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Provider 1093875007

NPI: 1093875007Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,634,752

Total Claims

139K

Beneficiaries

44K

3.2 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$369K
+203%
2019
$1.1M
+140%
2020
$2.7M
+9%
2021
$2.9M
+7%
2022
$3.1M
-16%
2023
$2.6M
-71%
2024
$760K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 27% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$3.7M

21K claims · 27.5%

Your Cost: $182.54/claim|Median: $253.79
0.7× median
90853Top 25%

Group psychotherapy

$3.3M

60K claims · 24.4%

Your Cost: $55.11/claim|Median: $25.02
2.2× median
90834Top 5%

Psychotherapy, 45 minutes

$2.1M

14K claims · 15.2%

Your Cost: $147.92/claim|Median: $63.65
2.3× median
90832Top 10%

Psychotherapy, 30 minutes

$1.8M

17K claims · 13.5%

Your Cost: $109.42/claim|Median: $41.28
2.7× median
99213Top 5%

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

$734K

5,452 claims · 5.4%

Your Cost: $134.54/claim|Median: $37.81
3.6× median
H2001Normal range

$511K

6,359 claims · 3.7%

Your Cost: $80.40/claim|Median: $309.28
0.3× median
90791Top 10%

Psychiatric diagnostic evaluation

$309K

1,719 claims · 2.3%

Your Cost: $179.54/claim|Median: $99.21
1.8× median
H0001Top 25%

Alcohol and/or drug assessment

$224K

1,352 claims · 1.6%

Your Cost: $165.60/claim|Median: $94.22
1.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$216K

4,111 claims · 1.6%

Your Cost: $52.57/claim|Median: $47.35
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$163K

3,128 claims · 1.2%

Your Cost: $52.11/claim|Median: $55.04
0.9× median
99214Top 5%

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

$116K

930 claims · 0.9%

Your Cost: $124.66/claim|Median: $53.41
2.3× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$85K

993 claims · 0.6%

Your Cost: $85.41/claim|Median: $40.58
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$80K

668 claims · 0.6%

Your Cost: $119.89/claim|Median: $74.09
1.6× median
G0397Normal range

$77K

640 claims · 0.6%

Your Cost: $120.79/claim|Median: $142.31
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$43K

937 claims · 0.3%

Your Cost: $45.95/claim|Median: $74.63
0.6× median
H0002Top 5%

Behavioral health screening

$42K

217 claims · 0.3%

Your Cost: $192.97/claim|Median: $38.77
5.0× median
99212Top 5%

Office/outpatient visit, low complexity

$25K

221 claims · 0.2%

Your Cost: $114.52/claim|Median: $25.06
4.6× median
90836Top 10%

Psychotherapy, 45 min, add-on to E/M

$16K

147 claims · 0.1%

Your Cost: $106.47/claim|Median: $56.18
1.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3K

254 claims · 0.0%

Your Cost: $13.71/claim|Median: $9.56
1.4× median
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