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Provider 1104048503

NPI: 1104048503Share
Active Billing Period:2018-012021-08(44 months)
Billing appears to have stoppedLast active: 2021-08

Total Paid

$7.6M

$7,611,459

Total Claims

133K

Beneficiaries

13K

10.0 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+19%
2019
$2.2M
-4%
2020
$2.1M
-24%
2021
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 29% of total spending.

H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$2.2M

15K claims · 29.4%

Your Cost: $152.17/claim|Median: $74.63
2.0× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$1.6M

11K claims · 20.6%

Your Cost: $139.40/claim|Median: $84.12
1.7× median
H2032Normal range

Activity therapy, per 15 minutes

$1.1M

30K claims · 14.6%

Your Cost: $37.72/claim|Median: $108.23
0.3× median
97537Normal range

$841K

43K claims · 11.1%

Your Cost: $19.67/claim|Median: $24.64
0.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$810K

11K claims · 10.6%

Your Cost: $71.27/claim|Median: $96.24
0.7× median
96152Top 25%

Health behavior intervention, individual

$590K

8,985 claims · 7.8%

Your Cost: $65.70/claim|Median: $20.02
3.3× median
S5100Normal range

Day care services, adult, per half day

$342K

13K claims · 4.5%

Your Cost: $26.86/claim|Median: $67.58
0.4× median
T1027Normal range

Family training and counseling, per 15 minutes

$46K

1,048 claims · 0.6%

Your Cost: $43.90/claim|Median: $53.00
0.8× median
H0032Normal range

Mental health service plan development

$31K

340 claims · 0.4%

Your Cost: $92.62/claim|Median: $80.64
1.1× median
T2024Normal range

Supported employment, waiver, per diem

$18K

139 claims · 0.2%

Your Cost: $130.30/claim|Median: $259.38
0.5× median
96150Top 10%

Health behavior assessment, initial

$11K

129 claims · 0.1%

Your Cost: $83.94/claim|Median: $17.83
4.7× median