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Provider 1992730956

NPI: 1992730956Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.4M

$18,441,257

Total Claims

122K

Beneficiaries

97K

1.2 claims/patient

Avg Cost/Claim

$152

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-40%
2019
$2.3M
-1%
2020
$2.3M
+14%
2021
$2.6M
-4%
2022
$2.5M
-12%
2023
$2.2M
+31%
2024
$2.9M

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 28% of total spending.

99214Top 1%

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

$5.2M

25K claims · 28.0%

Your Cost: $209.51/claim|Median: $53.41
3.9× median
99213Top 1%

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

$4.5M

22K claims · 24.5%

Your Cost: $201.05/claim|Median: $37.81
5.3× median
90832Top 5%

Psychotherapy, 30 minutes

$2.7M

12K claims · 14.7%

Your Cost: $219.85/claim|Median: $41.28
5.3× median
G0467Top 10%

Federally qualified health center visit, mental health

$1.5M

14K claims · 8.1%

Your Cost: $103.09/claim|Median: $21.91
4.7× median
G2025Top 1%

$1.1M

7,354 claims · 6.2%

Your Cost: $155.53/claim|Median: $15.63
10.0× median
99212Top 1%

Office/outpatient visit, low complexity

$733K

3,353 claims · 4.0%

Your Cost: $218.47/claim|Median: $25.06
8.7× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$602K

2,325 claims · 3.3%

Your Cost: $258.76/claim|Median: $22.44
11.5× median
98967Top 1%

$374K

1,443 claims · 2.0%

Your Cost: $259.01/claim|Median: $18.97
13.7× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$318K

2,966 claims · 1.7%

Your Cost: $107.21/claim|Median: $45.95
2.3× median
98968Top 1%

$303K

1,164 claims · 1.6%

Your Cost: $260.14/claim|Median: $28.39
9.2× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$199K

780 claims · 1.1%

Your Cost: $255.67/claim|Median: $32.55
7.9× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$178K

669 claims · 1.0%

Your Cost: $266.35/claim|Median: $69.35
3.8× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$102K

386 claims · 0.6%

Your Cost: $263.35/claim|Median: $75.18
3.5× median
90791Top 5%

Psychiatric diagnostic evaluation

$94K

446 claims · 0.5%

Your Cost: $211.41/claim|Median: $99.21
2.1× median
99215Top 5%

Office/outpatient visit, high complexity

$92K

350 claims · 0.5%

Your Cost: $263.77/claim|Median: $74.09
3.6× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$83K

746 claims · 0.4%

Your Cost: $110.66/claim|Median: $97.61
1.1× median
99203Top 1%

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

$71K

296 claims · 0.4%

Your Cost: $240.94/claim|Median: $57.85
4.2× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$53K

899 claims · 0.3%

Your Cost: $59.44/claim|Median: $9.87
6.0× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$50K

188 claims · 0.3%

Your Cost: $266.28/claim|Median: $74.82
3.6× median
80061Top 10%

Lipid panel

$26K

1,380 claims · 0.1%

Your Cost: $18.83/claim|Median: $8.41
2.2× median
80053Normal range

Comprehensive metabolic panel

$24K

2,392 claims · 0.1%

Your Cost: $9.97/claim|Median: $7.24
1.4× median
Q0091Top 1%

$20K

234 claims · 0.1%

Your Cost: $86.11/claim|Median: $11.15
7.7× median
G0101Top 25%

Cervical/vaginal cancer screening; pelvic exam

$14K

396 claims · 0.1%

Your Cost: $35.78/claim|Median: $21.28
1.7× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$11K

159 claims · 0.1%

Your Cost: $70.84/claim|Median: $121.16
0.6× median
99204Top 1%

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

$11K

46 claims · 0.1%

Your Cost: $229.33/claim|Median: $84.03
2.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$10K

209 claims · 0.1%

Your Cost: $45.68/claim|Median: $39.70
1.2× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$7K

27 claims · 0.0%

Your Cost: $257.57/claim|Median: $80.15
3.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$5K

120 claims · 0.0%

Your Cost: $39.68/claim|Median: $33.72
1.2× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$4K

14 claims · 0.0%

Your Cost: $311.39/claim|Median: $108.91
2.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$4K

2,479 claims · 0.0%

Your Cost: $1.66/claim|Median: $4.71
0.4× median
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