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Provider 1174520084

NPI: 1174520084Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,520,735

Total Claims

142K

Beneficiaries

99K

1.4 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$762K
+63%
2019
$1.2M
+44%
2020
$1.8M
-14%
2021
$1.5M
-9%
2022
$1.4M
+12%
2023
$1.6M
-23%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 28% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$2.6M

28K claims · 27.8%

Your Cost: $94.27/claim|Median: $85.66
1.1× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$1.4M

24K claims · 15.1%

Your Cost: $59.72/claim|Median: $3.67
16.3× median
99214Normal range

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

$1.2M

20K claims · 12.9%

Your Cost: $62.67/claim|Median: $53.41
1.2× median
90834Top 25%

Psychotherapy, 45 minutes

$1.1M

13K claims · 11.7%

Your Cost: $82.99/claim|Median: $63.65
1.3× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$657K

9,442 claims · 6.9%

Your Cost: $69.54/claim|Median: $91.63
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$494K

9,971 claims · 5.2%

Your Cost: $49.53/claim|Median: $41.28
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$350K

3,564 claims · 3.7%

Your Cost: $98.18/claim|Median: $74.09
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$294K

2,337 claims · 3.1%

Your Cost: $125.64/claim|Median: $99.21
1.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$278K

2,711 claims · 2.9%

Your Cost: $102.53/claim|Median: $84.12
1.2× median
99213Normal range

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

$264K

6,445 claims · 2.8%

Your Cost: $40.92/claim|Median: $37.81
1.1× median
H2016Normal range

Comprehensive community support services, per 15 min

$207K

1,145 claims · 2.2%

Your Cost: $181.04/claim|Median: $321.53
0.6× median
Q3014Normal range

Telehealth originating site facility fee

$198K

13K claims · 2.1%

Your Cost: $15.77/claim|Median: $15.37
1.0× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$98K

707 claims · 1.0%

Your Cost: $138.72/claim|Median: $84.03
1.7× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$92K

2,447 claims · 1.0%

Your Cost: $37.46/claim|Median: $38.83
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$74K

1,925 claims · 0.8%

Your Cost: $38.64/claim|Median: $55.04
0.7× median
90839Normal range

Psychotherapy for crisis, first 60 min

$35K

490 claims · 0.4%

Your Cost: $71.86/claim|Median: $83.98
0.9× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$21K

93 claims · 0.2%

Your Cost: $220.75/claim|Median: $111.09
2.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

91 claims · 0.1%

Your Cost: $149.71/claim|Median: $108.91
1.4× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$8K

42 claims · 0.1%

Your Cost: $181.72/claim|Median: $100.49
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$3K

95 claims · 0.0%

Your Cost: $36.05/claim|Median: $25.06
1.4× median
T2021Normal range

Day habilitation, waiver; per 15 min

$2K

50 claims · 0.0%

Your Cost: $34.73/claim|Median: $150.51
0.2× median
90785Normal range

$1K

1,779 claims · 0.0%

Your Cost: $0.80/claim|Median: $6.43
0.1× median
99407Normal range

$1K

138 claims · 0.0%

Your Cost: $9.74/claim|Median: $13.29
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$853

109 claims · 0.0%

Your Cost: $7.82/claim|Median: $14.00
0.6× median
99406Normal range

$38

512 claims · 0.0%

Your Cost: $0.07/claim|Median: $6.53
0.0× median
G8510Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
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