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Provider 1093935959

NPI: 1093935959Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,466,207

Total Claims

107K

Beneficiaries

41K

2.6 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+31%
2019
$1.9M
+2%
2020
$1.9M
-1%
2021
$1.9M
-17%
2022
$1.6M
+11%
2023
$1.8M
+5%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 38% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$4.8M

3,804 claims · 38.5%

Your Cost: $1,261.20/claim|Median: $336.31
3.8× median
90834Top 25%

Psychotherapy, 45 minutes

$1.9M

23K claims · 15.5%

Your Cost: $83.06/claim|Median: $63.65
1.3× median
G9003Top 1%

$1.8M

881 claims · 14.1%

Your Cost: $2,000.05/claim|Median: $46.36
43.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.3M

11K claims · 10.6%

Your Cost: $120.36/claim|Median: $96.24
1.3× median
T1007Top 25%

Alcohol/drug services, treatment plan review

$728K

5,270 claims · 5.8%

Your Cost: $138.22/claim|Median: $64.10
2.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$509K

5,395 claims · 4.1%

Your Cost: $94.26/claim|Median: $77.33
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$397K

3,954 claims · 3.2%

Your Cost: $100.29/claim|Median: $85.66
1.2× median
H0031Normal range

Mental health assessment by non-physician

$372K

2,447 claims · 3.0%

Your Cost: $152.03/claim|Median: $96.18
1.6× median
90791Normal range

Psychiatric diagnostic evaluation

$363K

2,936 claims · 2.9%

Your Cost: $123.77/claim|Median: $99.21
1.2× median
H2000Top 5%

Comprehensive multidisciplinary evaluation

$90K

168 claims · 0.7%

Your Cost: $537.98/claim|Median: $114.71
4.7× median
90832Top 25%

Psychotherapy, 30 minutes

$74K

1,171 claims · 0.6%

Your Cost: $63.03/claim|Median: $41.28
1.5× median
G9001Top 25%

$73K

326 claims · 0.6%

Your Cost: $223.66/claim|Median: $53.98
4.1× median
90785Top 5%

$22K

1,321 claims · 0.2%

Your Cost: $16.64/claim|Median: $6.43
2.6× median
90846Top 25%

Family psychotherapy without patient, 50 min

$17K

166 claims · 0.1%

Your Cost: $102.95/claim|Median: $76.61
1.3× median
T1016Normal range

Case management, each 15 min

$1

45K claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
0.0× median
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