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Provider 1972982007

NPI: 1972982007Share
Active Billing Period:2018-01→2024-11(78 months)

Total Paid

$9.9M

$9,910,171

Total Claims

124K

Beneficiaries

52K

2.4 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$6K
+8328%
2019
$502K
+249%
2020
$1.8M
+9%
2021
$1.9M
-5%
2022
$1.8M
+20%
2023
$2.2M
-20%
2024
$1.7M

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 19% of total spending.

99213Top 5%

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

$1.9M

15K claims · 19.4%

Your Cost: $130.38/claim|Median: $37.81
3.4× median
90832Top 10%

Psychotherapy, 30 minutes

$1.8M

16K claims · 18.1%

Your Cost: $112.05/claim|Median: $41.28
2.7× median
G2025Top 10%

$1.2M

17K claims · 11.6%

Your Cost: $68.18/claim|Median: $15.63
4.4× median
G0467Normal range

Federally qualified health center visit, mental health

$1.1M

33K claims · 11.0%

Your Cost: $33.21/claim|Median: $21.91
1.5× median
D9997Top 1%

$739K

3,292 claims · 7.5%

Your Cost: $224.63/claim|Median: $33.57
6.7× median
G0470Normal range

Chronic care management services, FQHC/RHC

$660K

17K claims · 6.7%

Your Cost: $39.02/claim|Median: $45.95
0.8× median
D9920Top 25%

$418K

3,841 claims · 4.2%

Your Cost: $108.73/claim|Median: $44.88
2.4× median
99214Top 5%

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

$368K

2,798 claims · 3.7%

Your Cost: $131.46/claim|Median: $53.41
2.5× median
D0274Top 1%

Bitewings, four radiographic images

$288K

4,191 claims · 2.9%

Your Cost: $68.71/claim|Median: $22.54
3.0× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$230K

1,185 claims · 2.3%

Your Cost: $194.13/claim|Median: $101.33
1.9× median
99212Top 5%

Office/outpatient visit, low complexity

$214K

1,757 claims · 2.2%

Your Cost: $121.87/claim|Median: $25.06
4.9× median
D0140Top 1%

Limited oral evaluation, problem focused

$182K

1,235 claims · 1.8%

Your Cost: $147.47/claim|Median: $27.07
5.4× median
D1110Top 25%

Prophylaxis, adult cleaning

$148K

2,099 claims · 1.5%

Your Cost: $70.29/claim|Median: $43.38
1.6× median
D5899Top 25%

$146K

684 claims · 1.5%

Your Cost: $213.21/claim|Median: $30.31
7.0× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$144K

897 claims · 1.5%

Your Cost: $160.47/claim|Median: $79.21
2.0× median
D9991Top 1%

$114K

554 claims · 1.1%

Your Cost: $205.47/claim|Median: $9.86
20.8× median
11719Top 1%

$54K

305 claims · 0.5%

Your Cost: $176.84/claim|Median: $1.95
90.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$41K

256 claims · 0.4%

Your Cost: $160.89/claim|Median: $24.34
6.6× median
11720Top 1%

$40K

380 claims · 0.4%

Your Cost: $104.57/claim|Median: $4.64
22.5× median
D0210Top 5%

Intraoral, complete series of radiographic images

$20K

233 claims · 0.2%

Your Cost: $87.07/claim|Median: $46.33
1.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$18K

189 claims · 0.2%

Your Cost: $94.40/claim|Median: $76.06
1.2× median
D4910Normal range

$17K

300 claims · 0.2%

Your Cost: $56.19/claim|Median: $75.56
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$17K

149 claims · 0.2%

Your Cost: $111.48/claim|Median: $72.71
1.5× median
D9995Top 5%

$16K

362 claims · 0.2%

Your Cost: $44.85/claim|Median: $13.12
3.4× median
90863Top 1%

$13K

56 claims · 0.1%

Your Cost: $237.58/claim|Median: $29.71
8.0× median
90853Top 10%

Group psychotherapy

$13K

186 claims · 0.1%

Your Cost: $71.38/claim|Median: $25.02
2.9× median
36415Top 5%

Collection of venous blood by venipuncture

$8K

471 claims · 0.1%

Your Cost: $16.66/claim|Median: $1.57
10.6× median
G0438Normal range

Annual wellness visit, first visit

$6K

449 claims · 0.1%

Your Cost: $13.04/claim|Median: $19.28
0.7× median
90791Top 10%

Psychiatric diagnostic evaluation

$5K

26 claims · 0.1%

Your Cost: $197.60/claim|Median: $99.21
2.0× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$5K

63 claims · 0.0%

Your Cost: $78.12/claim|Median: $22.44
3.5× median
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