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Provider 1174135883

NPI: 1174135883Share
Active Billing Period:2020-10→2024-11(50 months)

Total Paid

$10.3M

$10,260,350

Total Claims

61K

Beneficiaries

16K

3.9 claims/patient

Avg Cost/Claim

$168

Monthly Spending Trend

Yearly Spending

2020
$838K
+269%
2021
$3.1M
-22%
2022
$2.4M
+20%
2023
$2.9M
-66%
2024
$996K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 50% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$5.2M

19K claims · 50.4%

Your Cost: $266.52/claim|Median: $336.31
0.8× median
97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$2.1M

8,097 claims · 20.4%

Your Cost: $258.52/claim|Median: $167.38
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$1.1M

17K claims · 11.1%

Your Cost: $68.88/claim|Median: $85.66
0.8× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$657K

2,720 claims · 6.4%

Your Cost: $241.54/claim|Median: $146.45
1.6× median
T1017Top 10%

Targeted case management, per 15 min

$354K

1,234 claims · 3.5%

Your Cost: $287.22/claim|Median: $69.56
4.1× median
90834Normal range

Psychotherapy, 45 minutes

$311K

6,485 claims · 3.0%

Your Cost: $47.93/claim|Median: $63.65
0.8× median
97156Normal range

$202K

2,316 claims · 2.0%

Your Cost: $87.43/claim|Median: $88.65
1.0× median
99214Top 25%

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

$144K

1,868 claims · 1.4%

Your Cost: $76.83/claim|Median: $53.41
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$40K

949 claims · 0.4%

Your Cost: $41.88/claim|Median: $41.28
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$38K

624 claims · 0.4%

Your Cost: $61.10/claim|Median: $77.33
0.8× median
97155GTTop 1%

$33K

141 claims · 0.3%

Your Cost: $235.12/claim|Median: $205.53
1.1× median
97152Top 10%

$31K

90 claims · 0.3%

Your Cost: $345.26/claim|Median: $155.16
2.2× median
97156GTNormal range

$17K

169 claims · 0.2%

Your Cost: $100.12/claim|Median: $100.12
1.0× median
H2022GTTop 25%

$10K

38 claims · 0.1%

Your Cost: $258.20/claim|Median: $258.20
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$7K

143 claims · 0.1%

Your Cost: $52.41/claim|Median: $76.61
0.7× median
99213Normal range

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

$7K

153 claims · 0.1%

Your Cost: $48.91/claim|Median: $37.81
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$3K

25 claims · 0.0%

Your Cost: $122.66/claim|Median: $74.09
1.7× median
99214GTNormal range

$1K

12 claims · 0.0%

Your Cost: $84.29/claim|Median: $86.98
1.0× median
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