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Provider 1124163910

NPI: 1124163910Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$8.9M

$8,885,867

Total Claims

49K

Beneficiaries

11K

4.6 claims/patient

Avg Cost/Claim

$181

Monthly Spending Trend

Yearly Spending

2021
$945K
+150%
2022
$2.4M
+18%
2023
$2.8M
-1%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 32% of total spending.

H2019Top 25%

Therapeutic behavioral services, per 15 min

$2.8M

17K claims · 32.1%

Your Cost: $164.89/claim|Median: $84.12
2.0× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$2.6M

15K claims · 28.8%

Your Cost: $174.69/claim|Median: $167.38
1.0× median
97155Top 5%

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.6M

5,709 claims · 18.2%

Your Cost: $282.58/claim|Median: $146.45
1.9× median
97154Top 10%

Group adaptive behavior treatment, per 15 min

$1.4M

8,098 claims · 16.0%

Your Cost: $176.03/claim|Median: $55.95
3.1× median
97151Normal range

Behavior identification assessment

$393K

2,508 claims · 4.4%

Your Cost: $156.71/claim|Median: $161.10
1.0× median
97156Top 5%

$29K

176 claims · 0.3%

Your Cost: $162.82/claim|Median: $88.65
1.8× median
H0031Normal range

Mental health assessment by non-physician

$17K

684 claims · 0.2%

Your Cost: $24.24/claim|Median: $96.18
0.3× median
H0032Normal range

Mental health service plan development

$1K

24 claims · 0.0%

Your Cost: $54.27/claim|Median: $80.64
0.7× median
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