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Provider 1841536554

NPI: 1841536554Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,418,630

Total Claims

120K

Beneficiaries

70K

1.7 claims/patient

Avg Cost/Claim

$136

Monthly Spending Trend

Yearly Spending

2018
$36K
+2412%
2019
$899K
+146%
2020
$2.2M
+31%
2021
$2.9M
-5%
2022
$2.8M
+34%
2023
$3.7M
+7%
2024
$3.9M

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 23% of total spending.

99213Top 1%

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

$3.7M

19K claims · 22.6%

Your Cost: $190.73/claim|Median: $37.81
5.0× median
99212Top 5%

Office/outpatient visit, low complexity

$2.6M

16K claims · 15.7%

Your Cost: $163.54/claim|Median: $25.06
6.5× median
99214Top 5%

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

$1.8M

11K claims · 11.2%

Your Cost: $171.95/claim|Median: $53.41
3.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$1.8M

26K claims · 10.7%

Your Cost: $68.04/claim|Median: $21.91
3.1× median
90791Top 5%

Psychiatric diagnostic evaluation

$1.5M

7,384 claims · 9.4%

Your Cost: $208.60/claim|Median: $99.21
2.1× median
90832Top 5%

Psychotherapy, 30 minutes

$1.5M

7,960 claims · 8.9%

Your Cost: $182.78/claim|Median: $41.28
4.4× median
G2025Top 5%

$892K

9,153 claims · 5.4%

Your Cost: $97.47/claim|Median: $15.63
6.2× median
90834Top 5%

Psychotherapy, 45 minutes

$847K

4,899 claims · 5.2%

Your Cost: $172.83/claim|Median: $63.65
2.7× median
D0120Top 5%

Periodic oral evaluation, established patient

$708K

7,258 claims · 4.3%

Your Cost: $97.61/claim|Median: $24.34
4.0× median
D1110Top 1%

Prophylaxis, adult cleaning

$442K

4,413 claims · 2.7%

Your Cost: $100.27/claim|Median: $43.38
2.3× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$144K

920 claims · 0.9%

Your Cost: $156.74/claim|Median: $76.06
2.1× median
99211Top 1%

Office/outpatient visit, minimal complexity

$100K

436 claims · 0.6%

Your Cost: $229.83/claim|Median: $12.93
17.8× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$97K

568 claims · 0.6%

Your Cost: $171.03/claim|Median: $72.71
2.4× median
G0470Normal range

Chronic care management services, FQHC/RHC

$80K

1,229 claims · 0.5%

Your Cost: $65.43/claim|Median: $45.95
1.4× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$51K

318 claims · 0.3%

Your Cost: $161.65/claim|Median: $40.11
4.0× median
99215Top 5%

Office/outpatient visit, high complexity

$28K

140 claims · 0.2%

Your Cost: $200.66/claim|Median: $74.09
2.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$28K

460 claims · 0.2%

Your Cost: $60.18/claim|Median: $32.07
1.9× median
99203Top 5%

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

$27K

160 claims · 0.2%

Your Cost: $170.10/claim|Median: $57.85
2.9× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$17K

408 claims · 0.1%

Your Cost: $42.82/claim|Median: $10.51
4.1× median
D0274Top 5%

Bitewings, four radiographic images

$17K

388 claims · 0.1%

Your Cost: $43.99/claim|Median: $22.54
2.0× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$10K

56 claims · 0.1%

Your Cost: $175.43/claim|Median: $76.22
2.3× median
99386Top 10%

Preventive visit, new patient, 40-64 yr

$8K

53 claims · 0.1%

Your Cost: $158.02/claim|Median: $87.82
1.8× median
G8417Top 10%

$8K

517 claims · 0.0%

Your Cost: $14.51/claim|Median: $0.06
241.8× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$7K

38 claims · 0.0%

Your Cost: $188.70/claim|Median: $111.09
1.7× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

214 claims · 0.0%

Your Cost: $25.06/claim|Median: $33.85
0.7× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$5K

31 claims · 0.0%

Your Cost: $159.48/claim|Median: $27.38
5.8× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$4K

191 claims · 0.0%

Your Cost: $20.53/claim|Median: $25.93
0.8× median
97542Top 1%

Wheelchair management training

$4K

16 claims · 0.0%

Your Cost: $240.79/claim|Median: $18.66
12.9× median
90471Normal range

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

$3K

248 claims · 0.0%

Your Cost: $11.53/claim|Median: $9.80
1.2× median
D9110Top 1%

$3K

27 claims · 0.0%

Your Cost: $102.20/claim|Median: $38.08
2.7× median
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