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Provider 1104333715

NPI: 1104333715Share
Active Billing Period:2018-06→2024-12(74 months)

Total Paid

$14.4M

$14,406,446

Total Claims

278K

Beneficiaries

35K

8.0 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$603K
+145%
2019
$1.5M
-44%
2020
$830K
+301%
2021
$3.3M
-7%
2022
$3.1M
-34%
2023
$2.0M
+49%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 59% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$8.5M

164K claims · 59.2%

Your Cost: $51.99/claim|Median: $167.38
0.3× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.9M

82K claims · 27.0%

Your Cost: $47.25/claim|Median: $146.45
0.3× median
H0032Normal range

Mental health service plan development

$1.3M

17K claims · 9.3%

Your Cost: $80.78/claim|Median: $80.64
1.0× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$552K

12K claims · 3.8%

Your Cost: $46.62/claim|Median: $106.05
0.4× median
0364TNormal range

$46K

2,500 claims · 0.3%

Your Cost: $18.44/claim|Median: $21.31
0.9× median
97156Normal range

$26K

622 claims · 0.2%

Your Cost: $41.07/claim|Median: $88.65
0.5× median
97151Normal range

Behavior identification assessment

$16K

80 claims · 0.1%

Your Cost: $205.87/claim|Median: $161.10
1.3× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$9K

91 claims · 0.1%

Your Cost: $103.64/claim|Median: $119.08
0.9× median
0362TNormal range

$1K

53 claims · 0.0%

Your Cost: $27.71/claim|Median: $40.36
0.7× median
0368TNormal range

$1K

34 claims · 0.0%

Your Cost: $35.18/claim|Median: $44.63
0.8× median
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