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Provider 1053772939

NPI: 1053772939Share
Active Billing Period:2019-03→2024-12(70 months)

Total Paid

$10.8M

$10,806,713

Total Claims

53K

Beneficiaries

6,561

8.1 claims/patient

Avg Cost/Claim

$202

Monthly Spending Trend

Yearly Spending

2019
$1.3M
+116%
2020
$2.8M
+31%
2021
$3.7M
-56%
2022
$1.6M
-51%
2023
$795K
-27%
2024
$579K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 50% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$5.4M

17K claims · 50.1%

Your Cost: $319.03/claim|Median: $167.38
1.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.9M

16K claims · 17.9%

Your Cost: $124.83/claim|Median: $96.24
1.3× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.3M

5,855 claims · 12.5%

Your Cost: $230.50/claim|Median: $146.45
1.6× median
97156Top 5%

$1.3M

6,873 claims · 12.3%

Your Cost: $193.36/claim|Median: $88.65
2.2× median
H0032Normal range

Mental health service plan development

$402K

5,690 claims · 3.7%

Your Cost: $70.59/claim|Median: $80.64
0.9× median
S5135Top 25%

Companion care, adult, per diem

$373K

2,470 claims · 3.5%

Your Cost: $151.05/claim|Median: $52.25
2.9× median
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