Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1053623140

NPI: 1053623140Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,057,197

Total Claims

58K

Beneficiaries

14K

4.1 claims/patient

Avg Cost/Claim

$226

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-18%
2019
$1.2M
+32%
2020
$1.5M
+16%
2021
$1.8M
+14%
2022
$2.0M
+48%
2023
$3.0M
-27%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 92% of total spending.

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$12.0M

44K claims · 91.9%

Your Cost: $271.61/claim|Median: $266.41
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$743K

4,271 claims · 5.7%

Your Cost: $174.06/claim|Median: $96.24
1.8× median
99214Normal range

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

$160K

4,563 claims · 1.2%

Your Cost: $35.00/claim|Median: $53.41
0.7× median
99213Normal range

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

$125K

3,429 claims · 1.0%

Your Cost: $36.51/claim|Median: $37.81
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$17K

1,004 claims · 0.1%

Your Cost: $16.85/claim|Median: $85.66
0.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$5K

98 claims · 0.0%

Your Cost: $50.42/claim|Median: $108.91
0.5× median
99494Normal range

$3K

73 claims · 0.0%

Your Cost: $43.01/claim|Median: $36.93
1.2× median
99493Normal range

$3K

36 claims · 0.0%

Your Cost: $80.89/claim|Median: $73.13
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$2K

51 claims · 0.0%

Your Cost: $39.18/claim|Median: $41.28
0.9× median
99492Top 25%

$2K

13 claims · 0.0%

Your Cost: $121.62/claim|Median: $68.72
1.8× median
90791Normal range

Psychiatric diagnostic evaluation

$1K

18 claims · 0.0%

Your Cost: $73.32/claim|Median: $99.21
0.7× median
99214GTNormal range

$538

16 claims · 0.0%

Your Cost: $33.66/claim|Median: $86.98
0.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$509

31 claims · 0.0%

Your Cost: $16.43/claim|Median: $32.55
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$46

18 claims · 0.0%

Your Cost: $2.57/claim|Median: $22.44
0.1× median
H004022Top 1%

$0

47 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.01
1.0× median
← All providersHow we detect fraud →