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Provider 1063502946

NPI: 1063502946Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.7M

$15,698,347

Total Claims

74K

Beneficiaries

21K

3.6 claims/patient

Avg Cost/Claim

$212

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-33%
2019
$1.3M
+5%
2020
$1.3M
+27%
2021
$1.7M
+45%
2022
$2.5M
+46%
2023
$3.6M
-7%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 89% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$14.0M

30K claims · 89.0%

Your Cost: $463.34/claim|Median: $121.16
3.8× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$586K

14K claims · 3.7%

Your Cost: $41.23/claim|Median: $15.54
2.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$534K

8,402 claims · 3.4%

Your Cost: $63.57/claim|Median: $74.63
0.9× median
96153Top 25%

Health/behavior intervention, group

$279K

5,016 claims · 1.8%

Your Cost: $55.72/claim|Median: $6.67
8.4× median
96164Top 25%

$249K

15K claims · 1.6%

Your Cost: $16.80/claim|Median: $9.87
1.7× median
H0001Normal range

Alcohol and/or drug assessment

$43K

469 claims · 0.3%

Your Cost: $92.55/claim|Median: $94.22
1.0× median
96167Normal range

$15K

333 claims · 0.1%

Your Cost: $43.73/claim|Median: $43.84
1.0× median
99214Normal range

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

$11K

194 claims · 0.1%

Your Cost: $58.17/claim|Median: $53.41
1.1× median
96168Normal range

$8K

207 claims · 0.0%

Your Cost: $36.49/claim|Median: $25.73
1.4× median
97810Normal range

$90

247 claims · 0.0%

Your Cost: $0.36/claim|Median: $23.92
0.0× median
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