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Provider 1053364612

NPI: 1053364612Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.0M

$15,004,780

Total Claims

345K

Beneficiaries

149K

2.3 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+16%
2019
$2.8M
-25%
2020
$2.1M
+22%
2021
$2.6M
-16%
2022
$2.2M
-23%
2023
$1.7M
-22%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 36% of total spending.

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$5.4M

125K claims · 36.1%

Your Cost: $43.42/claim|Median: $91.63
0.5× median
90853Normal range

Group psychotherapy

$2.0M

64K claims · 13.1%

Your Cost: $30.62/claim|Median: $25.02
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$1.7M

44K claims · 11.1%

Your Cost: $38.31/claim|Median: $41.28
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$1.3M

20K claims · 8.8%

Your Cost: $66.65/claim|Median: $84.12
0.8× median
99214Normal range

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

$1.1M

20K claims · 7.1%

Your Cost: $53.51/claim|Median: $53.41
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$804K

16K claims · 5.4%

Your Cost: $49.68/claim|Median: $55.04
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$600K

6,320 claims · 4.0%

Your Cost: $94.86/claim|Median: $108.91
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$579K

8,247 claims · 3.9%

Your Cost: $70.17/claim|Median: $96.24
0.7× median
90847Normal range

Family psychotherapy with patient, 50 min

$341K

4,798 claims · 2.3%

Your Cost: $71.10/claim|Median: $77.33
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$299K

3,833 claims · 2.0%

Your Cost: $77.95/claim|Median: $85.66
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$291K

5,068 claims · 1.9%

Your Cost: $57.39/claim|Median: $63.65
0.9× median
90885Normal range

$179K

3,393 claims · 1.2%

Your Cost: $52.87/claim|Median: $59.45
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$159K

2,647 claims · 1.1%

Your Cost: $60.21/claim|Median: $74.63
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$94K

862 claims · 0.6%

Your Cost: $109.27/claim|Median: $99.21
1.1× median
S0220Normal range

$89K

1,678 claims · 0.6%

Your Cost: $53.16/claim|Median: $62.26
0.9× median
T2020Normal range

Day habilitation, waiver; per diem

$38K

2,522 claims · 0.3%

Your Cost: $14.93/claim|Median: $87.34
0.2× median
90887Normal range

Interpretation/explanation of results

$37K

770 claims · 0.2%

Your Cost: $48.29/claim|Median: $47.55
1.0× median
Q3014Normal range

Telehealth originating site facility fee

$27K

14K claims · 0.2%

Your Cost: $1.94/claim|Median: $15.37
0.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$14K

301 claims · 0.1%

Your Cost: $47.92/claim|Median: $215.80
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$8K

2,562 claims · 0.1%

Your Cost: $3.01/claim|Median: $9.56
0.3× median
99213Normal range

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

$5K

103 claims · 0.0%

Your Cost: $43.74/claim|Median: $37.81
1.2× median
H2027Normal range

Psychoeducational service, per 15 minutes

$464

12 claims · 0.0%

Your Cost: $38.64/claim|Median: $82.72
0.5× median
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