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Provider 1164972485

NPI: 1164972485Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.6M

$8,643,799

Total Claims

239K

Beneficiaries

90K

2.7 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$218K
+300%
2019
$873K
-5%
2020
$827K
+109%
2021
$1.7M
-0%
2022
$1.7M
-4%
2023
$1.7M
-2%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 46% of total spending.

T1016Normal range

Case management, each 15 min

$3.9M

161K claims · 45.6%

Your Cost: $24.45/claim|Median: $49.62
0.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.0M

28K claims · 23.1%

Your Cost: $71.98/claim|Median: $74.63
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.2M

21K claims · 13.8%

Your Cost: $57.49/claim|Median: $83.88
0.7× median
H0031Normal range

Mental health assessment by non-physician

$817K

9,820 claims · 9.5%

Your Cost: $83.25/claim|Median: $96.18
0.9× median
S5110Normal range

Home care training, family; per 15 min

$314K

6,802 claims · 3.6%

Your Cost: $46.10/claim|Median: $74.36
0.6× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$149K

4,039 claims · 1.7%

Your Cost: $36.90/claim|Median: $21.33
1.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$104K

2,233 claims · 1.2%

Your Cost: $46.52/claim|Median: $215.80
0.2× median
S9986Top 10%

$75K

2,138 claims · 0.9%

Your Cost: $35.20/claim|Median: $2.86
12.3× median
A0120Normal range

Non-emergency mini-bus transport

$43K

4,015 claims · 0.5%

Your Cost: $10.81/claim|Median: $16.09
0.7× median
A0160Normal range

$2K

158 claims · 0.0%

Your Cost: $12.20/claim|Median: $12.60
1.0× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$2K

222 claims · 0.0%

Your Cost: $7.42/claim|Median: $17.67
0.4× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$827

72 claims · 0.0%

Your Cost: $11.49/claim|Median: $53.97
0.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$225

12 claims · 0.0%

Your Cost: $18.75/claim|Median: $55.04
0.3× median
H0002Normal range

Behavioral health screening

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.77