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Provider 1841476553

NPI: 1841476553Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$7.7M

$7,713,279

Total Claims

56K

Beneficiaries

38K

1.5 claims/patient

Avg Cost/Claim

$139

Monthly Spending Trend

Yearly Spending

2018
$239K
+247%
2019
$830K
+108%
2020
$1.7M
+6%
2021
$1.8M
-63%
2022
$674K
+48%
2023
$1.0M
+41%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (G9008 (Coordination of long-term care services, per month)) accounts for 53% of total spending.

G9008Top 25%

Coordination of long-term care services, per month

$4.1M

20K claims · 53.0%

Your Cost: $207.80/claim|Median: $66.78
3.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$2.5M

9,970 claims · 32.7%

Your Cost: $252.91/claim|Median: $137.85
1.8× median
H0043Top 25%

Supported housing, per diem

$263K

586 claims · 3.4%

Your Cost: $449.00/claim|Median: $164.87
2.7× median
99213Top 5%

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

$242K

1,705 claims · 3.1%

Your Cost: $141.75/claim|Median: $37.81
3.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$140K

5,014 claims · 1.8%

Your Cost: $27.88/claim|Median: $23.39
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$139K

4,948 claims · 1.8%

Your Cost: $28.01/claim|Median: $24.95
1.1× median
H2016Normal range

Comprehensive community support services, per 15 min

$102K

228 claims · 1.3%

Your Cost: $449.00/claim|Median: $321.53
1.4× median
99212Top 5%

Office/outpatient visit, low complexity

$83K

776 claims · 1.1%

Your Cost: $106.98/claim|Median: $25.06
4.3× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$41K

2,145 claims · 0.5%

Your Cost: $19.04/claim|Median: $18.03
1.1× median
J3490Top 25%

Unclassified drugs

$25K

583 claims · 0.3%

Your Cost: $42.93/claim|Median: $5.70
7.5× median
99401Normal range

$23K

1,244 claims · 0.3%

Your Cost: $18.81/claim|Median: $16.53
1.1× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$11K

13 claims · 0.1%

Your Cost: $882.00/claim|Median: $786.43
1.1× median
86592Normal range

$10K

2,996 claims · 0.1%

Your Cost: $3.44/claim|Median: $3.35
1.0× median
81025Normal range

Urine pregnancy test

$8K

2,857 claims · 0.1%

Your Cost: $2.78/claim|Median: $4.81
0.6× median
87210Normal range

$3K

1,005 claims · 0.0%

Your Cost: $3.35/claim|Median: $3.65
0.9× median
99402Normal range

$3K

85 claims · 0.0%

Your Cost: $31.79/claim|Median: $31.79
1.0× median
99214Top 1%

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

$3K

12 claims · 0.0%

Your Cost: $222.26/claim|Median: $53.41
4.2× median
11981Normal range

$2K

12 claims · 0.0%

Your Cost: $205.00/claim|Median: $117.16
1.7× median
11976Normal range

$2K

53 claims · 0.0%

Your Cost: $40.90/claim|Median: $57.06
0.7× median
A4267Normal range

$2K

575 claims · 0.0%

Your Cost: $3.23/claim|Median: $7.86
0.4× median
99403Normal range

$2K

40 claims · 0.0%

Your Cost: $44.51/claim|Median: $47.11
0.9× median
S5199Normal range

Personal care item, NOS, each

$868

373 claims · 0.0%

Your Cost: $2.33/claim|Median: $10.82
0.2× median
81003Normal range

Urinalysis, automated without microscopy

$709

401 claims · 0.0%

Your Cost: $1.77/claim|Median: $1.48
1.2× median
81001Normal range

Urinalysis, automated, with microscopy

$650

243 claims · 0.0%

Your Cost: $2.67/claim|Median: $2.03
1.3× median
81015Normal range

$292

131 claims · 0.0%

Your Cost: $2.23/claim|Median: $1.38
1.6× median
S4993Normal range

$103

12 claims · 0.0%

Your Cost: $8.58/claim|Median: $46.61
0.2× median
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