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Provider 1043759871

NPI: 1043759871Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,251,202

Total Claims

76K

Beneficiaries

14K

5.5 claims/patient

Avg Cost/Claim

$215

Monthly Spending Trend

Yearly Spending

2018
$482K
+75%
2019
$842K
+19%
2020
$1.0M
+156%
2021
$2.6M
+37%
2022
$3.5M
+13%
2023
$4.0M
-1%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H2018 (Psychosocial rehabilitation services, per diem)) accounts for 74% of total spending.

H2018Normal range

Psychosocial rehabilitation services, per diem

$12.1M

43K claims · 74.4%

Your Cost: $281.56/claim|Median: $392.63
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.6M

22K claims · 16.0%

Your Cost: $118.84/claim|Median: $96.24
1.2× median
H0019Normal range

Behavioral health; residential, per diem

$1.2M

2,114 claims · 7.2%

Your Cost: $550.29/claim|Median: $357.16
1.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$269K

7,389 claims · 1.7%

Your Cost: $36.43/claim|Median: $91.63
0.4× median
90837Top 25%

Psychotherapy, 60 minutes

$106K

882 claims · 0.7%

Your Cost: $119.97/claim|Median: $85.66
1.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$9K

246 claims · 0.1%

Your Cost: $37.82/claim|Median: $55.04
0.7× median
90834Top 25%

Psychotherapy, 45 minutes

$5K

54 claims · 0.0%

Your Cost: $86.48/claim|Median: $63.65
1.4× median
90791Top 25%

Psychiatric diagnostic evaluation

$4K

30 claims · 0.0%

Your Cost: $141.39/claim|Median: $99.21
1.4× median
90853Normal range

Group psychotherapy

$2K

64 claims · 0.0%

Your Cost: $34.92/claim|Median: $25.02
1.4× median
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