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Provider 1104858653

NPI: 1104858653Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,083,733

Total Claims

107K

Beneficiaries

49K

2.2 claims/patient

Avg Cost/Claim

$160

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+6%
2019
$2.6M
-19%
2020
$2.1M
+6%
2021
$2.2M
+20%
2022
$2.7M
+7%
2023
$2.9M
-25%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 29% of total spending.

T1017Top 5%

Targeted case management, per 15 min

$5.0M

14K claims · 29.0%

Your Cost: $345.94/claim|Median: $69.56
5.0× median
H0023Top 10%

Behavioral health outreach service, per 15 minutes

$3.4M

11K claims · 19.9%

Your Cost: $319.08/claim|Median: $53.97
5.9× median
97150Top 5%

Therapeutic procedure, group (2+ patients)

$2.8M

30K claims · 16.6%

Your Cost: $93.46/claim|Median: $12.12
7.7× median
T2023Normal range

Community transition, waiver; per service

$1.3M

4,312 claims · 7.6%

Your Cost: $302.83/claim|Median: $300.13
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$1.0M

11K claims · 5.9%

Your Cost: $96.22/claim|Median: $85.66
1.1× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$1.0M

4,955 claims · 5.9%

Your Cost: $203.28/claim|Median: $266.41
0.8× median
H0039Top 10%

Assertive community treatment, per diem

$980K

1,239 claims · 5.7%

Your Cost: $790.77/claim|Median: $132.62
6.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$961K

20K claims · 5.6%

Your Cost: $49.10/claim|Median: $91.63
0.5× median
99213Normal range

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

$185K

4,916 claims · 1.1%

Your Cost: $37.55/claim|Median: $37.81
1.0× median
99214Normal range

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

$153K

2,870 claims · 0.9%

Your Cost: $53.35/claim|Median: $53.41
1.0× median
H2024Normal range

$144K

1,832 claims · 0.8%

Your Cost: $78.35/claim|Median: $363.67
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$43K

910 claims · 0.3%

Your Cost: $47.05/claim|Median: $41.28
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$36K

291 claims · 0.2%

Your Cost: $124.88/claim|Median: $99.21
1.3× median
H0006Top 5%

Alcohol and/or drug services, case management

$35K

164 claims · 0.2%

Your Cost: $211.87/claim|Median: $43.10
4.9× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$14K

31 claims · 0.1%

Your Cost: $465.82/claim|Median: $76.05
6.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$7K

75 claims · 0.0%

Your Cost: $88.22/claim|Median: $77.33
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$6K

100 claims · 0.0%

Your Cost: $63.81/claim|Median: $63.65
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$862

12 claims · 0.0%

Your Cost: $71.80/claim|Median: $74.09
1.0× median
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