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Provider 1104303775

NPI: 1104303775Share
Active Billing Period:2019-07→2024-12(62 months)

Total Paid

$8.4M

$8,442,744

Total Claims

133K

Beneficiaries

9,154

14.5 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2019
$137K
+237%
2020
$462K
+206%
2021
$1.4M
+49%
2022
$2.1M
+8%
2023
$2.3M
-12%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 67% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$5.7M

40K claims · 67.3%

Your Cost: $140.94/claim|Median: $167.38
0.8× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.9M

45K claims · 23.0%

Your Cost: $43.47/claim|Median: $146.45
0.3× median
97156Normal range

$703K

46K claims · 8.3%

Your Cost: $15.43/claim|Median: $88.65
0.2× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$71K

1,862 claims · 0.8%

Your Cost: $38.18/claim|Median: $55.95
0.7× median
97151Normal range

Behavior identification assessment

$29K

159 claims · 0.3%

Your Cost: $179.72/claim|Median: $161.10
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$10K

181 claims · 0.1%

Your Cost: $54.01/claim|Median: $99.21
0.5× median
97157Normal range

$4K

201 claims · 0.0%

Your Cost: $18.69/claim|Median: $43.58
0.4× median
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