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Provider 1053514133

NPI: 1053514133Share
Active Billing Period:2018-01→2024-09(72 months)

Total Paid

$13.5M

$13,539,099

Total Claims

48K

Beneficiaries

12K

4.0 claims/patient

Avg Cost/Claim

$283

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+83%
2019
$2.3M
+35%
2020
$3.1M
-13%
2021
$2.7M
+17%
2022
$3.1M
-65%
2023
$1.1M
-100%
2024
$674

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H0034 (Medication training and management, per 15 min)) accounts for 55% of total spending.

H0034Top 10%

Medication training and management, per 15 min

$7.4M

28K claims · 54.9%

Your Cost: $270.23/claim|Median: $56.90
4.7× median
H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$2.5M

7,374 claims · 18.7%

Your Cost: $343.43/claim|Median: $91.63
3.7× median
H2010Top 10%

Comprehensive medication services, per 15 min

$1.7M

3,989 claims · 12.3%

Your Cost: $417.42/claim|Median: $62.69
6.7× median
T1017Top 25%

Targeted case management, per 15 min

$1.6M

7,253 claims · 11.8%

Your Cost: $220.40/claim|Median: $69.56
3.2× median
H0032Top 10%

Mental health service plan development

$241K

1,123 claims · 1.8%

Your Cost: $214.47/claim|Median: $80.64
2.7× median
H2015Top 5%

Comprehensive community support services, per 15 min

$61K

107 claims · 0.5%

Your Cost: $574.46/claim|Median: $96.24
6.0× median
99213Normal range

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

$1K

238 claims · 0.0%

Your Cost: $4.51/claim|Median: $37.81
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$602

142 claims · 0.0%

Your Cost: $4.24/claim|Median: $74.09
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
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