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Provider 1104801349

NPI: 1104801349Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,599,238

Total Claims

30K

Beneficiaries

15K

2.0 claims/patient

Avg Cost/Claim

$321

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-74%
2019
$1.1M
-11%
2020
$961K
-5%
2021
$913K
-20%
2022
$726K
+27%
2023
$925K
-1%
2024
$918K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (H0035 (Mental health partial hospitalization, treatment, per hour)) accounts for 57% of total spending.

H0035Top 5%

Mental health partial hospitalization, treatment, per hour

$5.5M

9,296 claims · 57.1%

Your Cost: $589.35/claim|Median: $148.53
4.0× median
S9485Normal range

Crisis intervention mental health services, per diem

$1.3M

4,495 claims · 13.7%

Your Cost: $292.28/claim|Median: $501.33
0.6× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$924K

5,543 claims · 9.6%

Your Cost: $166.70/claim|Median: $108.91
1.5× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$699K

1,402 claims · 7.3%

Your Cost: $498.58/claim|Median: $35.43
14.1× median
H0025Top 5%

Behavioral health prevention education, per session

$283K

900 claims · 2.9%

Your Cost: $314.36/claim|Median: $36.25
8.7× median
G0177Top 5%

Training and educational services, per session

$174K

981 claims · 1.8%

Your Cost: $177.07/claim|Median: $8.90
19.9× median
H0047Top 5%

Alcohol and/or drug abuse, not otherwise specified

$118K

229 claims · 1.2%

Your Cost: $513.58/claim|Median: $81.37
6.3× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$112K

1,012 claims · 1.2%

Your Cost: $110.67/claim|Median: $39.70
2.8× median
G0410Top 25%

$107K

687 claims · 1.1%

Your Cost: $155.53/claim|Median: $24.14
6.4× median
90832Top 5%

Psychotherapy, 30 minutes

$90K

503 claims · 0.9%

Your Cost: $178.15/claim|Median: $41.28
4.3× median
G0129Top 1%

$76K

555 claims · 0.8%

Your Cost: $137.01/claim|Median: $73.25
1.9× median
G0463Normal range

Hospital outpatient clinic visit

$49K

1,423 claims · 0.5%

Your Cost: $34.69/claim|Median: $26.41
1.3× median
90870Top 25%

$48K

191 claims · 0.5%

Your Cost: $253.29/claim|Median: $68.07
3.7× median
H0015Top 10%

Alcohol and/or drug abuse, intensive outpatient, per hour

$48K

197 claims · 0.5%

Your Cost: $241.62/claim|Median: $129.75
1.9× median
90791Top 5%

Psychiatric diagnostic evaluation

$32K

116 claims · 0.3%

Your Cost: $276.33/claim|Median: $99.21
2.8× median
80053Top 1%

Comprehensive metabolic panel

$15K

13 claims · 0.2%

Your Cost: $1,181.85/claim|Median: $7.24
163.2× median
H0022Top 10%

$12K

139 claims · 0.1%

Your Cost: $86.33/claim|Median: $32.48
2.7× median
U0003Top 25%

Infectious disease detection (COVID-19)

$6K

69 claims · 0.1%

Your Cost: $84.23/claim|Median: $63.08
1.3× median
U0005Top 1%

Infectious disease detection, COVID-19, antigen

$4K

65 claims · 0.0%

Your Cost: $60.14/claim|Median: $15.76
3.8× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$3K

12 claims · 0.0%

Your Cost: $286.27/claim|Median: $9.87
29.0× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$3K

43 claims · 0.0%

Your Cost: $65.36/claim|Median: $97.61
0.7× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$2K

21 claims · 0.0%

Your Cost: $110.93/claim|Median: $65.45
1.7× median
99211Top 10%

Office/outpatient visit, minimal complexity

$1K

33 claims · 0.0%

Your Cost: $44.98/claim|Median: $12.93
3.5× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$589

25 claims · 0.0%

Your Cost: $23.55/claim|Median: $38.83
0.6× median
J7050Normal range

Normal saline solution infusion, 250 cc

$20

27 claims · 0.0%

Your Cost: $0.73/claim|Median: $0.82
0.9× median
H0006Normal range

Alcohol and/or drug services, case management

$0

1,185 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.10
0.0× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$0

763 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.05
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