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Provider 1912998287

NPI: 1912998287Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,657,309

Total Claims

312K

Beneficiaries

259K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$816K
+5%
2019
$859K
+21%
2020
$1.0M
+30%
2021
$1.4M
+34%
2022
$1.8M
+30%
2023
$2.4M
+3%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 51% of total spending.

G0467Top 25%

Federally qualified health center visit, mental health

$5.4M

99K claims · 50.6%

Your Cost: $54.48/claim|Median: $21.91
2.5× median
S0280Top 25%

Medical home program, comprehensive care management

$2.4M

11K claims · 22.1%

Your Cost: $208.56/claim|Median: $48.38
4.3× median
G0470Normal range

Chronic care management services, FQHC/RHC

$899K

15K claims · 8.4%

Your Cost: $59.22/claim|Median: $45.95
1.3× median
99213Normal range

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

$610K

60K claims · 5.7%

Your Cost: $10.24/claim|Median: $37.81
0.3× median
G0466Normal range

$381K

5,910 claims · 3.6%

Your Cost: $64.39/claim|Median: $63.31
1.0× median
99214Normal range

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

$371K

26K claims · 3.5%

Your Cost: $14.49/claim|Median: $53.41
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$101K

11K claims · 0.9%

Your Cost: $9.42/claim|Median: $63.65
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$46K

1,854 claims · 0.4%

Your Cost: $24.59/claim|Median: $75.18
0.3× median
80305Normal range

$45K

13K claims · 0.4%

Your Cost: $3.50/claim|Median: $7.44
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$36K

1,552 claims · 0.3%

Your Cost: $22.91/claim|Median: $74.82
0.3× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$35K

486 claims · 0.3%

Your Cost: $71.12/claim|Median: $41.92
1.7× median
99203Normal range

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

$30K

2,337 claims · 0.3%

Your Cost: $12.93/claim|Median: $57.85
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$29K

4,217 claims · 0.3%

Your Cost: $6.84/claim|Median: $25.06
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$25K

1,231 claims · 0.2%

Your Cost: $20.23/claim|Median: $74.09
0.3× median
90471Normal range

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

$25K

7,194 claims · 0.2%

Your Cost: $3.41/claim|Median: $9.80
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$24K

3,308 claims · 0.2%

Your Cost: $7.30/claim|Median: $41.28
0.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$23K

1,149 claims · 0.2%

Your Cost: $20.43/claim|Median: $80.15
0.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$22K

5,606 claims · 0.2%

Your Cost: $3.94/claim|Median: $11.48
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$20K

1,300 claims · 0.2%

Your Cost: $15.75/claim|Median: $69.35
0.2× median
90472Normal range

Immunization administration, each additional vaccine

$20K

3,221 claims · 0.2%

Your Cost: $6.08/claim|Median: $11.79
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$13K

1,482 claims · 0.1%

Your Cost: $8.60/claim|Median: $40.11
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$12K

4,165 claims · 0.1%

Your Cost: $2.96/claim|Median: $9.56
0.3× median
99204Normal range

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

$12K

679 claims · 0.1%

Your Cost: $17.77/claim|Median: $84.03
0.2× median
87426Normal range

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

$12K

1,727 claims · 0.1%

Your Cost: $6.91/claim|Median: $30.04
0.2× median
71046Normal range

Chest X-ray, 2 views

$11K

1,860 claims · 0.1%

Your Cost: $5.76/claim|Median: $8.92
0.6× median
87804Normal range

Influenza virus detection, rapid test

$10K

2,498 claims · 0.1%

Your Cost: $3.86/claim|Median: $12.59
0.3× median
99000Top 25%

$10K

953 claims · 0.1%

Your Cost: $10.04/claim|Median: $2.30
4.4× median
87428Normal range

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

$9K

602 claims · 0.1%

Your Cost: $15.37/claim|Median: $39.63
0.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$8K

670 claims · 0.1%

Your Cost: $11.79/claim|Median: $39.70
0.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$7K

192 claims · 0.1%

Your Cost: $37.68/claim|Median: $33.85
1.1× median
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