Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1023454451

NPI: 1023454451Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$16.4M

$16,360,915

Total Claims

278K

Beneficiaries

25K

11.0 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+5%
2019
$2.5M
-13%
2020
$2.2M
-9%
2021
$2.0M
+2%
2022
$2.0M
+30%
2023
$2.6M
+7%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 69% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$11.2M

159K claims · 68.6%

Your Cost: $70.71/claim|Median: $167.38
0.4× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.6M

54K claims · 15.9%

Your Cost: $48.47/claim|Median: $146.45
0.3× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$1.6M

25K claims · 9.9%

Your Cost: $64.92/claim|Median: $106.05
0.6× median
0364TNormal range

$292K

22K claims · 1.8%

Your Cost: $13.40/claim|Median: $21.31
0.6× median
0368TNormal range

$152K

5,961 claims · 0.9%

Your Cost: $25.56/claim|Median: $44.63
0.6× median
0369TNormal range

$148K

5,543 claims · 0.9%

Your Cost: $26.74/claim|Median: $102.36
0.3× median
97151Normal range

Behavior identification assessment

$138K

1,979 claims · 0.8%

Your Cost: $69.88/claim|Median: $161.10
0.4× median
0370TNormal range

$109K

1,702 claims · 0.7%

Your Cost: $64.14/claim|Median: $88.49
0.7× median
0372TNormal range

$33K

1,491 claims · 0.2%

Your Cost: $22.34/claim|Median: $22.32
1.0× median
97156Normal range

$19K

574 claims · 0.1%

Your Cost: $33.56/claim|Median: $88.65
0.4× median
0361TTop 1%

$9K

40 claims · 0.1%

Your Cost: $221.33/claim|Median: $89.95
2.5× median
90837Normal range

Psychotherapy, 60 minutes

$8K

1,176 claims · 0.0%

Your Cost: $6.66/claim|Median: $85.66
0.1× median
0371TNormal range

$3K

123 claims · 0.0%

Your Cost: $20.61/claim|Median: $32.46
0.6× median
0360TNormal range

$1K

39 claims · 0.0%

Your Cost: $33.41/claim|Median: $46.02
0.7× median
97158Normal range

$1K

85 claims · 0.0%

Your Cost: $12.00/claim|Median: $56.17
0.2× median
97152Normal range

$374

40 claims · 0.0%

Your Cost: $9.35/claim|Median: $155.16
0.1× median
← All providersHow we detect fraud →