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Provider 1043331499

NPI: 1043331499Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,457,534

Total Claims

35K

Beneficiaries

30K

1.2 claims/patient

Avg Cost/Claim

$353

Monthly Spending Trend

Yearly Spending

2018
$917K
-23%
2019
$705K
+15%
2020
$813K
+69%
2021
$1.4M
+72%
2022
$2.4M
+39%
2023
$3.3M
-9%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 88% of total spending.

T1041Normal range

Medicaid CCBHC services, per diem

$11.0M

14K claims · 88.5%

Your Cost: $801.74/claim|Median: $913.47
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$463K

12K claims · 3.7%

Your Cost: $38.45/claim|Median: $74.63
0.5× median
G9009Top 5%

$370K

1,071 claims · 3.0%

Your Cost: $345.34/claim|Median: $345.34
1.0× median
G9002Normal range

Coordinated care fee, maintenance period

$244K

1,677 claims · 2.0%

Your Cost: $145.53/claim|Median: $108.80
1.3× median
G9010Top 1%

$232K

230 claims · 1.9%

Your Cost: $1,009.60/claim|Median: $1,009.60
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$43K

1,552 claims · 0.3%

Your Cost: $27.90/claim|Median: $84.12
0.3× median
H0031Normal range

Mental health assessment by non-physician

$24K

299 claims · 0.2%

Your Cost: $78.75/claim|Median: $96.18
0.8× median
H0032Normal range

Mental health service plan development

$14K

178 claims · 0.1%

Your Cost: $78.45/claim|Median: $80.64
1.0× median
99213Normal range

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

$14K

338 claims · 0.1%

Your Cost: $40.45/claim|Median: $37.81
1.1× median
99214Top 25%

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

$10K

112 claims · 0.1%

Your Cost: $86.57/claim|Median: $53.41
1.6× median
H0034Normal range

Medication training and management, per 15 min

$7K

681 claims · 0.1%

Your Cost: $10.56/claim|Median: $56.90
0.2× median
T1027Normal range

Family training and counseling, per 15 minutes

$7K

525 claims · 0.1%

Your Cost: $12.92/claim|Median: $53.00
0.2× median
H2015Normal range

Comprehensive community support services, per 15 min

$5K

2,135 claims · 0.0%

Your Cost: $2.31/claim|Median: $96.24
0.0× median
H0002Normal range

Behavioral health screening

$4K

197 claims · 0.0%

Your Cost: $22.39/claim|Median: $38.77
0.6× median
T1017Normal range

Targeted case management, per 15 min

$551

16 claims · 0.0%

Your Cost: $34.43/claim|Median: $69.56
0.5× median
T1016Normal range

Case management, each 15 min

$0

51 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$0

454 claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63
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