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Provider 1861496358

NPI: 1861496358Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,649,396

Total Claims

132K

Beneficiaries

96K

1.4 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$390K
+205%
2019
$1.2M
+86%
2020
$2.2M
-2%
2021
$2.2M
-10%
2022
$2.0M
-30%
2023
$1.4M
-2%
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 42% of total spending.

99213Top 5%

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

$4.5M

46K claims · 41.9%

Your Cost: $96.45/claim|Median: $37.81
2.6× median
99214Top 10%

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

$4.1M

37K claims · 38.6%

Your Cost: $111.14/claim|Median: $53.41
2.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$242K

6,370 claims · 2.3%

Your Cost: $38.02/claim|Median: $12.93
2.9× median
90837Top 25%

Psychotherapy, 60 minutes

$191K

1,629 claims · 1.8%

Your Cost: $117.44/claim|Median: $85.66
1.4× median
J0741Top 25%

$184K

37 claims · 1.7%

Your Cost: $4,981.36/claim|Median: $1,261.25
3.9× median
99212Top 10%

Office/outpatient visit, low complexity

$174K

2,054 claims · 1.6%

Your Cost: $84.84/claim|Median: $25.06
3.4× median
99203Top 10%

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

$159K

1,503 claims · 1.5%

Your Cost: $105.47/claim|Median: $57.85
1.8× median
80305Top 10%

$149K

12K claims · 1.4%

Your Cost: $12.15/claim|Median: $7.44
1.6× median
J0739Normal range

$140K

42 claims · 1.3%

Your Cost: $3,328.86/claim|Median: $3,408.09
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$100K

798 claims · 0.9%

Your Cost: $125.57/claim|Median: $74.09
1.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$85K

3,452 claims · 0.8%

Your Cost: $24.67/claim|Median: $9.56
2.6× median
90471Top 25%

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

$65K

4,049 claims · 0.6%

Your Cost: $16.05/claim|Median: $9.80
1.6× median
S5102Top 25%

Day care services, adult; per 15 min

$65K

537 claims · 0.6%

Your Cost: $120.28/claim|Median: $81.10
1.5× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$57K

596 claims · 0.5%

Your Cost: $95.82/claim|Median: $40.11
2.4× median
90834Top 25%

Psychotherapy, 45 minutes

$54K

552 claims · 0.5%

Your Cost: $97.09/claim|Median: $63.65
1.5× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$50K

696 claims · 0.5%

Your Cost: $71.65/claim|Median: $13.30
5.4× median
98968Top 10%

$42K

516 claims · 0.4%

Your Cost: $81.81/claim|Median: $28.39
2.9× median
99406Top 25%

$34K

2,822 claims · 0.3%

Your Cost: $11.93/claim|Median: $6.53
1.8× median
90832Top 10%

Psychotherapy, 30 minutes

$30K

326 claims · 0.3%

Your Cost: $91.00/claim|Median: $41.28
2.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$29K

1,541 claims · 0.3%

Your Cost: $18.71/claim|Median: $7.18
2.6× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$21K

322 claims · 0.2%

Your Cost: $64.71/claim|Median: $24.33
2.7× median
G2023Normal range

Specimen collection for COVID-19 testing

$20K

1,421 claims · 0.2%

Your Cost: $14.19/claim|Median: $17.15
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$20K

3,565 claims · 0.2%

Your Cost: $5.48/claim|Median: $3.67
1.5× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$19K

281 claims · 0.2%

Your Cost: $68.82/claim|Median: $22.44
3.1× median
99204Top 25%

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

$19K

150 claims · 0.2%

Your Cost: $125.29/claim|Median: $84.03
1.5× median
90750Top 25%

$16K

94 claims · 0.2%

Your Cost: $174.10/claim|Median: $96.16
1.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$13K

473 claims · 0.1%

Your Cost: $26.54/claim|Median: $17.85
1.5× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$11K

290 claims · 0.1%

Your Cost: $37.32/claim|Median: $32.49
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$9K

290 claims · 0.1%

Your Cost: $29.46/claim|Median: $33.85
0.9× median
S0612Top 10%

$8K

69 claims · 0.1%

Your Cost: $109.63/claim|Median: $37.12
3.0× median
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