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Provider 1962040246

NPI: 1962040246Share
Active Billing Period:2020-07→2024-12(54 months)

Total Paid

$10.5M

$10,516,503

Total Claims

89K

Beneficiaries

51K

1.8 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2020
$206K
+850%
2021
$2.0M
+19%
2022
$2.3M
+29%
2023
$3.0M
+1%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90832 (Psychotherapy, 30 minutes)) accounts for 41% of total spending.

90832Top 5%

Psychotherapy, 30 minutes

$4.4M

28K claims · 41.5%

Your Cost: $156.73/claim|Median: $41.28
3.8× median
99213Top 5%

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

$3.2M

28K claims · 30.6%

Your Cost: $113.66/claim|Median: $37.81
3.0× median
99214Top 10%

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

$1.8M

17K claims · 17.2%

Your Cost: $109.54/claim|Median: $53.41
2.1× median
99212Top 10%

Office/outpatient visit, low complexity

$358K

4,943 claims · 3.4%

Your Cost: $72.38/claim|Median: $25.06
2.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$329K

2,028 claims · 3.1%

Your Cost: $162.35/claim|Median: $99.21
1.6× median
90834Top 5%

Psychotherapy, 45 minutes

$191K

1,253 claims · 1.8%

Your Cost: $152.74/claim|Median: $63.65
2.4× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$86K

545 claims · 0.8%

Your Cost: $157.65/claim|Median: $108.91
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$40K

354 claims · 0.4%

Your Cost: $112.48/claim|Median: $74.09
1.5× median
98966Top 5%

$36K

296 claims · 0.3%

Your Cost: $123.23/claim|Median: $6.84
18.0× median
99204Normal range

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

$23K

248 claims · 0.2%

Your Cost: $92.10/claim|Median: $84.03
1.1× median
36415Top 10%

Collection of venous blood by venipuncture

$12K

1,956 claims · 0.1%

Your Cost: $6.35/claim|Median: $1.57
4.0× median
98967Top 10%

$10K

98 claims · 0.1%

Your Cost: $97.07/claim|Median: $18.97
5.1× median
90471Normal range

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

$7K

1,533 claims · 0.1%

Your Cost: $4.78/claim|Median: $9.80
0.5× median
99203Top 5%

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

$7K

45 claims · 0.1%

Your Cost: $152.70/claim|Median: $57.85
2.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$6K

123 claims · 0.1%

Your Cost: $44.76/claim|Median: $72.71
0.6× median
90651Top 10%

HPV vaccine, 9-valent

$5K

65 claims · 0.0%

Your Cost: $74.99/claim|Median: $8.93
8.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

386 claims · 0.0%

Your Cost: $6.54/claim|Median: $7.18
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

1,268 claims · 0.0%

Your Cost: $1.90/claim|Median: $9.56
0.2× median
0064ANormal range

$2K

42 claims · 0.0%

Your Cost: $37.93/claim|Median: $34.17
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$2K

46 claims · 0.0%

Your Cost: $32.68/claim|Median: $33.85
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$1K

63 claims · 0.0%

Your Cost: $23.08/claim|Median: $25.93
0.9× median
0134ANormal range

$1K

35 claims · 0.0%

Your Cost: $38.22/claim|Median: $33.54
1.1× median
90656Normal range

$567

159 claims · 0.0%

Your Cost: $3.57/claim|Median: $8.67
0.4× median
90739Normal range

$464

13 claims · 0.0%

Your Cost: $35.73/claim|Median: $74.43
0.5× median
J1380Normal range

$189

270 claims · 0.0%

Your Cost: $0.70/claim|Median: $8.14
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$144

65 claims · 0.0%

Your Cost: $2.22/claim|Median: $11.79
0.2× median
90715Normal range

Tdap vaccine

$119

13 claims · 0.0%

Your Cost: $9.19/claim|Median: $10.32
0.9× median
J0696Normal range

$3

15 claims · 0.0%

Your Cost: $0.17/claim|Median: $1.34
0.1× median
J2001Normal range

Injection, lidocaine HCl for IV infusion

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.22
J1071Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.43
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