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Provider 1942402391

NPI: 1942402391Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,497,654

Total Claims

321K

Beneficiaries

249K

1.3 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+0%
2019
$1.3M
-21%
2020
$1.0M
+38%
2021
$1.4M
+23%
2022
$1.7M
+37%
2023
$2.4M
+2%
2024
$2.4M

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 25% of total spending.

99213Normal range

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

$2.9M

77K claims · 25.2%

Your Cost: $37.58/claim|Median: $37.81
1.0× median
99214Normal range

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

$1.5M

26K claims · 12.9%

Your Cost: $56.82/claim|Median: $53.41
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$827K

26K claims · 7.2%

Your Cost: $31.31/claim|Median: $24.49
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$772K

29K claims · 6.7%

Your Cost: $26.53/claim|Median: $35.43
0.7× median
99203Normal range

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

$711K

14K claims · 6.2%

Your Cost: $51.70/claim|Median: $57.85
0.9× median
99204Normal range

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

$510K

6,089 claims · 4.4%

Your Cost: $83.83/claim|Median: $84.03
1.0× median
99243Normal range

Office or other outpatient consultation, low complexity

$381K

6,123 claims · 3.3%

Your Cost: $62.22/claim|Median: $82.43
0.8× median
64483Normal range

$354K

3,963 claims · 3.1%

Your Cost: $89.32/claim|Median: $124.24
0.7× median
98942Normal range

$257K

9,864 claims · 2.2%

Your Cost: $26.02/claim|Median: $28.40
0.9× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$244K

13K claims · 2.1%

Your Cost: $18.96/claim|Median: $20.83
0.9× median
97140Normal range

Manual therapy techniques, per 15 minutes

$201K

13K claims · 1.7%

Your Cost: $14.92/claim|Median: $16.79
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$199K

2,495 claims · 1.7%

Your Cost: $79.70/claim|Median: $99.21
0.8× median
64493Normal range

$194K

2,414 claims · 1.7%

Your Cost: $80.34/claim|Median: $103.44
0.8× median
62321Normal range

$173K

2,320 claims · 1.5%

Your Cost: $74.40/claim|Median: $132.67
0.6× median
27096Normal range

$153K

2,248 claims · 1.3%

Your Cost: $67.86/claim|Median: $89.16
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$147K

5,148 claims · 1.3%

Your Cost: $28.49/claim|Median: $29.03
1.0× median
99490Top 25%

Chronic care management services, 20 minutes per month

$128K

5,053 claims · 1.1%

Your Cost: $25.40/claim|Median: $6.31
4.0× median
90834Normal range

Psychotherapy, 45 minutes

$111K

2,302 claims · 1.0%

Your Cost: $48.04/claim|Median: $63.65
0.8× median
64484Normal range

$106K

2,933 claims · 0.9%

Your Cost: $36.19/claim|Median: $47.83
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$104K

4,758 claims · 0.9%

Your Cost: $21.84/claim|Median: $16.77
1.3× median
64494Normal range

$102K

2,766 claims · 0.9%

Your Cost: $36.92/claim|Median: $34.70
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$99K

1,015 claims · 0.9%

Your Cost: $97.94/claim|Median: $121.58
0.8× median
72275Normal range

$99K

2,075 claims · 0.9%

Your Cost: $47.69/claim|Median: $29.71
1.6× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$93K

3,233 claims · 0.8%

Your Cost: $28.87/claim|Median: $20.04
1.4× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$63K

872 claims · 0.5%

Your Cost: $71.91/claim|Median: $111.02
0.6× median
64495Normal range

$62K

1,693 claims · 0.5%

Your Cost: $36.42/claim|Median: $36.70
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$57K

825 claims · 0.5%

Your Cost: $68.51/claim|Median: $51.25
1.3× median
64721Normal range

$54K

363 claims · 0.5%

Your Cost: $148.98/claim|Median: $327.41
0.5× median
97161Normal range

Physical therapy evaluation, low complexity

$49K

933 claims · 0.4%

Your Cost: $52.55/claim|Median: $47.89
1.1× median
97162Normal range

PT evaluation, moderate complexity

$44K

914 claims · 0.4%

Your Cost: $48.44/claim|Median: $46.10
1.1× median
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