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Provider 1851693832

NPI: 1851693832Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,313,985

Total Claims

86K

Beneficiaries

65K

1.3 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$948K
+11%
2019
$1.0M
+27%
2020
$1.3M
-1%
2021
$1.3M
-23%
2022
$1.0M
+38%
2023
$1.4M
-11%
2024
$1.3M

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 63% of total spending.

99213Top 1%

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

$5.2M

31K claims · 62.9%

Your Cost: $166.12/claim|Median: $37.81
4.4× median
99214Top 5%

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

$1.9M

14K claims · 22.8%

Your Cost: $136.25/claim|Median: $53.41
2.6× median
90832Top 5%

Psychotherapy, 30 minutes

$314K

1,906 claims · 3.8%

Your Cost: $164.58/claim|Median: $41.28
4.0× median
H0023Top 25%

Behavioral health outreach service, per 15 minutes

$258K

2,031 claims · 3.1%

Your Cost: $127.12/claim|Median: $53.97
2.4× median
H0031Top 10%

Mental health assessment by non-physician

$141K

640 claims · 1.7%

Your Cost: $220.79/claim|Median: $96.18
2.3× median
H0025Top 25%

Behavioral health prevention education, per session

$112K

926 claims · 1.3%

Your Cost: $121.16/claim|Median: $36.25
3.3× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$69K

328 claims · 0.8%

Your Cost: $208.93/claim|Median: $74.82
2.8× median
G0467Normal range

Federally qualified health center visit, mental health

$61K

3,693 claims · 0.7%

Your Cost: $16.53/claim|Median: $21.91
0.8× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$58K

265 claims · 0.7%

Your Cost: $220.63/claim|Median: $80.15
2.8× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$37K

133 claims · 0.4%

Your Cost: $278.41/claim|Median: $13.30
20.9× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$34K

122 claims · 0.4%

Your Cost: $280.24/claim|Median: $22.44
12.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$24K

1,786 claims · 0.3%

Your Cost: $13.57/claim|Median: $17.85
0.8× median
99212Top 5%

Office/outpatient visit, low complexity

$20K

152 claims · 0.2%

Your Cost: $132.70/claim|Median: $25.06
5.3× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$18K

74 claims · 0.2%

Your Cost: $242.52/claim|Median: $69.35
3.5× median
90471Normal range

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

$16K

1,409 claims · 0.2%

Your Cost: $11.07/claim|Median: $9.80
1.1× median
99203Top 5%

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

$14K

72 claims · 0.2%

Your Cost: $200.90/claim|Median: $57.85
3.5× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$7K

28 claims · 0.1%

Your Cost: $244.03/claim|Median: $76.06
3.2× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$3K

15 claims · 0.0%

Your Cost: $220.00/claim|Median: $40.11
5.5× median
G2025Normal range

$1K

89 claims · 0.0%

Your Cost: $12.00/claim|Median: $15.63
0.8× median
90461Normal range

Immunization admin, additional vaccine, counseling

$717

328 claims · 0.0%

Your Cost: $2.19/claim|Median: $6.93
0.3× median
G8433Normal range

$233

7,327 claims · 0.0%

Your Cost: $0.03/claim|Median: $0.03
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$210

619 claims · 0.0%

Your Cost: $0.34/claim|Median: $7.18
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$5

2,630 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67
0.0× median
90619Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.36
90670Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
90715Normal range

Tdap vaccine

$0

86 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
90661Normal range

$0

37 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.37
99211Normal range

Office/outpatient visit, minimal complexity

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93
82947Normal range

Blood glucose level test

$0

62 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.38
99080Normal range

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.15
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