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Provider 1851414965

NPI: 1851414965Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,587,417

Total Claims

154K

Beneficiaries

104K

1.5 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$782K
+2%
2019
$798K
+69%
2020
$1.3M
+39%
2021
$1.9M
-56%
2022
$826K
+48%
2023
$1.2M
+42%
2024
$1.7M

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 47% of total spending.

99213Top 10%

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

$4.0M

55K claims · 47.1%

Your Cost: $72.86/claim|Median: $37.81
1.9× median
99214Top 25%

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

$1.2M

14K claims · 13.5%

Your Cost: $80.58/claim|Median: $53.41
1.5× median
90834Top 25%

Psychotherapy, 45 minutes

$837K

7,758 claims · 9.7%

Your Cost: $107.84/claim|Median: $63.65
1.7× median
90832Top 10%

Psychotherapy, 30 minutes

$450K

4,434 claims · 5.2%

Your Cost: $101.52/claim|Median: $41.28
2.5× median
99212Top 10%

Office/outpatient visit, low complexity

$364K

5,144 claims · 4.2%

Your Cost: $70.74/claim|Median: $25.06
2.8× median
90863Top 10%

$357K

3,859 claims · 4.2%

Your Cost: $92.63/claim|Median: $29.71
3.1× median
D1110Normal range

Prophylaxis, adult cleaning

$237K

5,287 claims · 2.8%

Your Cost: $44.81/claim|Median: $43.38
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$171K

3,977 claims · 2.0%

Your Cost: $43.09/claim|Median: $32.07
1.3× median
D0140Top 10%

Limited oral evaluation, problem focused

$120K

2,355 claims · 1.4%

Your Cost: $50.79/claim|Median: $27.07
1.9× median
99203Top 25%

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

$113K

1,322 claims · 1.3%

Your Cost: $85.16/claim|Median: $57.85
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$96K

759 claims · 1.1%

Your Cost: $125.95/claim|Median: $108.91
1.2× median
90837Top 25%

Psychotherapy, 60 minutes

$94K

753 claims · 1.1%

Your Cost: $124.70/claim|Median: $85.66
1.5× median
D0120Normal range

Periodic oral evaluation, established patient

$87K

3,105 claims · 1.0%

Your Cost: $28.00/claim|Median: $24.34
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$52K

858 claims · 0.6%

Your Cost: $60.31/claim|Median: $76.06
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$47K

1,188 claims · 0.5%

Your Cost: $39.35/claim|Median: $46.33
0.8× median
D0274Normal range

Bitewings, four radiographic images

$34K

1,201 claims · 0.4%

Your Cost: $28.34/claim|Median: $22.54
1.3× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$30K

314 claims · 0.3%

Your Cost: $94.22/claim|Median: $40.11
2.3× median
99204Normal range

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

$26K

290 claims · 0.3%

Your Cost: $89.33/claim|Median: $84.03
1.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$26K

187 claims · 0.3%

Your Cost: $138.02/claim|Median: $99.21
1.4× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$23K

1,698 claims · 0.3%

Your Cost: $13.58/claim|Median: $10.51
1.3× median
3028FTop 1%

$23K

1,008 claims · 0.3%

Your Cost: $22.37/claim|Median: $0.01
2237.1× median
D9110Top 5%

$22K

347 claims · 0.3%

Your Cost: $63.37/claim|Median: $38.08
1.7× median
D5899Normal range

$18K

113 claims · 0.2%

Your Cost: $156.79/claim|Median: $30.31
5.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$16K

221 claims · 0.2%

Your Cost: $72.51/claim|Median: $54.60
1.3× median
82962Top 10%

Blood glucose test by monitoring device

$16K

3,913 claims · 0.2%

Your Cost: $4.00/claim|Median: $1.40
2.9× median
D1120Top 10%

Prophylaxis, adult

$11K

230 claims · 0.1%

Your Cost: $47.75/claim|Median: $33.86
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$11K

136 claims · 0.1%

Your Cost: $79.95/claim|Median: $74.09
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$7K

82 claims · 0.1%

Your Cost: $85.30/claim|Median: $71.00
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$7K

5,713 claims · 0.1%

Your Cost: $1.15/claim|Median: $1.57
0.7× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$6K

2,388 claims · 0.1%

Your Cost: $2.50/claim|Median: $12.70
0.2× median
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