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Provider 1083902191

NPI: 1083902191Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,136,320

Total Claims

144K

Beneficiaries

56K

2.6 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-8%
2019
$2.9M
-32%
2020
$2.0M
-34%
2021
$1.3M
-50%
2022
$654K
-4%
2023
$625K
-14%
2024
$539K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 42% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$4.6M

70K claims · 41.6%

Your Cost: $66.40/claim|Median: $85.66
0.8× median
T2023Normal range

Community transition, waiver; per service

$2.1M

7,353 claims · 19.1%

Your Cost: $289.54/claim|Median: $300.13
1.0× median
99354Normal range

$1.1M

22K claims · 9.9%

Your Cost: $50.76/claim|Median: $54.96
0.9× median
H2021Normal range

Community-based wrap-around services, per 15 min

$756K

7,354 claims · 6.8%

Your Cost: $102.80/claim|Median: $169.11
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$686K

7,401 claims · 6.2%

Your Cost: $92.74/claim|Median: $96.24
1.0× median
H0032Normal range

Mental health service plan development

$360K

6,320 claims · 3.2%

Your Cost: $56.98/claim|Median: $80.64
0.7× median
H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$259K

1,635 claims · 2.3%

Your Cost: $158.53/claim|Median: $227.82
0.7× median
99355Normal range

$259K

4,062 claims · 2.3%

Your Cost: $63.77/claim|Median: $55.81
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$181K

5,170 claims · 1.6%

Your Cost: $35.08/claim|Median: $41.28
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$168K

2,128 claims · 1.5%

Your Cost: $78.82/claim|Median: $99.21
0.8× median
99214Normal range

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

$146K

2,525 claims · 1.3%

Your Cost: $57.99/claim|Median: $53.41
1.1× median
99213Normal range

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

$123K

2,767 claims · 1.1%

Your Cost: $44.27/claim|Median: $37.81
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$91K

871 claims · 0.8%

Your Cost: $104.87/claim|Median: $74.09
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$77K

1,609 claims · 0.7%

Your Cost: $48.16/claim|Median: $63.65
0.8× median
90887Normal range

Interpretation/explanation of results

$55K

1,330 claims · 0.5%

Your Cost: $41.60/claim|Median: $47.55
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$36K

356 claims · 0.3%

Your Cost: $101.66/claim|Median: $111.09
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$32K

560 claims · 0.3%

Your Cost: $56.62/claim|Median: $74.63
0.8× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$28K

710 claims · 0.3%

Your Cost: $40.10/claim|Median: $38.83
1.0× median
90785Normal range

$3K

478 claims · 0.0%

Your Cost: $6.71/claim|Median: $6.43
1.0× median
H0001Normal range

Alcohol and/or drug assessment

$2K

33 claims · 0.0%

Your Cost: $65.59/claim|Median: $94.22
0.7× median
90846Normal range

Family psychotherapy without patient, 50 min

$1K

45 claims · 0.0%

Your Cost: $27.92/claim|Median: $76.61
0.4× median
H0002Normal range

Behavioral health screening

$1K

16 claims · 0.0%

Your Cost: $64.02/claim|Median: $38.77
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$739

35 claims · 0.0%

Your Cost: $21.11/claim|Median: $25.06
0.8× median
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