Cost: $27.53/claim|Median: $25.06
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$435K

7,139 claims · 5.4%

Your Cost: $60.93/claim|Median: $63.65
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$361K

5,032 claims · 4.5%

Your Cost: $71.74/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$307K

4,332 claims · 3.8%

Your Cost: $70.83/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$283K

3,777 claims · 3.5%

Your Cost: $74.80/claim|Median: $74.82
1.0× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$254K

5,690 claims · 3.1%

Your Cost: $44.57/claim|Median: $121.16
0.4× median
99203Normal range

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

$240K

3,916 claims · 3.0%

Your Cost: $61.23/claim|Median: $57.85
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$195K

2,650 claims · 2.4%

Your Cost: $73.75/claim|Median: $80.15
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$181K

2,063 claims · 2.2%

Your Cost: $87.66/claim|Median: $99.21
0.9× median
99204Normal range

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

$154K

1,700 claims · 1.9%

Your Cost: $90.37/claim|Median: $84.03
1.1× median
H1000Normal range

Prenatal care, at-risk assessment

$124K

2,352 claims · 1.5%

Your Cost: $52.83/claim|Median: $50.36
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$117K

1,587 claims · 1.5%

Your Cost: $73.99/claim|Median: $76.06
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$105K

1,576 claims · 1.3%

Your Cost: $66.66/claim|Median: $72.71
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$90K

881 claims · 1.1%

Your Cost: $102.54/claim|Median: $108.91
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$89K

2,047 claims · 1.1%

Your Cost: $43.35/claim|Median: $41.28
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$68K

3,832 claims · 0.8%

Your Cost: $17.67/claim|Median: $84.12
0.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$61K

1,495 claims · 0.8%

Your Cost: $41.12/claim|Median: $40.11
1.0× median
90471Normal range

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

$49K

15K claims · 0.6%

Your Cost: $3.30/claim|Median: $9.80
0.3× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$49K

409 claims · 0.6%

Your Cost: $120.23/claim|Median: $74.63
1.6× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$47K

748 claims · 0.6%

Your Cost: $63.30/claim|Median: $76.22
0.8× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$38K

258 claims · 0.5%

Your Cost: $146.89/claim|Median: $114.71
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$37K

9,119 claims · 0.5%

Your Cost: $4.11/claim|Median: $11.48
0.4× median
59410Normal range

$37K

42 claims · 0.5%

Your Cost: $877.31/claim|Median: $781.64
1.1× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$36K

1,524 claims · 0.4%

Your Cost: $23.77/claim|Median: $39.63
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$35K

7,694 claims · 0.4%

Your Cost: $4.60/claim|Median: $11.79
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$34K

8,033 claims · 0.4%

Your Cost: $4.25/claim|Median: $12.93
0.3× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$31K

2,563 claims · 0.4%

Your Cost: $12.14/claim|Median: $30.04
0.4× median
H0031Normal range

Mental health assessment by non-physician

$25K

780 claims · 0.3%

Your Cost: $32.50/claim|Median: $96.18
0.3× median
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