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Provider 1164920963

NPI: 1164920963Share
Active Billing Period:2018-09→2024-12(73 months)

Total Paid

$10.5M

$10,531,887

Total Claims

22K

Beneficiaries

3,152

7.1 claims/patient

Avg Cost/Claim

$471

Monthly Spending Trend

Yearly Spending

2018
$62K
+3025%
2019
$1.9M
-3%
2020
$1.9M
-66%
2021
$634K
+230%
2022
$2.1M
-11%
2023
$1.9M
+10%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H0047 (Alcohol and/or drug abuse, not otherwise specified)) accounts for 41% of total spending.

H0047Top 5%

Alcohol and/or drug abuse, not otherwise specified

$4.3M

8,137 claims · 41.2%

Your Cost: $532.89/claim|Median: $81.37
6.5× median
T1015Top 1%

Clinic visit/encounter, all-inclusive

$2.3M

3,317 claims · 22.1%

Your Cost: $702.14/claim|Median: $121.16
5.8× median
T1017Top 5%

Targeted case management, per 15 min

$1.5M

3,547 claims · 13.8%

Your Cost: $409.06/claim|Median: $69.56
5.9× median
H2035Top 10%

Alcohol and/or drug treatment, per hour

$1.2M

3,725 claims · 11.0%

Your Cost: $312.31/claim|Median: $94.63
3.3× median
90853Top 1%

Group psychotherapy

$1.1M

3,039 claims · 10.2%

Your Cost: $354.86/claim|Median: $25.02
14.2× median
98962Top 25%

$87K

333 claims · 0.8%

Your Cost: $261.70/claim|Median: $12.43
21.1× median
99411Top 5%

$45K

112 claims · 0.4%

Your Cost: $398.13/claim|Median: $9.35
42.6× median
99213Top 1%

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

$29K

97 claims · 0.3%

Your Cost: $295.52/claim|Median: $37.81
7.8× median
90471Top 1%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$9K

24 claims · 0.1%

Your Cost: $373.63/claim|Median: $9.80
38.1× median
90791Top 5%

Psychiatric diagnostic evaluation

$5K

17 claims · 0.0%

Your Cost: $276.29/claim|Median: $99.21
2.8× median
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