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Provider 1982694196

NPI: 1982694196Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,843,813

Total Claims

255K

Beneficiaries

239K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+10%
2019
$1.3M
-32%
2020
$914K
+22%
2021
$1.1M
+15%
2022
$1.3M
+20%
2023
$1.5M
-5%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 32% of total spending.

G0467Top 10%

Federally qualified health center visit, mental health

$2.9M

35K claims · 32.3%

Your Cost: $81.32/claim|Median: $21.91
3.7× median
59426Top 1%

Antepartum care only, high risk, additional visits

$2.8M

1,596 claims · 31.1%

Your Cost: $1,725.63/claim|Median: $122.30
14.1× median
G0468Top 25%

$1.4M

17K claims · 15.3%

Your Cost: $79.63/claim|Median: $43.74
1.8× median
G0466Top 25%

$414K

3,808 claims · 4.7%

Your Cost: $108.76/claim|Median: $63.31
1.7× median
G0470Normal range

Chronic care management services, FQHC/RHC

$376K

5,624 claims · 4.2%

Your Cost: $66.82/claim|Median: $45.95
1.5× median
D1110Top 5%

Prophylaxis, adult cleaning

$173K

1,942 claims · 2.0%

Your Cost: $88.94/claim|Median: $43.38
2.1× median
59425Top 1%

Antepartum care only, 4-6 visits

$124K

144 claims · 1.4%

Your Cost: $858.35/claim|Median: $63.63
13.5× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$104K

1,657 claims · 1.2%

Your Cost: $62.95/claim|Median: $32.07
2.0× median
D0140Top 5%

Limited oral evaluation, problem focused

$97K

1,026 claims · 1.1%

Your Cost: $94.71/claim|Median: $27.07
3.5× median
99213Normal range

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

$70K

22K claims · 0.8%

Your Cost: $3.20/claim|Median: $37.81
0.1× median
D1120Normal range

Prophylaxis, adult

$56K

1,409 claims · 0.6%

Your Cost: $39.67/claim|Median: $33.86
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$48K

1,876 claims · 0.5%

Your Cost: $25.37/claim|Median: $18.12
1.4× median
D0274Normal range

Bitewings, four radiographic images

$34K

1,840 claims · 0.4%

Your Cost: $18.50/claim|Median: $22.54
0.8× median
90471Normal range

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

$28K

15K claims · 0.3%

Your Cost: $1.92/claim|Median: $9.80
0.2× median
90472Normal range

Immunization administration, each additional vaccine

$28K

8,235 claims · 0.3%

Your Cost: $3.36/claim|Median: $11.79
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$27K

4,606 claims · 0.3%

Your Cost: $5.76/claim|Median: $75.18
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$24K

5,833 claims · 0.3%

Your Cost: $4.15/claim|Median: $69.35
0.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$23K

2,295 claims · 0.3%

Your Cost: $9.83/claim|Median: $74.63
0.1× median
D0120Top 10%

Periodic oral evaluation, established patient

$21K

451 claims · 0.2%

Your Cost: $47.31/claim|Median: $24.34
1.9× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$21K

243 claims · 0.2%

Your Cost: $84.89/claim|Median: $57.39
1.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$17K

8,481 claims · 0.2%

Your Cost: $1.97/claim|Median: $5.50
0.4× median
92015Normal range

Determination of refractive state

$13K

2,718 claims · 0.1%

Your Cost: $4.85/claim|Median: $10.36
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$12K

1,856 claims · 0.1%

Your Cost: $6.59/claim|Median: $76.06
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$11K

1,796 claims · 0.1%

Your Cost: $6.27/claim|Median: $74.82
0.1× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$11K

12 claims · 0.1%

Your Cost: $909.42/claim|Median: $786.43
1.2× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$11K

140 claims · 0.1%

Your Cost: $77.76/claim|Median: $41.92
1.9× median
99214Normal range

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

$10K

5,194 claims · 0.1%

Your Cost: $1.84/claim|Median: $53.41
0.0× median
90651Normal range

HPV vaccine, 9-valent

$8K

632 claims · 0.1%

Your Cost: $13.42/claim|Median: $8.93
1.5× median
36415Normal range

Collection of venous blood by venipuncture

$8K

8,490 claims · 0.1%

Your Cost: $0.90/claim|Median: $1.57
0.6× median
90688Normal range

$7K

874 claims · 0.1%

Your Cost: $7.58/claim|Median: $9.00
0.8× median
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