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Provider 1174129563

NPI: 1174129563Share
Active Billing Period:2021-07→2024-12(42 months)

Total Paid

$14.4M

$14,392,258

Total Claims

96K

Beneficiaries

8,000

12.0 claims/patient

Avg Cost/Claim

$150

Monthly Spending Trend

Yearly Spending

2021
$0
2022
$0
2023
$7.0M
+6%
2024
$7.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (90791 (Psychiatric diagnostic evaluation)) accounts for 86% of total spending.

90791Top 1%

Psychiatric diagnostic evaluation

$12.4M

2,744 claims · 86.0%

Your Cost: $4,511.66/claim|Median: $99.21
45.5× median
97153Top 10%

Adaptive behavior treatment by protocol, per 15 min

$1.7M

4,227 claims · 11.7%

Your Cost: $397.03/claim|Median: $167.38
2.4× median
97152Normal range

$210K

943 claims · 1.5%

Your Cost: $222.85/claim|Median: $155.16
1.4× median
97155Top 10%

Adaptive behavior treatment with protocol modification, per 15 minutes

$81K

299 claims · 0.6%

Your Cost: $269.86/claim|Median: $146.45
1.8× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$21K

63K claims · 0.1%

Your Cost: $0.33/claim|Median: $55.95
0.0× median
97156Normal range

$20K

216 claims · 0.1%

Your Cost: $94.87/claim|Median: $88.65
1.1× median
97151Normal range

Behavior identification assessment

$2K

75 claims · 0.0%

Your Cost: $23.52/claim|Median: $161.10
0.1× median
H2021Normal range

Community-based wrap-around services, per 15 min

$0

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $169.11
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