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Provider 1891799763

NPI: 1891799763Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.8M

$12,821,648

Total Claims

154K

Beneficiaries

123K

1.3 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+25%
2019
$2.7M
-48%
2020
$1.4M
+34%
2021
$1.9M
-8%
2022
$1.7M
+4%
2023
$1.8M
-34%
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 25% of total spending.

99214Top 5%

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

$3.2M

18K claims · 24.8%

Your Cost: $176.89/claim|Median: $53.41
3.3× median
99213Top 5%

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

$2.0M

16K claims · 16.0%

Your Cost: $130.71/claim|Median: $37.81
3.5× median
90837Top 5%

Psychotherapy, 60 minutes

$1.0M

3,959 claims · 8.2%

Your Cost: $264.09/claim|Median: $85.66
3.1× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$532K

3,073 claims · 4.1%

Your Cost: $173.01/claim|Median: $75.18
2.3× median
99212Top 5%

Office/outpatient visit, low complexity

$459K

3,873 claims · 3.6%

Your Cost: $118.53/claim|Median: $25.06
4.7× median
D1110Top 1%

Prophylaxis, adult cleaning

$422K

4,376 claims · 3.3%

Your Cost: $96.42/claim|Median: $43.38
2.2× median
D0330Top 5%

Panoramic radiographic image

$359K

3,696 claims · 2.8%

Your Cost: $97.06/claim|Median: $37.36
2.6× median
D0140Top 5%

Limited oral evaluation, problem focused

$345K

3,486 claims · 2.7%

Your Cost: $99.07/claim|Median: $27.07
3.7× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$341K

2,099 claims · 2.7%

Your Cost: $162.27/claim|Median: $69.35
2.3× median
99215Top 5%

Office/outpatient visit, high complexity

$334K

1,226 claims · 2.6%

Your Cost: $272.20/claim|Median: $74.09
3.7× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$266K

2,723 claims · 2.1%

Your Cost: $97.56/claim|Median: $32.07
3.0× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$252K

1,619 claims · 2.0%

Your Cost: $155.79/claim|Median: $57.39
2.7× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$237K

1,417 claims · 1.8%

Your Cost: $167.30/claim|Median: $74.82
2.2× median
99211Top 10%

Office/outpatient visit, minimal complexity

$237K

3,330 claims · 1.8%

Your Cost: $71.14/claim|Median: $12.93
5.5× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$193K

4,681 claims · 1.5%

Your Cost: $41.13/claim|Median: $6.93
5.9× median
81002Top 5%

Urinalysis, non-automated without microscopy

$158K

15K claims · 1.2%

Your Cost: $10.70/claim|Median: $2.00
5.4× median
90833Top 5%

Psychotherapy, 30 min, add-on to E/M service

$155K

1,747 claims · 1.2%

Your Cost: $88.80/claim|Median: $38.83
2.3× median
81025Top 5%

Urine pregnancy test

$147K

6,275 claims · 1.1%

Your Cost: $23.47/claim|Median: $4.81
4.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$141K

7,253 claims · 1.1%

Your Cost: $19.45/claim|Median: $17.85
1.1× median
87110Top 1%

$140K

4,480 claims · 1.1%

Your Cost: $31.25/claim|Median: $8.42
3.7× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$136K

822 claims · 1.1%

Your Cost: $165.69/claim|Median: $80.15
2.1× median
80053Top 1%

Comprehensive metabolic panel

$122K

813 claims · 1.0%

Your Cost: $150.21/claim|Median: $7.24
20.7× median
G0467Normal range

Federally qualified health center visit, mental health

$118K

4,004 claims · 0.9%

Your Cost: $29.38/claim|Median: $21.91
1.3× median
D1120Top 1%

Prophylaxis, adult

$113K

1,638 claims · 0.9%

Your Cost: $68.92/claim|Median: $33.86
2.0× median
D1208Top 1%

Topical application of fluoride, excluding varnish

$111K

2,819 claims · 0.9%

Your Cost: $39.20/claim|Median: $14.36
2.7× median
D0120Top 10%

Periodic oral evaluation, established patient

$102K

2,120 claims · 0.8%

Your Cost: $48.35/claim|Median: $24.34
2.0× median
99205Top 1%

Office/outpatient visit, new patient, high complexity

$100K

259 claims · 0.8%

Your Cost: $387.92/claim|Median: $111.09
3.5× median
87800Top 1%

$89K

1,084 claims · 0.7%

Your Cost: $82.38/claim|Median: $29.47
2.8× median
80061Top 1%

Lipid panel

$76K

866 claims · 0.6%

Your Cost: $88.12/claim|Median: $8.41
10.5× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$68K

3,395 claims · 0.5%

Your Cost: $19.94/claim|Median: $5.50
3.6× median
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