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Provider 1174677603

NPI: 1174677603Share
Active Billing Period:2018-01→2024-11(70 months)

Total Paid

$17.0M

$17,002,138

Total Claims

183K

Beneficiaries

40K

4.6 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+20%
2019
$1.8M
-17%
2020
$1.5M
+55%
2021
$2.3M
+6%
2022
$2.5M
+41%
2023
$3.5M
+9%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 46% of total spending.

H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$7.7M

40K claims · 45.5%

Your Cost: $195.36/claim|Median: $74.63
2.6× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$4.1M

15K claims · 24.1%

Your Cost: $269.12/claim|Median: $91.63
2.9× median
96152Top 5%

Health behavior intervention, individual

$1.4M

6,713 claims · 8.5%

Your Cost: $214.67/claim|Median: $20.02
10.7× median
H2014Normal range

Skills training & development, per 15 min

$1.1M

27K claims · 6.6%

Your Cost: $40.76/claim|Median: $83.88
0.5× median
T1019Normal range

Personal care services, per 15 min

$426K

21K claims · 2.5%

Your Cost: $20.77/claim|Median: $82.47
0.3× median
92507Normal range

Speech/hearing/language treatment

$389K

16K claims · 2.3%

Your Cost: $24.98/claim|Median: $49.45
0.5× median
92508Normal range

Treatment of speech/language disorder, group, 2+ patients

$298K

34K claims · 1.8%

Your Cost: $8.71/claim|Median: $13.22
0.7× median
96131Normal range

Psychological testing evaluation, each additional hour

$297K

1,498 claims · 1.7%

Your Cost: $198.41/claim|Median: $133.38
1.5× median
99412Normal range

$225K

6,242 claims · 1.3%

Your Cost: $36.02/claim|Median: $34.41
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$216K

5,685 claims · 1.3%

Your Cost: $38.04/claim|Median: $33.11
1.1× median
96130Normal range

Psychological testing evaluation by professional, first hour

$195K

1,902 claims · 1.1%

Your Cost: $102.53/claim|Median: $79.21
1.3× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$176K

1,244 claims · 1.0%

Your Cost: $141.45/claim|Median: $92.96
1.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$110K

918 claims · 0.6%

Your Cost: $119.61/claim|Median: $110.87
1.1× median
H0005Normal range

Alcohol and/or drug services, group counseling

$61K

1,800 claims · 0.4%

Your Cost: $33.65/claim|Median: $47.35
0.7× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$55K

1,447 claims · 0.3%

Your Cost: $37.91/claim|Median: $30.49
1.2× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$51K

690 claims · 0.3%

Your Cost: $74.50/claim|Median: $84.12
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$46K

1,499 claims · 0.3%

Your Cost: $30.82/claim|Median: $24.49
1.3× median
96101Normal range

$39K

327 claims · 0.2%

Your Cost: $118.68/claim|Median: $196.08
0.6× median
T1001Normal range

Nursing assessment/evaluation, per visit

$9K

179 claims · 0.1%

Your Cost: $50.95/claim|Median: $49.05
1.0× median
97165Top 25%

OT evaluation, low complexity

$1K

12 claims · 0.0%

Your Cost: $86.29/claim|Median: $46.78
1.8× median
96146Normal range

$907

583 claims · 0.0%

Your Cost: $1.56/claim|Median: $0.79
2.0× median
G9002Normal range

Coordinated care fee, maintenance period

$693

12 claims · 0.0%

Your Cost: $57.74/claim|Median: $108.80
0.5× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$548

15 claims · 0.0%

Your Cost: $36.54/claim|Median: $114.71
0.3× median
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