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Provider 1861859878

NPI: 1861859878Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,573,157

Total Claims

113K

Beneficiaries

53K

2.1 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$99K
+316%
2019
$412K
+256%
2020
$1.5M
+6%
2021
$1.6M
-47%
2022
$824K
+110%
2023
$1.7M
+158%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 31% of total spending.

90834Top 10%

Psychotherapy, 45 minutes

$3.2M

24K claims · 30.6%

Your Cost: $132.67/claim|Median: $63.65
2.1× median
99213Top 10%

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

$3.0M

35K claims · 28.1%

Your Cost: $85.85/claim|Median: $37.81
2.3× median
97530Top 5%

Therapeutic activities, each 15 min

$882K

7,750 claims · 8.3%

Your Cost: $113.79/claim|Median: $33.11
3.4× median
90832Top 5%

Psychotherapy, 30 minutes

$655K

5,314 claims · 6.2%

Your Cost: $123.20/claim|Median: $41.28
3.0× median
99203Top 5%

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

$575K

4,759 claims · 5.4%

Your Cost: $120.88/claim|Median: $57.85
2.1× median
92507Top 5%

Speech/hearing/language treatment

$418K

3,892 claims · 4.0%

Your Cost: $107.33/claim|Median: $49.45
2.2× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$246K

2,526 claims · 2.3%

Your Cost: $97.33/claim|Median: $40.11
2.4× median
17110Top 10%

Destruction of benign lesions, up to fourteen

$223K

1,907 claims · 2.1%

Your Cost: $116.76/claim|Median: $59.25
2.0× median
99214Top 25%

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

$204K

2,269 claims · 1.9%

Your Cost: $89.95/claim|Median: $53.41
1.7× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$146K

2,058 claims · 1.4%

Your Cost: $71.05/claim|Median: $24.33
2.9× median
90846Top 10%

Family psychotherapy without patient, 50 min

$136K

983 claims · 1.3%

Your Cost: $138.03/claim|Median: $76.61
1.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$131K

806 claims · 1.2%

Your Cost: $162.08/claim|Median: $99.21
1.6× median
97110Top 10%

Therapeutic exercises, each 15 min

$121K

1,580 claims · 1.1%

Your Cost: $76.83/claim|Median: $24.49
3.1× median
97161Top 25%

Physical therapy evaluation, low complexity

$106K

1,085 claims · 1.0%

Your Cost: $97.89/claim|Median: $47.89
2.0× median
76830Normal range

Ultrasound, transvaginal

$98K

1,411 claims · 0.9%

Your Cost: $69.76/claim|Median: $57.47
1.2× median
99212Top 10%

Office/outpatient visit, low complexity

$90K

1,044 claims · 0.9%

Your Cost: $86.31/claim|Median: $25.06
3.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$81K

1,410 claims · 0.8%

Your Cost: $57.14/claim|Median: $72.71
0.8× median
11730Top 5%

$40K

381 claims · 0.4%

Your Cost: $105.61/claim|Median: $24.59
4.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$25K

363 claims · 0.2%

Your Cost: $67.56/claim|Median: $74.82
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$20K

3,973 claims · 0.2%

Your Cost: $4.91/claim|Median: $1.57
3.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$18K

617 claims · 0.2%

Your Cost: $29.26/claim|Median: $17.85
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$15K

383 claims · 0.1%

Your Cost: $39.47/claim|Median: $75.18
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$14K

262 claims · 0.1%

Your Cost: $52.48/claim|Median: $76.06
0.7× median
G0467Normal range

Federally qualified health center visit, mental health

$13K

401 claims · 0.1%

Your Cost: $31.29/claim|Median: $21.91
1.4× median
97802Top 5%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$9K

60 claims · 0.1%

Your Cost: $149.72/claim|Median: $12.70
11.8× median
99211Top 10%

Office/outpatient visit, minimal complexity

$9K

134 claims · 0.1%

Your Cost: $66.30/claim|Median: $12.93
5.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$9K

1,448 claims · 0.1%

Your Cost: $5.90/claim|Median: $11.48
0.5× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$8K

197 claims · 0.1%

Your Cost: $39.13/claim|Median: $30.04
1.3× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$7K

261 claims · 0.1%

Your Cost: $25.75/claim|Median: $16.79
1.5× median
20560Normal range

$7K

1,520 claims · 0.1%

Your Cost: $4.35/claim|Median: $12.63
0.3× median
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