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Provider 1063571131

NPI: 1063571131Share
Active Billing Period:2018-01→2020-09(33 months)
Billing appears to have stoppedLast active: 2020-09

Total Paid

$15.3M

$15,343,694

Total Claims

104K

Beneficiaries

13K

8.2 claims/patient

Avg Cost/Claim

$148

Monthly Spending Trend

Yearly Spending

2018
$4.8M
+11%
2019
$5.3M
-2%
2020
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 62% of total spending.

S5145Normal range

Foster care, therapeutic, child, per diem

$9.5M

67K claims · 61.6%

Your Cost: $141.08/claim|Median: $216.31
0.7× median
H2022Normal range

Community-based wrap-around services, per diem

$4.1M

16K claims · 26.9%

Your Cost: $264.78/claim|Median: $336.31
0.8× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$424K

2,719 claims · 2.8%

Your Cost: $155.95/claim|Median: $167.38
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$312K

4,212 claims · 2.0%

Your Cost: $74.15/claim|Median: $85.66
0.9× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$242K

1,065 claims · 1.6%

Your Cost: $226.86/claim|Median: $146.45
1.5× median
99214Normal range

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

$226K

3,142 claims · 1.5%

Your Cost: $72.05/claim|Median: $53.41
1.3× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$159K

1,865 claims · 1.0%

Your Cost: $85.36/claim|Median: $106.05
0.8× median
T1017Normal range

Targeted case management, per 15 min

$136K

1,513 claims · 0.9%

Your Cost: $90.09/claim|Median: $69.56
1.3× median
0369TNormal range

$76K

688 claims · 0.5%

Your Cost: $111.00/claim|Median: $102.36
1.1× median
0364TNormal range

$49K

2,016 claims · 0.3%

Your Cost: $24.31/claim|Median: $21.31
1.1× median
97156Normal range

$36K

591 claims · 0.2%

Your Cost: $61.13/claim|Median: $88.65
0.7× median
Q3014Normal range

Telehealth originating site facility fee

$31K

1,472 claims · 0.2%

Your Cost: $20.83/claim|Median: $15.37
1.4× median
0368TNormal range

$24K

699 claims · 0.2%

Your Cost: $33.76/claim|Median: $44.63
0.8× median
0370TNormal range

$18K

412 claims · 0.1%

Your Cost: $42.79/claim|Median: $88.49
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$8K

164 claims · 0.1%

Your Cost: $50.69/claim|Median: $63.65
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$8K

78 claims · 0.1%

Your Cost: $105.15/claim|Median: $99.21
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$6K

82 claims · 0.0%

Your Cost: $76.93/claim|Median: $77.33
1.0× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$6K

52 claims · 0.0%

Your Cost: $118.33/claim|Median: $84.03
1.4× median
0360TNormal range

$6K

110 claims · 0.0%

Your Cost: $52.35/claim|Median: $46.02
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$1K

12 claims · 0.0%

Your Cost: $96.90/claim|Median: $74.09
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$862

22 claims · 0.0%

Your Cost: $39.18/claim|Median: $41.28
0.9× median
98968Normal range

$509

13 claims · 0.0%

Your Cost: $39.18/claim|Median: $28.39
1.4× median
98967Normal range

$444

17 claims · 0.0%

Your Cost: $26.12/claim|Median: $18.97
1.4× median
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