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Provider 1154689883

NPI: 1154689883Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.7M

$11,676,513

Total Claims

84K

Beneficiaries

15K

5.8 claims/patient

Avg Cost/Claim

$138

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+22%
2019
$1.8M
+8%
2020
$1.9M
-13%
2021
$1.6M
-1%
2022
$1.6M
-0%
2023
$1.6M
+6%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 69% of total spending.

H2019Top 25%

Therapeutic behavioral services, per 15 min

$8.1M

59K claims · 69.3%

Your Cost: $137.51/claim|Median: $84.12
1.6× median
H0032Top 25%

Mental health service plan development

$3.2M

21K claims · 27.4%

Your Cost: $154.48/claim|Median: $80.64
1.9× median
S5111Normal range

Home care training, family member, per session

$229K

3,941 claims · 2.0%

Your Cost: $58.02/claim|Median: $87.13
0.7× median
96132Top 5%

$45K

215 claims · 0.4%

Your Cost: $209.59/claim|Median: $70.53
3.0× median
96121Top 10%

$45K

215 claims · 0.4%

Your Cost: $206.98/claim|Median: $61.42
3.4× median
96133Normal range

$37K

128 claims · 0.3%

Your Cost: $292.19/claim|Median: $185.94
1.6× median
96116Normal range

Neurobehavioral status examination, first hour

$25K

331 claims · 0.2%

Your Cost: $74.72/claim|Median: $46.64
1.6× median
H0031Top 10%

Mental health assessment by non-physician

$7K

23 claims · 0.1%

Your Cost: $301.91/claim|Median: $96.18
3.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$4K

32 claims · 0.0%

Your Cost: $128.08/claim|Median: $99.21
1.3× median
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