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Provider 1033268008

NPI: 1033268008Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.5M

$14,514,678

Total Claims

514K

Beneficiaries

283K

1.8 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$131K
+711%
2019
$1.1M
+92%
2020
$2.0M
+57%
2021
$3.2M
-7%
2022
$3.0M
-12%
2023
$2.6M
-6%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 25% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$3.6M

6,026 claims · 24.7%

Your Cost: $595.22/claim|Median: $467.51
1.3× median
T1041Normal range

Medicaid CCBHC services, per diem

$3.2M

3,070 claims · 22.1%

Your Cost: $1,042.70/claim|Median: $913.47
1.1× median
S9485Normal range

Crisis intervention mental health services, per diem

$3.0M

12K claims · 20.7%

Your Cost: $245.34/claim|Median: $501.33
0.5× median
99214Normal range

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

$1.2M

32K claims · 8.1%

Your Cost: $36.65/claim|Median: $53.41
0.7× median
H0019Normal range

Behavioral health; residential, per diem

$1.1M

24K claims · 7.7%

Your Cost: $47.05/claim|Median: $357.16
0.1× median
H0043Normal range

Supported housing, per diem

$1.1M

9,826 claims · 7.5%

Your Cost: $110.40/claim|Median: $164.87
0.7× median
T2025Normal range

Waiver services, NOS; per 15 min

$300K

1,932 claims · 2.1%

Your Cost: $155.12/claim|Median: $124.39
1.2× median
99213Normal range

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

$220K

13K claims · 1.5%

Your Cost: $16.97/claim|Median: $37.81
0.4× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$180K

209K claims · 1.2%

Your Cost: $0.86/claim|Median: $76.05
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$156K

2,464 claims · 1.1%

Your Cost: $63.25/claim|Median: $108.91
0.6× median
H2023Normal range

Supported employment, per 15 min

$155K

1,873 claims · 1.1%

Your Cost: $82.95/claim|Median: $103.94
0.8× median
H2036Normal range

Alcohol/drug treatment, per hour

$141K

3,908 claims · 1.0%

Your Cost: $36.09/claim|Median: $253.79
0.1× median
H0031Normal range

Mental health assessment by non-physician

$35K

12K claims · 0.2%

Your Cost: $2.86/claim|Median: $96.18
0.0× median
H2012Normal range

Behavioral health day treatment, per hour

$23K

17K claims · 0.2%

Your Cost: $1.31/claim|Median: $137.86
0.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$22K

11K claims · 0.2%

Your Cost: $1.90/claim|Median: $77.33
0.0× median
H0001Normal range

Alcohol and/or drug assessment

$19K

802 claims · 0.1%

Your Cost: $23.60/claim|Median: $94.22
0.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$16K

21K claims · 0.1%

Your Cost: $0.78/claim|Median: $55.04
0.0× median
H0046Normal range

Mental health services, not otherwise specified

$14K

27K claims · 0.1%

Your Cost: $0.51/claim|Median: $85.02
0.0× median
G9149Normal range

$13K

78 claims · 0.1%

Your Cost: $160.78/claim|Median: $206.55
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$10K

6,408 claims · 0.1%

Your Cost: $1.60/claim|Median: $9.56
0.2× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$10K

9,229 claims · 0.1%

Your Cost: $1.08/claim|Median: $53.97
0.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$8K

19K claims · 0.1%

Your Cost: $0.42/claim|Median: $96.24
0.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$7K

15K claims · 0.0%

Your Cost: $0.48/claim|Median: $215.80
0.0× median
96153Normal range

Health/behavior intervention, group

$4K

3,971 claims · 0.0%

Your Cost: $1.02/claim|Median: $6.67
0.2× median
S9982Top 1%

$3K

165 claims · 0.0%

Your Cost: $20.54/claim|Median: $11.05
1.9× median
S9981Top 5%

$3K

165 claims · 0.0%

Your Cost: $19.03/claim|Median: $14.70
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$3K

4,169 claims · 0.0%

Your Cost: $0.67/claim|Median: $74.63
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$1K

1,279 claims · 0.0%

Your Cost: $1.17/claim|Median: $25.06
0.0× median
96164Normal range

$1K

4,739 claims · 0.0%

Your Cost: $0.27/claim|Median: $9.87
0.0× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$1K

3,943 claims · 0.0%

Your Cost: $0.30/claim|Median: $15.54
0.0× median
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