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Provider 1952525636

NPI: 1952525636Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,665,588

Total Claims

203K

Beneficiaries

167K

1.2 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$790K
+30%
2019
$1.0M
+23%
2020
$1.3M
+44%
2021
$1.8M
+7%
2022
$1.9M
+1%
2023
$2.0M
-6%
2024
$1.9M

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 32% of total spending.

99214Top 25%

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

$3.4M

35K claims · 32.2%

Your Cost: $97.41/claim|Median: $53.41
1.8× median
97530Top 10%

Therapeutic activities, each 15 min

$2.1M

25K claims · 19.8%

Your Cost: $84.99/claim|Median: $33.11
2.6× median
99213Top 25%

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

$1.1M

16K claims · 10.1%

Your Cost: $69.39/claim|Median: $37.81
1.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$610K

6,779 claims · 5.7%

Your Cost: $89.91/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$560K

6,325 claims · 5.2%

Your Cost: $88.49/claim|Median: $74.82
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$533K

4,131 claims · 5.0%

Your Cost: $129.06/claim|Median: $74.09
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$401K

4,795 claims · 3.8%

Your Cost: $83.71/claim|Median: $69.35
1.2× median
92507Normal range

Speech/hearing/language treatment

$378K

8,862 claims · 3.5%

Your Cost: $42.69/claim|Median: $49.45
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$223K

2,360 claims · 2.1%

Your Cost: $94.44/claim|Median: $80.15
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$208K

2,356 claims · 1.9%

Your Cost: $88.19/claim|Median: $85.66
1.0× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$126K

1,816 claims · 1.2%

Your Cost: $69.13/claim|Median: $60.05
1.2× median
99499Normal range

Unlisted evaluation and management service

$104K

4,786 claims · 1.0%

Your Cost: $21.78/claim|Median: $30.88
0.7× median
96110Normal range

Developmental screening, per standardized instrument

$100K

14K claims · 0.9%

Your Cost: $7.32/claim|Median: $9.10
0.8× median
99177Normal range

$75K

15K claims · 0.7%

Your Cost: $5.07/claim|Median: $3.74
1.4× median
99429Normal range

$71K

4,110 claims · 0.7%

Your Cost: $17.32/claim|Median: $28.58
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$66K

16K claims · 0.6%

Your Cost: $4.03/claim|Median: $3.67
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$50K

1,439 claims · 0.5%

Your Cost: $34.66/claim|Median: $25.06
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$43K

2,068 claims · 0.4%

Your Cost: $20.79/claim|Median: $24.34
0.9× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$42K

3,037 claims · 0.4%

Your Cost: $13.92/claim|Median: $7.18
1.9× median
97533Normal range

$42K

1,018 claims · 0.4%

Your Cost: $40.83/claim|Median: $48.71
0.8× median
D9999Normal range

Unspecified adjunctive procedure, by report

$39K

1,964 claims · 0.4%

Your Cost: $19.82/claim|Median: $37.60
0.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$36K

282 claims · 0.3%

Your Cost: $126.65/claim|Median: $100.62
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$35K

1,053 claims · 0.3%

Your Cost: $32.88/claim|Median: $28.46
1.2× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$34K

398 claims · 0.3%

Your Cost: $85.45/claim|Median: $65.64
1.3× median
90670Top 25%

$25K

1,849 claims · 0.2%

Your Cost: $13.63/claim|Median: $5.94
2.3× median
G2023Normal range

Specimen collection for COVID-19 testing

$25K

1,317 claims · 0.2%

Your Cost: $18.83/claim|Median: $17.15
1.1× median
90471Top 25%

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

$18K

962 claims · 0.2%

Your Cost: $18.80/claim|Median: $9.80
1.9× median
97166Normal range

OT evaluation, moderate complexity

$16K

273 claims · 0.1%

Your Cost: $57.12/claim|Median: $48.74
1.2× median
97165Normal range

OT evaluation, low complexity

$14K

287 claims · 0.1%

Your Cost: $49.07/claim|Median: $46.78
1.0× median
92523Normal range

Evaluation of speech sound production with language comprehension

$14K

125 claims · 0.1%

Your Cost: $110.23/claim|Median: $110.87
1.0× median
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