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Provider 1033520440

NPI: 1033520440Share
Active Billing Period:2019-06→2024-12(67 months)

Total Paid

$8.2M

$8,209,013

Total Claims

87K

Beneficiaries

46K

1.9 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2019
$389K
+349%
2020
$1.7M
+4%
2021
$1.8M
-3%
2022
$1.8M
-16%
2023
$1.5M
-32%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (G0397) accounts for 33% of total spending.

G0397Normal range

$2.7M

21K claims · 32.7%

Your Cost: $128.46/claim|Median: $142.31
0.9× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$1.7M

18K claims · 20.8%

Your Cost: $97.31/claim|Median: $40.58
2.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.0M

22K claims · 12.7%

Your Cost: $47.88/claim|Median: $47.35
1.0× median
99213Top 5%

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

$988K

9,148 claims · 12.0%

Your Cost: $107.96/claim|Median: $37.81
2.9× median
90834Top 10%

Psychotherapy, 45 minutes

$586K

4,655 claims · 7.1%

Your Cost: $125.97/claim|Median: $63.65
2.0× median
H0001Normal range

Alcohol and/or drug assessment

$387K

2,757 claims · 4.7%

Your Cost: $140.19/claim|Median: $94.22
1.5× median
99214Top 5%

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

$338K

2,518 claims · 4.1%

Your Cost: $134.19/claim|Median: $53.41
2.5× median
H0002Top 10%

Behavioral health screening

$159K

1,038 claims · 1.9%

Your Cost: $153.04/claim|Median: $38.77
3.9× median
90832Top 10%

Psychotherapy, 30 minutes

$113K

1,139 claims · 1.4%

Your Cost: $99.14/claim|Median: $41.28
2.4× median
90853Top 25%

Group psychotherapy

$74K

1,482 claims · 0.9%

Your Cost: $49.66/claim|Median: $25.02
2.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$33K

199 claims · 0.4%

Your Cost: $164.28/claim|Median: $99.21
1.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$30K

622 claims · 0.4%

Your Cost: $48.27/claim|Median: $55.04
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$29K

2,204 claims · 0.3%

Your Cost: $12.97/claim|Median: $9.56
1.4× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$20K

507 claims · 0.2%

Your Cost: $39.61/claim|Median: $106.70
0.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$9K

73 claims · 0.1%

Your Cost: $117.72/claim|Median: $40.11
2.9× median
99215Top 25%

Office/outpatient visit, high complexity

$5K

43 claims · 0.1%

Your Cost: $123.87/claim|Median: $74.09
1.7× median
H0014Normal range

$4K

30 claims · 0.0%

Your Cost: $124.29/claim|Median: $137.81
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2K

80 claims · 0.0%

Your Cost: $26.23/claim|Median: $74.63
0.4× median
99203Top 10%

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

$1K

13 claims · 0.0%

Your Cost: $111.59/claim|Median: $57.85
1.9× median
99406Top 1%

$528

12 claims · 0.0%

Your Cost: $43.97/claim|Median: $6.53
6.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$283

14 claims · 0.0%

Your Cost: $20.20/claim|Median: $12.93
1.6× median
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