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Provider 1851300149

NPI: 1851300149Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.7M

$17,723,147

Total Claims

272K

Beneficiaries

231K

1.2 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+19%
2019
$3.7M
-10%
2020
$3.3M
-20%
2021
$2.6M
-18%
2022
$2.2M
-22%
2023
$1.7M
-29%
2024
$1.2M

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 49% of total spending.

99213Top 5%

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

$8.7M

60K claims · 49.3%

Your Cost: $145.77/claim|Median: $37.81
3.9× median
99214Top 5%

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

$3.9M

26K claims · 22.0%

Your Cost: $148.17/claim|Median: $53.41
2.8× median
X5622Normal range

$731K

5,661 claims · 4.1%

Your Cost: $129.19/claim|Median: $52.61
2.5× median
90837Top 5%

Psychotherapy, 60 minutes

$654K

3,775 claims · 3.7%

Your Cost: $173.14/claim|Median: $85.66
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$643K

3,415 claims · 3.6%

Your Cost: $188.16/claim|Median: $25.06
7.5× median
90832Top 5%

Psychotherapy, 30 minutes

$441K

2,955 claims · 2.5%

Your Cost: $149.15/claim|Median: $41.28
3.6× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$370K

3,686 claims · 2.1%

Your Cost: $100.35/claim|Median: $75.18
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$216K

3,571 claims · 1.2%

Your Cost: $60.50/claim|Median: $69.35
0.9× median
99203Top 5%

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

$210K

1,214 claims · 1.2%

Your Cost: $173.11/claim|Median: $57.85
3.0× median
90834Top 5%

Psychotherapy, 45 minutes

$209K

1,345 claims · 1.2%

Your Cost: $155.53/claim|Median: $63.65
2.4× median
99232Top 1%

Subsequent hospital care, per day, moderate complexity

$204K

1,430 claims · 1.2%

Your Cost: $142.95/claim|Median: $23.99
6.0× median
99215Top 5%

Office/outpatient visit, high complexity

$185K

1,021 claims · 1.0%

Your Cost: $180.71/claim|Median: $74.09
2.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$178K

1,936 claims · 1.0%

Your Cost: $92.18/claim|Median: $74.82
1.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$176K

5,062 claims · 1.0%

Your Cost: $34.78/claim|Median: $21.91
1.6× median
99238Top 1%

Hospital discharge day management, 30 minutes or less

$154K

1,122 claims · 0.9%

Your Cost: $137.04/claim|Median: $37.22
3.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$145K

858 claims · 0.8%

Your Cost: $168.49/claim|Median: $40.11
4.2× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$80K

665 claims · 0.4%

Your Cost: $119.66/claim|Median: $80.15
1.5× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$72K

430 claims · 0.4%

Your Cost: $168.29/claim|Median: $72.71
2.3× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$66K

373 claims · 0.4%

Your Cost: $176.75/claim|Median: $76.06
2.3× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$56K

302 claims · 0.3%

Your Cost: $186.52/claim|Median: $108.91
1.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$47K

328 claims · 0.3%

Your Cost: $142.07/claim|Median: $99.21
1.4× median
99460Top 1%

Initial hospital or birthing center care, newborn, per day

$45K

228 claims · 0.3%

Your Cost: $199.47/claim|Median: $62.48
3.2× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$45K

266 claims · 0.3%

Your Cost: $169.23/claim|Median: $51.25
3.3× median
76805Top 5%

Ultrasound, pregnant uterus, complete, single fetus

$29K

159 claims · 0.2%

Your Cost: $182.14/claim|Median: $74.78
2.4× median
99231Top 1%

Subsequent hospital care, per day, low complexity

$29K

149 claims · 0.2%

Your Cost: $191.53/claim|Median: $16.77
11.4× median
S0302Normal range

$24K

4,924 claims · 0.1%

Your Cost: $4.78/claim|Median: $9.05
0.5× median
59409Normal range

Vaginal delivery only

$20K

113 claims · 0.1%

Your Cost: $176.57/claim|Median: $619.91
0.3× median
91306

$13K

286 claims · 0.1%

91307Top 1%

$8K

91 claims · 0.0%

Your Cost: $92.11/claim|Median: $0.01
9211.0× median
80047Normal range

$7K

5,877 claims · 0.0%

Your Cost: $1.17/claim|Median: $6.12
0.2× median
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