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Provider 1871530758

NPI: 1871530758Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.7M

$10,692,400

Total Claims

292K

Beneficiaries

241K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+7%
2019
$2.8M
-66%
2020
$942K
-12%
2021
$831K
+51%
2022
$1.3M
+1%
2023
$1.3M
-16%
2024
$1.1M

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 31% of total spending.

99214Normal range

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

$3.3M

78K claims · 30.6%

Your Cost: $42.13/claim|Median: $53.41
0.8× median
99213Normal range

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

$1.9M

78K claims · 17.7%

Your Cost: $24.35/claim|Median: $37.81
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.9M

18K claims · 17.4%

Your Cost: $101.63/claim|Median: $74.63
1.4× median
90834Top 25%

Psychotherapy, 45 minutes

$1.1M

10K claims · 9.9%

Your Cost: $102.83/claim|Median: $63.65
1.6× median
90837Top 5%

Psychotherapy, 60 minutes

$491K

2,739 claims · 4.6%

Your Cost: $179.35/claim|Median: $85.66
2.1× median
96158Top 25%

$143K

3,002 claims · 1.3%

Your Cost: $47.62/claim|Median: $28.43
1.7× median
96156Top 25%

$135K

1,926 claims · 1.3%

Your Cost: $70.29/claim|Median: $22.36
3.1× median
T1016Normal range

Case management, each 15 min

$131K

2,598 claims · 1.2%

Your Cost: $50.29/claim|Median: $49.62
1.0× median
90832Top 10%

Psychotherapy, 30 minutes

$127K

1,336 claims · 1.2%

Your Cost: $94.97/claim|Median: $41.28
2.3× median
90471Normal range

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

$126K

13K claims · 1.2%

Your Cost: $9.90/claim|Median: $9.80
1.0× median
H0031Normal range

Mental health assessment by non-physician

$87K

635 claims · 0.8%

Your Cost: $136.59/claim|Median: $96.18
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$81K

1,974 claims · 0.8%

Your Cost: $41.10/claim|Median: $43.38
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$79K

686 claims · 0.7%

Your Cost: $114.74/claim|Median: $99.21
1.2× median
96152Normal range

Health behavior intervention, individual

$77K

2,081 claims · 0.7%

Your Cost: $36.82/claim|Median: $20.02
1.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$74K

2,212 claims · 0.7%

Your Cost: $33.32/claim|Median: $32.07
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$72K

2,338 claims · 0.7%

Your Cost: $30.87/claim|Median: $27.07
1.1× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$66K

4,376 claims · 0.6%

Your Cost: $15.08/claim|Median: $7.18
2.1× median
99215Normal range

Office/outpatient visit, high complexity

$55K

562 claims · 0.5%

Your Cost: $97.95/claim|Median: $74.09
1.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$54K

2,011 claims · 0.5%

Your Cost: $26.94/claim|Median: $22.44
1.2× median
96160Top 25%

Patient-focused health risk assessment

$53K

12K claims · 0.5%

Your Cost: $4.56/claim|Median: $2.10
2.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$52K

1,207 claims · 0.5%

Your Cost: $43.39/claim|Median: $32.55
1.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$43K

997 claims · 0.4%

Your Cost: $43.51/claim|Median: $46.33
0.9× median
D0274Normal range

Bitewings, four radiographic images

$43K

1,934 claims · 0.4%

Your Cost: $22.34/claim|Median: $22.54
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$38K

2,306 claims · 0.4%

Your Cost: $16.27/claim|Median: $14.36
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$36K

3,565 claims · 0.3%

Your Cost: $9.99/claim|Median: $10.51
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$35K

1,435 claims · 0.3%

Your Cost: $24.72/claim|Median: $24.34
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$30K

1,783 claims · 0.3%

Your Cost: $16.69/claim|Median: $9.56
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$29K

987 claims · 0.3%

Your Cost: $29.78/claim|Median: $25.06
1.2× median
91320Normal range

$29K

316 claims · 0.3%

Your Cost: $92.91/claim|Median: $72.65
1.3× median
D4342Normal range

$28K

553 claims · 0.3%

Your Cost: $51.00/claim|Median: $42.00
1.2× median
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