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Provider 1205055886

NPI: 1205055886Share
Active Billing Period:2018-01→2024-04(76 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$14.1M

$14,149,531

Total Claims

59K

Beneficiaries

36K

1.6 claims/patient

Avg Cost/Claim

$239

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-1%
2019
$1.3M
+69%
2020
$2.3M
+22%
2021
$2.7M
-7%
2022
$2.5M
+12%
2023
$2.9M
-62%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H2010 (Comprehensive medication services, per 15 min)) accounts for 26% of total spending.

H2010Top 25%

Comprehensive medication services, per 15 min

$3.6M

13K claims · 25.7%

Your Cost: $285.01/claim|Median: $62.69
4.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.5M

22K claims · 25.1%

Your Cost: $164.73/claim|Median: $96.24
1.7× median
T1017Top 10%

Targeted case management, per 15 min

$2.2M

6,962 claims · 15.4%

Your Cost: $313.28/claim|Median: $69.56
4.5× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$1.6M

2,896 claims · 11.0%

Your Cost: $539.79/claim|Median: $215.80
2.5× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$584K

3,077 claims · 4.1%

Your Cost: $189.91/claim|Median: $91.63
2.1× median
90837Top 1%

Psychotherapy, 60 minutes

$530K

1,301 claims · 3.7%

Your Cost: $407.65/claim|Median: $85.66
4.8× median
H0032Top 25%

Mental health service plan development

$436K

2,503 claims · 3.1%

Your Cost: $174.32/claim|Median: $80.64
2.2× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$358K

740 claims · 2.5%

Your Cost: $483.47/claim|Median: $32.55
14.9× median
H0034Top 5%

Medication training and management, per 15 min

$288K

471 claims · 2.0%

Your Cost: $611.58/claim|Median: $56.90
10.7× median
G2212Top 25%

Prolonged office/outpatient E/M, each additional 15 min

$282K

726 claims · 2.0%

Your Cost: $387.93/claim|Median: $72.96
5.3× median
90834Top 1%

Psychotherapy, 45 minutes

$218K

711 claims · 1.5%

Your Cost: $306.14/claim|Median: $63.65
4.8× median
99215Top 1%

Office/outpatient visit, high complexity

$133K

151 claims · 0.9%

Your Cost: $880.95/claim|Median: $74.09
11.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$121K

3,280 claims · 0.9%

Your Cost: $36.74/claim|Median: $47.35
0.8× median
90839Top 5%

Psychotherapy for crisis, first 60 min

$63K

217 claims · 0.4%

Your Cost: $290.00/claim|Median: $83.98
3.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$56K

829 claims · 0.4%

Your Cost: $67.36/claim|Median: $74.63
0.9× median
90840Top 1%

Psychotherapy for crisis, each additional 30 min

$50K

93 claims · 0.4%

Your Cost: $540.96/claim|Median: $50.71
10.7× median
90791Normal range

Psychiatric diagnostic evaluation

$37K

377 claims · 0.3%

Your Cost: $99.02/claim|Median: $99.21
1.0× median
90832Top 5%

Psychotherapy, 30 minutes

$37K

184 claims · 0.3%

Your Cost: $202.22/claim|Median: $41.28
4.9× median
H0031Normal range

Mental health assessment by non-physician

$24K

304 claims · 0.2%

Your Cost: $78.95/claim|Median: $96.18
0.8× median
90853Normal range

Group psychotherapy

$2K

99 claims · 0.0%

Your Cost: $23.12/claim|Median: $25.02
0.9× median
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