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Provider 1124648316

NPI: 1124648316Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$8.4M

$8,405,524

Total Claims

91K

Beneficiaries

83K

1.1 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2021
$1.5M
-9%
2022
$1.4M
+66%
2023
$2.3M
+39%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 33% of total spending.

99213Top 5%

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

$2.7M

22K claims · 32.6%

Your Cost: $125.53/claim|Median: $37.81
3.3× median
99214Top 5%

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

$1.6M

13K claims · 19.2%

Your Cost: $121.87/claim|Median: $53.41
2.3× median
99212Top 5%

Office/outpatient visit, low complexity

$1.4M

12K claims · 16.3%

Your Cost: $114.49/claim|Median: $25.06
4.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$523K

12K claims · 6.2%

Your Cost: $44.20/claim|Median: $55.04
0.8× median
99406Top 1%

$464K

10K claims · 5.5%

Your Cost: $45.02/claim|Median: $6.53
6.9× median
H0014Normal range

$313K

2,384 claims · 3.7%

Your Cost: $131.17/claim|Median: $137.81
1.0× median
90832Top 10%

Psychotherapy, 30 minutes

$278K

2,710 claims · 3.3%

Your Cost: $102.42/claim|Median: $41.28
2.5× median
H0001Normal range

Alcohol and/or drug assessment

$258K

1,797 claims · 3.1%

Your Cost: $143.40/claim|Median: $94.22
1.5× median
H0049Top 10%

$255K

5,306 claims · 3.0%

Your Cost: $48.03/claim|Median: $9.27
5.2× median
H0050Normal range

$190K

4,030 claims · 2.3%

Your Cost: $47.18/claim|Median: $46.71
1.0× median
90834Top 5%

Psychotherapy, 45 minutes

$186K

1,291 claims · 2.2%

Your Cost: $143.77/claim|Median: $63.65
2.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$131K

730 claims · 1.6%

Your Cost: $178.78/claim|Median: $215.80
0.8× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$28K

155 claims · 0.3%

Your Cost: $179.49/claim|Median: $108.91
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$24K

1,229 claims · 0.3%

Your Cost: $19.87/claim|Median: $12.93
1.5× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$24K

573 claims · 0.3%

Your Cost: $41.46/claim|Median: $106.70
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$5K

51 claims · 0.1%

Your Cost: $103.98/claim|Median: $74.09
1.4× median
90882Normal range

Environmental intervention

$5K

310 claims · 0.1%

Your Cost: $15.59/claim|Median: $45.05
0.3× median
90833Top 25%

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

$727

13 claims · 0.0%

Your Cost: $55.90/claim|Median: $38.83
1.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$8

1,112 claims · 0.0%

Your Cost: $0.01/claim|Median: $3.67
0.0× median
80305Normal range

$0

271 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.44
G8431Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37
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