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Provider 1063574499

NPI: 1063574499Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.9M

$14,889,255

Total Claims

27K

Beneficiaries

9,016

3.0 claims/patient

Avg Cost/Claim

$550

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-13%
2019
$2.6M
-42%
2020
$1.5M
-12%
2021
$1.4M
+3%
2022
$1.4M
+94%
2023
$2.7M
-18%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (T2048 (Behavioral health; long-term residential, per diem)) accounts for 94% of total spending.

T2048Normal range

Behavioral health; long-term residential, per diem

$14.1M

15K claims · 94.4%

Your Cost: $942.77/claim|Median: $1,437.23
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$393K

4,809 claims · 2.6%

Your Cost: $81.67/claim|Median: $74.63
1.1× median
99214Normal range

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

$133K

2,934 claims · 0.9%

Your Cost: $45.22/claim|Median: $53.41
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$99K

1,019 claims · 0.7%

Your Cost: $96.80/claim|Median: $85.66
1.1× median
96131Top 5%

Psychological testing evaluation, each additional hour

$58K

142 claims · 0.4%

Your Cost: $408.73/claim|Median: $133.38
3.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$20K

230 claims · 0.1%

Your Cost: $85.28/claim|Median: $108.91
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$18K

153 claims · 0.1%

Your Cost: $115.36/claim|Median: $99.21
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$17K

244 claims · 0.1%

Your Cost: $68.45/claim|Median: $55.04
1.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$17K

395 claims · 0.1%

Your Cost: $42.14/claim|Median: $47.35
0.9× median
99213Normal range

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

$15K

512 claims · 0.1%

Your Cost: $30.27/claim|Median: $37.81
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$14K

212 claims · 0.1%

Your Cost: $64.15/claim|Median: $63.65
1.0× median
96130Normal range

Psychological testing evaluation by professional, first hour

$9K

124 claims · 0.1%

Your Cost: $73.55/claim|Median: $79.21
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$9K

257 claims · 0.1%

Your Cost: $34.14/claim|Median: $41.28
0.8× median
90853Normal range

Group psychotherapy

$8K

391 claims · 0.1%

Your Cost: $21.35/claim|Median: $25.02
0.9× median
H0001Normal range

Alcohol and/or drug assessment

$7K

60 claims · 0.0%

Your Cost: $120.32/claim|Median: $94.22
1.3× median
96136Top 25%

Psychological/neuropsychological testing, first 30 min

$6K

123 claims · 0.0%

Your Cost: $48.84/claim|Median: $30.49
1.6× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$6K

121 claims · 0.0%

Your Cost: $48.25/claim|Median: $92.96
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$4K

181 claims · 0.0%

Your Cost: $22.34/claim|Median: $25.06
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$849

119 claims · 0.0%

Your Cost: $7.14/claim|Median: $9.80
0.7× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$508

13 claims · 0.0%

Your Cost: $39.04/claim|Median: $83.63
0.5× median
90658Normal range

$0

88 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.96
90694Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.60
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