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Provider 1124198494

NPI: 1124198494Share
Active Billing Period:2018-01→2024-09(71 months)

Total Paid

$10.0M

$9,962,120

Total Claims

61K

Beneficiaries

9,086

6.8 claims/patient

Avg Cost/Claim

$162

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+1%
2019
$2.5M
-23%
2020
$1.9M
-16%
2021
$1.6M
-46%
2022
$882K
-94%
2023
$51K
+781%
2024
$445K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 60% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$6.0M

28K claims · 59.9%

Your Cost: $215.02/claim|Median: $167.38
1.3× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.3M

11K claims · 12.6%

Your Cost: $110.97/claim|Median: $146.45
0.8× median
0365TTop 10%

Adaptive behavior treatment, each additional thirty minutes

$1.0M

4,965 claims · 10.1%

Your Cost: $202.98/claim|Median: $106.05
1.9× median
0369TTop 5%

$929K

3,341 claims · 9.3%

Your Cost: $278.11/claim|Median: $102.36
2.7× median
0368TTop 10%

$372K

3,978 claims · 3.7%

Your Cost: $93.52/claim|Median: $44.63
2.1× median
97151Normal range

Behavior identification assessment

$138K

2,051 claims · 1.4%

Your Cost: $67.10/claim|Median: $161.10
0.4× median
0364TNormal range

$129K

4,991 claims · 1.3%

Your Cost: $25.79/claim|Median: $21.31
1.2× median
97156Normal range

$84K

1,682 claims · 0.8%

Your Cost: $50.07/claim|Median: $88.65
0.6× median
0370TNormal range

$50K

783 claims · 0.5%

Your Cost: $63.40/claim|Median: $88.49
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$17K

165 claims · 0.2%

Your Cost: $100.32/claim|Median: $99.21
1.0× median
96130Normal range

Psychological testing evaluation by professional, first hour

$8K

132 claims · 0.1%

Your Cost: $57.46/claim|Median: $79.21
0.7× median
96131Normal range

Psychological testing evaluation, each additional hour

$7K

95 claims · 0.1%

Your Cost: $71.02/claim|Median: $133.38
0.5× median
99072Normal range

$0

211 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54
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