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Provider 1104281872

NPI: 1104281872Share
Active Billing Period:2018-07→2024-10(76 months)

Total Paid

$9.5M

$9,478,106

Total Claims

46K

Beneficiaries

27K

1.7 claims/patient

Avg Cost/Claim

$205

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+212%
2019
$5.5M
-71%
2020
$1.6M
-99%
2021
$13K
+1689%
2022
$240K
-89%
2023
$26K
+941%
2024
$271K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H0017) accounts for 37% of total spending.

H0017Normal range

$3.5M

10K claims · 37.1%

Your Cost: $342.51/claim|Median: $470.95
0.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$3.1M

20K claims · 33.0%

Your Cost: $160.20/claim|Median: $215.80
0.7× median
H2014Top 10%

Skills training & development, per 15 min

$2.2M

5,365 claims · 23.0%

Your Cost: $406.41/claim|Median: $83.88
4.8× median
90837Top 5%

Psychotherapy, 60 minutes

$135K

707 claims · 1.4%

Your Cost: $190.76/claim|Median: $85.66
2.2× median
T1017Normal range

Targeted case management, per 15 min

$118K

1,779 claims · 1.2%

Your Cost: $66.16/claim|Median: $69.56
1.0× median
90834Top 25%

Psychotherapy, 45 minutes

$106K

1,079 claims · 1.1%

Your Cost: $97.96/claim|Median: $63.65
1.5× median
90791Top 25%

Psychiatric diagnostic evaluation

$82K

512 claims · 0.9%

Your Cost: $159.62/claim|Median: $99.21
1.6× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$70K

1,393 claims · 0.7%

Your Cost: $49.90/claim|Median: $53.97
0.9× median
90832Top 25%

Psychotherapy, 30 minutes

$42K

717 claims · 0.4%

Your Cost: $57.95/claim|Median: $41.28
1.4× median
J2426Top 10%

$28K

13 claims · 0.3%

Your Cost: $2,144.04/claim|Median: $625.59
3.4× median
99214Top 25%

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

$24K

314 claims · 0.3%

Your Cost: $77.07/claim|Median: $53.41
1.4× median
H0039Normal range

Assertive community treatment, per diem

$22K

3,207 claims · 0.2%

Your Cost: $6.75/claim|Median: $132.62
0.1× median
H0032Normal range

Mental health service plan development

$10K

251 claims · 0.1%

Your Cost: $38.55/claim|Median: $80.64
0.5× median
H2027Normal range

Psychoeducational service, per 15 minutes

$7K

207 claims · 0.1%

Your Cost: $31.49/claim|Median: $82.72
0.4× median
H0002Normal range

Behavioral health screening

$6K

177 claims · 0.1%

Your Cost: $34.19/claim|Median: $38.77
0.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$6K

405 claims · 0.1%

Your Cost: $14.02/claim|Median: $9.56
1.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$4K

41 claims · 0.0%

Your Cost: $95.08/claim|Median: $74.63
1.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$655

12 claims · 0.0%

Your Cost: $54.60/claim|Median: $55.04
1.0× median
99213Normal range

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

$195

13 claims · 0.0%

Your Cost: $15.03/claim|Median: $37.81
0.4× median
90853Normal range

Group psychotherapy

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02
A0425Normal range

Ground mileage, per statute mile

$0

94 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.36
A0999Normal range

Unlisted ambulance service

$0

94 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.53
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