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Provider 1164586210

NPI: 1164586210Share
Active Billing Period:2018-08→2024-11(71 months)

Total Paid

$15.4M

$15,430,219

Total Claims

194K

Beneficiaries

77K

2.5 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$4K
+136%
2019
$10K
+31297%
2020
$3.3M
-1%
2021
$3.3M
-2%
2022
$3.2M
-9%
2023
$2.9M
-5%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (96165 (Health behavior intervention, family, each additional fifteen minutes)) accounts for 48% of total spending.

96165Top 5%

Health behavior intervention, family, each additional fifteen minutes

$7.5M

70K claims · 48.4%

Your Cost: $105.87/claim|Median: $15.54
6.8× median
90834Top 10%

Psychotherapy, 45 minutes

$2.1M

17K claims · 13.9%

Your Cost: $123.92/claim|Median: $63.65
1.9× median
96164Top 5%

$2.0M

71K claims · 13.0%

Your Cost: $28.39/claim|Median: $9.87
2.9× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$1.4M

13K claims · 9.2%

Your Cost: $108.04/claim|Median: $74.63
1.4× median
99214Top 5%

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

$724K

6,063 claims · 4.7%

Your Cost: $119.33/claim|Median: $53.41
2.2× median
90853Top 5%

Group psychotherapy

$669K

6,805 claims · 4.3%

Your Cost: $98.27/claim|Median: $25.02
3.9× median
99213Top 10%

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

$324K

4,331 claims · 2.1%

Your Cost: $74.90/claim|Median: $37.81
2.0× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$216K

700 claims · 1.4%

Your Cost: $309.11/claim|Median: $108.91
2.8× median
H0031Normal range

Mental health assessment by non-physician

$159K

1,149 claims · 1.0%

Your Cost: $138.42/claim|Median: $96.18
1.4× median
H0001Top 10%

Alcohol and/or drug assessment

$128K

606 claims · 0.8%

Your Cost: $210.47/claim|Median: $94.22
2.2× median
90832Top 25%

Psychotherapy, 30 minutes

$103K

1,409 claims · 0.7%

Your Cost: $73.42/claim|Median: $41.28
1.8× median
90837Top 10%

Psychotherapy, 60 minutes

$37K

276 claims · 0.2%

Your Cost: $135.20/claim|Median: $85.66
1.6× median
T1016Normal range

Case management, each 15 min

$24K

367 claims · 0.2%

Your Cost: $65.59/claim|Median: $49.62
1.3× median
90833Top 1%

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

$9K

66 claims · 0.1%

Your Cost: $136.60/claim|Median: $38.83
3.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$3K

177 claims · 0.0%

Your Cost: $18.60/claim|Median: $9.56
1.9× median
99215Top 25%

Office/outpatient visit, high complexity

$3K

20 claims · 0.0%

Your Cost: $134.53/claim|Median: $74.09
1.8× median
36415Top 25%

Collection of venous blood by venipuncture

$543

179 claims · 0.0%

Your Cost: $3.03/claim|Median: $1.57
1.9× median
S9981Top 25%

$260

14 claims · 0.0%

Your Cost: $18.57/claim|Median: $14.70
1.3× median
S9982Normal range

$211

14 claims · 0.0%

Your Cost: $15.09/claim|Median: $11.05
1.4× median
S9999Normal range

$45

14 claims · 0.0%

Your Cost: $3.20/claim|Median: $5.38
0.6× median
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