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Provider 1902872591

NPI: 1902872591Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,323,066

Total Claims

152K

Beneficiaries

95K

1.6 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+96%
2019
$2.3M
-21%
2020
$1.8M
+26%
2021
$2.3M
+16%
2022
$2.7M
+17%
2023
$3.1M
-8%
2024
$2.9M

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 31% of total spending.

99213Top 1%

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

$5.1M

32K claims · 31.2%

Your Cost: $159.17/claim|Median: $37.81
4.2× median
90832Top 10%

Psychotherapy, 30 minutes

$2.5M

21K claims · 15.4%

Your Cost: $120.89/claim|Median: $41.28
2.9× median
11720Top 1%

$2.5M

8,115 claims · 15.0%

Your Cost: $302.32/claim|Median: $4.64
65.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$1.9M

29K claims · 11.6%

Your Cost: $66.57/claim|Median: $21.91
3.0× median
G2025Top 1%

$1.1M

4,584 claims · 6.8%

Your Cost: $243.55/claim|Median: $15.63
15.6× median
99214Top 5%

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

$593K

3,261 claims · 3.6%

Your Cost: $181.77/claim|Median: $53.41
3.4× median
11721Top 1%

$423K

1,423 claims · 2.6%

Your Cost: $297.43/claim|Median: $8.56
34.7× median
36415Top 5%

Collection of venous blood by venipuncture

$378K

9,978 claims · 2.3%

Your Cost: $37.90/claim|Median: $1.57
24.1× median
99212Top 5%

Office/outpatient visit, low complexity

$372K

2,184 claims · 2.3%

Your Cost: $170.12/claim|Median: $25.06
6.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$340K

7,959 claims · 2.1%

Your Cost: $42.68/claim|Median: $24.49
1.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$166K

1,859 claims · 1.0%

Your Cost: $89.50/claim|Median: $75.18
1.2× median
92507Top 10%

Speech/hearing/language treatment

$163K

1,671 claims · 1.0%

Your Cost: $97.61/claim|Median: $49.45
2.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$159K

1,519 claims · 1.0%

Your Cost: $104.35/claim|Median: $72.71
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$145K

2,242 claims · 0.9%

Your Cost: $64.79/claim|Median: $76.06
0.9× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$120K

1,424 claims · 0.7%

Your Cost: $84.42/claim|Median: $69.35
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$87K

937 claims · 0.5%

Your Cost: $92.94/claim|Median: $74.82
1.2× median
99203Top 25%

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

$75K

888 claims · 0.5%

Your Cost: $84.25/claim|Median: $57.85
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$48K

6,182 claims · 0.3%

Your Cost: $7.74/claim|Median: $17.85
0.4× median
97530Normal range

Therapeutic activities, each 15 min

$33K

701 claims · 0.2%

Your Cost: $46.43/claim|Median: $33.11
1.4× median
G0101Top 5%

Cervical/vaginal cancer screening; pelvic exam

$33K

692 claims · 0.2%

Your Cost: $47.01/claim|Median: $21.28
2.2× median
96138Top 5%

$24K

253 claims · 0.1%

Your Cost: $94.02/claim|Median: $19.87
4.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$22K

586 claims · 0.1%

Your Cost: $37.02/claim|Median: $33.72
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$20K

551 claims · 0.1%

Your Cost: $37.00/claim|Median: $36.70
1.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$9K

127 claims · 0.1%

Your Cost: $69.89/claim|Median: $40.11
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$7K

2,166 claims · 0.0%

Your Cost: $3.39/claim|Median: $11.48
0.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$6K

56 claims · 0.0%

Your Cost: $100.29/claim|Median: $80.15
1.3× median
99201Top 10%

Office/outpatient visit, new patient, straightforward

$4K

31 claims · 0.0%

Your Cost: $138.30/claim|Median: $27.38
5.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

1,502 claims · 0.0%

Your Cost: $2.85/claim|Median: $7.18
0.4× median
90471Normal range

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

$4K

333 claims · 0.0%

Your Cost: $12.31/claim|Median: $9.80
1.3× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$3K

141 claims · 0.0%

Your Cost: $21.98/claim|Median: $14.34
1.5× median
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