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Provider 1033271978

NPI: 1033271978Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,186,214

Total Claims

88K

Beneficiaries

31K

2.8 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+26%
2019
$1.9M
-39%
2020
$1.2M
+27%
2021
$1.5M
+6%
2022
$1.6M
+7%
2023
$1.7M
+13%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 49% of total spending.

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$5.5M

28K claims · 48.7%

Your Cost: $191.97/claim|Median: $266.41
0.7× median
T2013Normal range

Habilitation, residential, waiver, per hour

$1.5M

10K claims · 13.1%

Your Cost: $140.35/claim|Median: $158.23
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$1.1M

12K claims · 10.0%

Your Cost: $92.44/claim|Median: $55.04
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$1.0M

12K claims · 9.2%

Your Cost: $86.45/claim|Median: $85.66
1.0× median
99214Normal range

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

$670K

9,232 claims · 6.0%

Your Cost: $72.57/claim|Median: $53.41
1.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$537K

3,597 claims · 4.8%

Your Cost: $149.23/claim|Median: $96.24
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$310K

7,936 claims · 2.8%

Your Cost: $39.03/claim|Median: $41.28
0.9× median
H2033Top 10%

Multisystemic therapy for juveniles, per 15 minutes

$309K

477 claims · 2.8%

Your Cost: $648.71/claim|Median: $227.82
2.8× median
H2022Normal range

Community-based wrap-around services, per diem

$73K

308 claims · 0.6%

Your Cost: $235.77/claim|Median: $336.31
0.7× median
H2023Top 10%

Supported employment, per 15 min

$67K

203 claims · 0.6%

Your Cost: $331.77/claim|Median: $103.94
3.2× median
99213Top 25%

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

$52K

938 claims · 0.5%

Your Cost: $55.38/claim|Median: $37.81
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$44K

981 claims · 0.4%

Your Cost: $45.27/claim|Median: $63.65
0.7× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$25K

160 claims · 0.2%

Your Cost: $154.07/claim|Median: $111.09
1.4× median
T2013TFNormal range

$9K

66 claims · 0.1%

Your Cost: $136.53/claim|Median: $168.77
0.8× median
99204Normal range

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

$5K

50 claims · 0.0%

Your Cost: $109.14/claim|Median: $84.03
1.3× median
98968Normal range

$5K

289 claims · 0.0%

Your Cost: $18.24/claim|Median: $28.39
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$5K

49 claims · 0.0%

Your Cost: $106.25/claim|Median: $99.21
1.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$3K

304 claims · 0.0%

Your Cost: $9.47/claim|Median: $13.30
0.7× median
H2015HTNormal range

$3K

17 claims · 0.0%

Your Cost: $153.57/claim|Median: $173.43
0.9× median
90853Normal range

Group psychotherapy

$2K

265 claims · 0.0%

Your Cost: $8.14/claim|Median: $25.02
0.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$1K

20 claims · 0.0%

Your Cost: $72.09/claim|Median: $77.33
0.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$696

35 claims · 0.0%

Your Cost: $19.89/claim|Median: $22.44
0.9× median
98967Normal range

$531

36 claims · 0.0%

Your Cost: $14.74/claim|Median: $18.97
0.8× median
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