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

⚖️ Compare🖨️ Print Report

Provider 1073526968

NPI: 1073526968Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,610,791

Total Claims

132K

Beneficiaries

78K

1.7 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-11%
2019
$1.9M
-21%
2020
$1.5M
+4%
2021
$1.5M
+16%
2022
$1.8M
-4%
2023
$1.7M
-34%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 27% of total spending.

90834Normal range

Psychotherapy, 45 minutes

$3.1M

38K claims · 26.7%

Your Cost: $81.26/claim|Median: $63.65
1.3× median
90847Top 25%

Family psychotherapy with patient, 50 min

$1.8M

17K claims · 15.1%

Your Cost: $103.98/claim|Median: $77.33
1.3× median
90837Top 25%

Psychotherapy, 60 minutes

$1.7M

15K claims · 14.7%

Your Cost: $116.01/claim|Median: $85.66
1.4× median
99214Top 10%

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

$1.1M

11K claims · 9.1%

Your Cost: $99.53/claim|Median: $53.41
1.9× median
90791Top 10%

Psychiatric diagnostic evaluation

$1.0M

5,025 claims · 8.7%

Your Cost: $200.81/claim|Median: $99.21
2.0× median
90832Top 25%

Psychotherapy, 30 minutes

$920K

16K claims · 7.9%

Your Cost: $58.38/claim|Median: $41.28
1.4× median
S9485Normal range

Crisis intervention mental health services, per diem

$744K

4,214 claims · 6.4%

Your Cost: $176.64/claim|Median: $501.33
0.4× median
90846Normal range

Family psychotherapy without patient, 50 min

$447K

4,477 claims · 3.9%

Your Cost: $99.95/claim|Median: $76.61
1.3× median
90853Normal range

Group psychotherapy

$193K

7,532 claims · 1.7%

Your Cost: $25.59/claim|Median: $25.02
1.0× median
0359TTop 5%

$168K

208 claims · 1.4%

Your Cost: $807.00/claim|Median: $444.44
1.8× median
T1016Normal range

Case management, each 15 min

$156K

6,528 claims · 1.3%

Your Cost: $23.89/claim|Median: $49.62
0.5× median
99213Normal range

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

$84K

1,788 claims · 0.7%

Your Cost: $47.17/claim|Median: $37.81
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$62K

571 claims · 0.5%

Your Cost: $108.71/claim|Median: $108.91
1.0× median
S9484Normal range

Crisis intervention mental health services, per hour

$45K

610 claims · 0.4%

Your Cost: $74.53/claim|Median: $249.51
0.3× median
99215Top 25%

Office/outpatient visit, high complexity

$39K

290 claims · 0.3%

Your Cost: $136.19/claim|Median: $74.09
1.8× median
90785Top 5%

$37K

2,608 claims · 0.3%

Your Cost: $14.23/claim|Median: $6.43
2.2× median
98968Top 25%

$35K

673 claims · 0.3%

Your Cost: $52.24/claim|Median: $28.39
1.8× median
98967Top 25%

$21K

424 claims · 0.2%

Your Cost: $49.17/claim|Median: $18.97
2.6× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$20K

242 claims · 0.2%

Your Cost: $82.79/claim|Median: $84.12
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$6K

186 claims · 0.1%

Your Cost: $34.90/claim|Median: $25.06
1.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

103 claims · 0.0%

Your Cost: $25.20/claim|Median: $22.44
1.1× median
96101Normal range

$2K

17 claims · 0.0%

Your Cost: $114.35/claim|Median: $196.08
0.6× median
T1017Normal range

Targeted case management, per 15 min

$997

28 claims · 0.0%

Your Cost: $35.60/claim|Median: $69.56
0.5× median
← All providersHow we detect fraud →