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Provider 1033571005

NPI: 1033571005Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,153,377

Total Claims

51K

Beneficiaries

5,168

9.9 claims/patient

Avg Cost/Claim

$179

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+33%
2019
$1.4M
-8%
2020
$1.3M
+2%
2021
$1.3M
+25%
2022
$1.6M
-50%
2023
$817K
+109%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H2012 (Behavioral health day treatment, per hour)) accounts for 48% of total spending.

H2012Normal range

Behavioral health day treatment, per hour

$4.4M

29K claims · 48.5%

Your Cost: $150.81/claim|Median: $137.86
1.1× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$1.8M

7,937 claims · 19.5%

Your Cost: $224.99/claim|Median: $167.38
1.3× median
H0046Normal range

Mental health services, not otherwise specified

$1.4M

9,124 claims · 15.2%

Your Cost: $152.18/claim|Median: $85.02
1.8× median
97155Top 5%

Adaptive behavior treatment with protocol modification, per 15 minutes

$990K

3,010 claims · 10.8%

Your Cost: $328.99/claim|Median: $146.45
2.2× median
97151Top 10%

Behavior identification assessment

$282K

632 claims · 3.1%

Your Cost: $446.35/claim|Median: $161.10
2.8× median
H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$129K

475 claims · 1.4%

Your Cost: $270.90/claim|Median: $227.82
1.2× median
0373TTop 25%

$74K

202 claims · 0.8%

Your Cost: $367.93/claim|Median: $314.42
1.2× median
97156Top 5%

$66K

399 claims · 0.7%

Your Cost: $166.42/claim|Median: $88.65
1.9× median
H0031Normal range

Mental health assessment by non-physician

$2K

28 claims · 0.0%

Your Cost: $57.86/claim|Median: $96.18
0.6× median
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