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Provider 1871505032

NPI: 1871505032Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,925,847

Total Claims

77K

Beneficiaries

64K

1.2 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-18%
2019
$1.3M
+13%
2020
$1.5M
+10%
2021
$1.6M
-24%
2022
$1.2M
+31%
2023
$1.6M
-27%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 32% of total spending.

99214Top 5%

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

$3.2M

21K claims · 32.3%

Your Cost: $154.03/claim|Median: $53.41
2.9× median
99213Top 1%

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

$1.6M

10K claims · 16.3%

Your Cost: $157.81/claim|Median: $37.81
4.2× median
90834Top 5%

Psychotherapy, 45 minutes

$1.3M

7,958 claims · 13.2%

Your Cost: $164.45/claim|Median: $63.65
2.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$949K

5,464 claims · 9.6%

Your Cost: $173.70/claim|Median: $96.24
1.8× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$517K

2,972 claims · 5.2%

Your Cost: $173.80/claim|Median: $91.63
1.9× median
90837Top 5%

Psychotherapy, 60 minutes

$516K

2,975 claims · 5.2%

Your Cost: $173.45/claim|Median: $85.66
2.0× median
90832Top 5%

Psychotherapy, 30 minutes

$214K

1,259 claims · 2.2%

Your Cost: $169.60/claim|Median: $41.28
4.1× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$212K

1,052 claims · 2.1%

Your Cost: $201.74/claim|Median: $101.33
2.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$206K

1,233 claims · 2.1%

Your Cost: $167.28/claim|Median: $99.21
1.7× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$196K

1,145 claims · 2.0%

Your Cost: $171.21/claim|Median: $13.30
12.9× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$172K

1,000 claims · 1.7%

Your Cost: $171.89/claim|Median: $22.44
7.7× median
99204Top 5%

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

$133K

774 claims · 1.3%

Your Cost: $171.36/claim|Median: $84.03
2.0× median
Q3014Top 5%

Telehealth originating site facility fee

$116K

1,718 claims · 1.2%

Your Cost: $67.77/claim|Median: $15.37
4.4× median
99203Top 5%

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

$98K

641 claims · 1.0%

Your Cost: $152.24/claim|Median: $57.85
2.6× median
G0467Normal range

Federally qualified health center visit, mental health

$61K

2,397 claims · 0.6%

Your Cost: $25.30/claim|Median: $21.91
1.2× median
99212Top 5%

Office/outpatient visit, low complexity

$53K

334 claims · 0.5%

Your Cost: $158.84/claim|Median: $25.06
6.3× median
H0049Normal range

$39K

1,986 claims · 0.4%

Your Cost: $19.43/claim|Median: $9.27
2.1× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$33K

209 claims · 0.3%

Your Cost: $158.33/claim|Median: $40.11
3.9× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$29K

172 claims · 0.3%

Your Cost: $170.74/claim|Median: $32.55
5.2× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$25K

149 claims · 0.2%

Your Cost: $165.71/claim|Median: $76.06
2.2× median
99215Top 10%

Office/outpatient visit, high complexity

$24K

161 claims · 0.2%

Your Cost: $146.70/claim|Median: $74.09
2.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$24K

150 claims · 0.2%

Your Cost: $157.13/claim|Median: $108.91
1.4× median
99408Top 5%

$23K

116 claims · 0.2%

Your Cost: $195.23/claim|Median: $9.32
20.9× median
91300Top 5%

COVID-19 vaccine (Pfizer), first dose

$21K

163 claims · 0.2%

Your Cost: $127.80/claim|Median: $0.01
12780.4× median
G2025Top 25%

$18K

378 claims · 0.2%

Your Cost: $47.52/claim|Median: $15.63
3.0× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$17K

104 claims · 0.2%

Your Cost: $166.92/claim|Median: $25.93
6.4× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$16K

118 claims · 0.2%

Your Cost: $139.62/claim|Median: $72.71
1.9× median
36415Top 25%

Collection of venous blood by venipuncture

$13K

2,731 claims · 0.1%

Your Cost: $4.85/claim|Median: $1.57
3.1× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$12K

105 claims · 0.1%

Your Cost: $118.09/claim|Median: $33.85
3.5× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$9K

130 claims · 0.1%

Your Cost: $72.75/claim|Median: $33.72
2.2× median
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