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Provider 1205990074

NPI: 1205990074Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.7M

$8,744,136

Total Claims

32K

Beneficiaries

27K

1.2 claims/patient

Avg Cost/Claim

$269

Monthly Spending Trend

Yearly Spending

2018
$529K
-37%
2019
$335K
+25%
2020
$420K
+0%
2021
$422K
+435%
2022
$2.3M
+10%
2023
$2.5M
-7%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 78% of total spending.

T1041Normal range

Medicaid CCBHC services, per diem

$6.8M

7,519 claims · 78.3%

Your Cost: $910.23/claim|Median: $913.47
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$454K

7,847 claims · 5.2%

Your Cost: $57.83/claim|Median: $74.63
0.8× median
99214Normal range

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

$448K

8,487 claims · 5.1%

Your Cost: $52.79/claim|Median: $53.41
1.0× median
G9002Normal range

Coordinated care fee, maintenance period

$350K

2,797 claims · 4.0%

Your Cost: $125.16/claim|Median: $108.80
1.2× median
G9009Normal range

$197K

664 claims · 2.3%

Your Cost: $297.08/claim|Median: $345.34
0.9× median
G9010Normal range

$163K

188 claims · 1.9%

Your Cost: $864.82/claim|Median: $1,009.60
0.9× median
H0046Top 5%

Mental health services, not otherwise specified

$145K

133 claims · 1.7%

Your Cost: $1,088.02/claim|Median: $85.02
12.8× median
99213Top 25%

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

$64K

1,100 claims · 0.7%

Your Cost: $58.46/claim|Median: $37.81
1.5× median
T1017Normal range

Targeted case management, per 15 min

$31K

1,608 claims · 0.4%

Your Cost: $19.58/claim|Median: $69.56
0.3× median
H0032Normal range

Mental health service plan development

$21K

482 claims · 0.2%

Your Cost: $44.00/claim|Median: $80.64
0.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$6K

155 claims · 0.1%

Your Cost: $36.84/claim|Median: $91.63
0.4× median
T1027Normal range

Family training and counseling, per 15 minutes

$5K

497 claims · 0.1%

Your Cost: $10.78/claim|Median: $53.00
0.2× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$4K

235 claims · 0.0%

Your Cost: $16.12/claim|Median: $7.86
2.1× median
H0034Normal range

Medication training and management, per 15 min

$2K

80 claims · 0.0%

Your Cost: $30.50/claim|Median: $56.90
0.5× median
G9001Normal range

$2K

42 claims · 0.0%

Your Cost: $52.55/claim|Median: $53.98
1.0× median
H0002Normal range

Behavioral health screening

$2K

85 claims · 0.0%

Your Cost: $24.38/claim|Median: $38.77
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$2K

214 claims · 0.0%

Your Cost: $7.15/claim|Median: $96.24
0.1× median
H0031Normal range

Mental health assessment by non-physician

$1K

25 claims · 0.0%

Your Cost: $53.13/claim|Median: $96.18
0.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1K

17 claims · 0.0%

Your Cost: $76.87/claim|Median: $215.80
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$643

40 claims · 0.0%

Your Cost: $16.08/claim|Median: $12.93
1.2× median
99406Top 25%

$250

22 claims · 0.0%

Your Cost: $11.38/claim|Median: $6.53
1.7× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $106.70
T1016Normal range

Case management, each 15 min

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
1111FNormal range

$0

171 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
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