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Provider 1992245559

NPI: 1992245559Share
Active Billing Period:2018-042024-12(81 months)

Total Paid

$8.0M

$8,047,184

Total Claims

90K

Beneficiaries

69K

1.3 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$47K
+36%
2019
$64K
+1025%
2020
$723K
+46%
2021
$1.1M
+82%
2022
$1.9M
+7%
2023
$2.1M
+5%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 52% of total spending.

99214Top 10%

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

$4.2M

40K claims · 51.6%

Your Cost: $104.37/claim|Median: $53.41
2.0× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$2.9M

39K claims · 36.7%

Your Cost: $76.20/claim|Median: $56.18
1.4× median
99204Top 25%

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

$495K

3,815 claims · 6.2%

Your Cost: $129.74/claim|Median: $84.03
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$275K

4,817 claims · 3.4%

Your Cost: $57.11/claim|Median: $63.65
0.9× median
99213Top 25%

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

$80K

1,198 claims · 1.0%

Your Cost: $66.81/claim|Median: $37.81
1.8× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$32K

1,278 claims · 0.4%

Your Cost: $25.21/claim|Median: $38.83
0.6× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$29K

123 claims · 0.4%

Your Cost: $237.21/claim|Median: $111.09
2.1× median
99215Top 5%

Office/outpatient visit, high complexity

$14K

76 claims · 0.2%

Your Cost: $186.16/claim|Median: $74.09
2.5× median
90791Normal range

Psychiatric diagnostic evaluation

$8K

67 claims · 0.1%

Your Cost: $121.80/claim|Median: $99.21
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$6K

234 claims · 0.1%

Your Cost: $26.29/claim|Median: $85.66
0.3× median
99212Top 10%

Office/outpatient visit, low complexity

$4K

63 claims · 0.0%

Your Cost: $61.84/claim|Median: $25.06
2.5× median
99349Normal range

$2K

265 claims · 0.0%

Your Cost: $6.28/claim|Median: $24.29
0.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$197

13 claims · 0.0%

Your Cost: $15.18/claim|Median: $9.56
1.6× median
99348Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.17