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Provider 1093233264

NPI: 1093233264Share
Active Billing Period:2019-04→2024-12(69 months)

Total Paid

$15.6M

$15,586,094

Total Claims

66K

Beneficiaries

8,111

8.2 claims/patient

Avg Cost/Claim

$235

Monthly Spending Trend

Yearly Spending

2019
$650K
+148%
2020
$1.6M
+41%
2021
$2.3M
+7%
2022
$2.4M
+54%
2023
$3.7M
+30%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 75% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$11.7M

40K claims · 74.9%

Your Cost: $289.91/claim|Median: $167.38
1.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.0M

18K claims · 19.4%

Your Cost: $164.93/claim|Median: $146.45
1.1× median
97152Normal range

$603K

2,816 claims · 3.9%

Your Cost: $214.01/claim|Median: $155.16
1.4× median
97156Normal range

$101K

1,602 claims · 0.6%

Your Cost: $62.87/claim|Median: $88.65
0.7× median
97151Normal range

Behavior identification assessment

$94K

557 claims · 0.6%

Your Cost: $168.37/claim|Median: $161.10
1.0× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$69K

2,565 claims · 0.4%

Your Cost: $27.01/claim|Median: $55.95
0.5× median
0369TNormal range

$6K

52 claims · 0.0%

Your Cost: $112.62/claim|Median: $102.36
1.1× median
0361TNormal range

$5K

34 claims · 0.0%

Your Cost: $149.21/claim|Median: $89.95
1.7× median
0368TNormal range

$4K

89 claims · 0.0%

Your Cost: $47.87/claim|Median: $44.63
1.1× median
0360TNormal range

$1K

32 claims · 0.0%

Your Cost: $39.13/claim|Median: $46.02
0.9× median
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