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Provider 1174513444

NPI: 1174513444Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.1M

$17,092,747

Total Claims

239K

Beneficiaries

131K

1.8 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$4.5M
-15%
2019
$3.8M
-19%
2020
$3.1M
+5%
2021
$3.2M
-40%
2022
$1.9M
-80%
2023
$379K
-42%
2024
$220K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0036 (Community psychiatric supportive treatment, per 15 min)) accounts for 49% of total spending.

H0036Normal range

Community psychiatric supportive treatment, per 15 min

$8.4M

86K claims · 49.1%

Your Cost: $97.92/claim|Median: $76.05
1.3× median
H0018Normal range

Behavioral health; short-term residential, per diem

$2.3M

13K claims · 13.5%

Your Cost: $182.38/claim|Median: $467.51
0.4× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.2M

15K claims · 7.0%

Your Cost: $79.77/claim|Median: $91.63
0.9× median
T1017Normal range

Targeted case management, per 15 min

$982K

41K claims · 5.7%

Your Cost: $24.16/claim|Median: $69.56
0.3× median
99214Normal range

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

$644K

17K claims · 3.8%

Your Cost: $38.15/claim|Median: $53.41
0.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$630K

2,076 claims · 3.7%

Your Cost: $303.23/claim|Median: $215.80
1.4× median
H2021Normal range

Community-based wrap-around services, per 15 min

$624K

9,263 claims · 3.6%

Your Cost: $67.33/claim|Median: $169.11
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$527K

9,063 claims · 3.1%

Your Cost: $58.13/claim|Median: $63.65
0.9× median
S5150Top 10%

Unskilled respite care, per 15 min

$409K

1,384 claims · 2.4%

Your Cost: $295.80/claim|Median: $84.46
3.5× median
T1019Normal range

Personal care services, per 15 min

$386K

13K claims · 2.3%

Your Cost: $29.91/claim|Median: $82.47
0.4× median
S5110Normal range

Home care training, family; per 15 min

$311K

14K claims · 1.8%

Your Cost: $22.13/claim|Median: $74.36
0.3× median
S0311Normal range

$147K

1,321 claims · 0.9%

Your Cost: $111.12/claim|Median: $221.54
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$122K

1,128 claims · 0.7%

Your Cost: $108.17/claim|Median: $99.21
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$52K

5,005 claims · 0.3%

Your Cost: $10.47/claim|Median: $12.93
0.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$48K

803 claims · 0.3%

Your Cost: $59.97/claim|Median: $77.33
0.8× median
99213Normal range

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

$44K

1,584 claims · 0.3%

Your Cost: $27.48/claim|Median: $37.81
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$42K

472 claims · 0.2%

Your Cost: $88.00/claim|Median: $85.66
1.0× median
Q3014Normal range

Telehealth originating site facility fee

$38K

2,173 claims · 0.2%

Your Cost: $17.31/claim|Median: $15.37
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$31K

325 claims · 0.2%

Your Cost: $96.82/claim|Median: $108.91
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$28K

734 claims · 0.2%

Your Cost: $37.90/claim|Median: $55.04
0.7× median
S0281Top 25%

$26K

174 claims · 0.2%

Your Cost: $148.70/claim|Median: $92.97
1.6× median
H0032Normal range

Mental health service plan development

$26K

378 claims · 0.1%

Your Cost: $67.55/claim|Median: $80.64
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$25K

847 claims · 0.1%

Your Cost: $29.92/claim|Median: $41.28
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$23K

3,913 claims · 0.1%

Your Cost: $5.85/claim|Median: $9.56
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$16K

272 claims · 0.1%

Your Cost: $59.20/claim|Median: $74.63
0.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$10K

310 claims · 0.1%

Your Cost: $33.18/claim|Median: $47.35
0.7× median
S0221Normal range

$3K

34 claims · 0.0%

Your Cost: $91.64/claim|Median: $86.82
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$2K

39 claims · 0.0%

Your Cost: $58.82/claim|Median: $74.09
0.8× median
H0006Normal range

Alcohol and/or drug services, case management

$2K

78 claims · 0.0%

Your Cost: $27.08/claim|Median: $43.10
0.6× median
90853Normal range

Group psychotherapy

$2K

97 claims · 0.0%

Your Cost: $16.36/claim|Median: $25.02
0.7× median
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