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Provider 1932169240

NPI: 1932169240Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.6M

$10,604,096

Total Claims

1.0M

Beneficiaries

908K

1.1 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+5%
2019
$2.7M
-43%
2020
$1.5M
-38%
2021
$934K
+27%
2022
$1.2M
-14%
2023
$1.0M
-26%
2024
$757K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 25% of total spending.

00003Normal range

Anesthesia services

$2.7M

20K claims · 25.3%

Your Cost: $133.94/claim|Median: $223.77
0.6× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$2.3M

23K claims · 21.3%

Your Cost: $99.53/claim|Median: $121.16
0.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$1.2M

16K claims · 11.2%

Your Cost: $75.87/claim|Median: $137.85
0.6× median
99213Normal range

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

$1.1M

232K claims · 10.2%

Your Cost: $4.65/claim|Median: $37.81
0.1× median
G9008Top 10%

Coordination of long-term care services, per month

$719K

2,617 claims · 6.8%

Your Cost: $274.91/claim|Median: $66.78
4.1× median
99214Normal range

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

$583K

38K claims · 5.5%

Your Cost: $15.50/claim|Median: $53.41
0.3× median
H1001Normal range

$281K

7,991 claims · 2.7%

Your Cost: $35.22/claim|Median: $60.48
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$216K

68K claims · 2.0%

Your Cost: $3.15/claim|Median: $25.06
0.1× median
H0043Normal range

Supported housing, per diem

$177K

1,580 claims · 1.7%

Your Cost: $112.30/claim|Median: $164.87
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$126K

16K claims · 1.2%

Your Cost: $7.81/claim|Median: $39.70
0.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$115K

3,533 claims · 1.1%

Your Cost: $32.60/claim|Median: $76.06
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$105K

7,471 claims · 1.0%

Your Cost: $13.99/claim|Median: $41.28
0.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$82K

3,770 claims · 0.8%

Your Cost: $21.65/claim|Median: $72.71
0.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$67K

2,190 claims · 0.6%

Your Cost: $30.81/claim|Median: $59.72
0.5× median
98940Normal range

$62K

5,246 claims · 0.6%

Your Cost: $11.79/claim|Median: $14.55
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$61K

5,694 claims · 0.6%

Your Cost: $10.71/claim|Median: $80.15
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$59K

6,169 claims · 0.6%

Your Cost: $9.53/claim|Median: $74.82
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$53K

5,356 claims · 0.5%

Your Cost: $9.84/claim|Median: $75.18
0.1× median
G0467Normal range

Federally qualified health center visit, mental health

$51K

14K claims · 0.5%

Your Cost: $3.56/claim|Median: $21.91
0.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$50K

2,005 claims · 0.5%

Your Cost: $24.70/claim|Median: $47.08
0.5× median
81003Normal range

Urinalysis, automated without microscopy

$42K

45K claims · 0.4%

Your Cost: $0.93/claim|Median: $1.48
0.6× median
V2020Normal range

Frames, purchases

$33K

2,450 claims · 0.3%

Your Cost: $13.27/claim|Median: $19.33
0.7× median
92551Normal range

Screening audiometry, pure tone, air only

$30K

27K claims · 0.3%

Your Cost: $1.13/claim|Median: $6.61
0.2× median
99203Normal range

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

$28K

2,943 claims · 0.3%

Your Cost: $9.54/claim|Median: $57.85
0.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$27K

1,738 claims · 0.3%

Your Cost: $15.56/claim|Median: $69.35
0.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$22K

2,620 claims · 0.2%

Your Cost: $8.24/claim|Median: $40.11
0.2× median
92340Normal range

Fitting of spectacles, except for aphakia

$21K

1,886 claims · 0.2%

Your Cost: $11.17/claim|Median: $19.46
0.6× median
96156Normal range

$20K

1,988 claims · 0.2%

Your Cost: $10.28/claim|Median: $22.36
0.5× median
92015Normal range

Determination of refractive state

$20K

4,164 claims · 0.2%

Your Cost: $4.81/claim|Median: $10.36
0.5× median
G9920Normal range

$20K

4,168 claims · 0.2%

Your Cost: $4.70/claim|Median: $6.56
0.7× median
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