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Provider 1164850525

NPI: 1164850525Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,118,705

Total Claims

63K

Beneficiaries

19K

3.3 claims/patient

Avg Cost/Claim

$161

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-9%
2019
$1.4M
+20%
2020
$1.7M
+9%
2021
$1.9M
-33%
2022
$1.2M
-24%
2023
$946K
+45%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 79% of total spending.

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$8.0M

35K claims · 78.9%

Your Cost: $226.48/claim|Median: $266.41
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.0M

9,925 claims · 10.1%

Your Cost: $102.98/claim|Median: $96.24
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$441K

4,628 claims · 4.4%

Your Cost: $95.28/claim|Median: $55.04
1.7× median
99214Normal range

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

$365K

5,000 claims · 3.6%

Your Cost: $72.99/claim|Median: $53.41
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$139K

2,060 claims · 1.4%

Your Cost: $67.48/claim|Median: $85.66
0.8× median
99213Normal range

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

$107K

2,623 claims · 1.1%

Your Cost: $40.87/claim|Median: $37.81
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$15K

1,881 claims · 0.1%

Your Cost: $7.92/claim|Median: $9.56
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$13K

299 claims · 0.1%

Your Cost: $42.31/claim|Median: $63.65
0.7× median
Q3014Normal range

Telehealth originating site facility fee

$9K

626 claims · 0.1%

Your Cost: $14.79/claim|Median: $15.37
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$8K

120 claims · 0.1%

Your Cost: $65.25/claim|Median: $99.21
0.7× median
H2015HTNormal range

$6K

69 claims · 0.1%

Your Cost: $86.82/claim|Median: $173.43
0.5× median
H0040CRNormal range

$5K

32 claims · 0.0%

Your Cost: $142.78/claim|Median: $265.90
0.5× median
99406Top 25%

$4K

422 claims · 0.0%

Your Cost: $10.29/claim|Median: $6.53
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$2K

40 claims · 0.0%

Your Cost: $43.25/claim|Median: $41.28
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$367

22 claims · 0.0%

Your Cost: $16.69/claim|Median: $22.44
0.7× median
98968Normal range

$356

18 claims · 0.0%

Your Cost: $19.80/claim|Median: $28.39
0.7× median
99441Normal range

Telephone E/M by physician, 5-10 min

$143

13 claims · 0.0%

Your Cost: $10.98/claim|Median: $13.30
0.8× median
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