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Provider 1205994548

NPI: 1205994548Share
Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$11.1M

$11,067,093

Total Claims

45K

Beneficiaries

19K

2.4 claims/patient

Avg Cost/Claim

$248

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+24%
2019
$1.7M
-14%
2020
$1.5M
+6%
2021
$1.6M
+0%
2022
$1.6M
+22%
2023
$1.9M
-33%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 42% of total spending.

H2015Top 25%

Comprehensive community support services, per 15 min

$4.6M

20K claims · 41.8%

Your Cost: $227.09/claim|Median: $96.24
2.4× median
H2010Normal range

Comprehensive medication services, per 15 min

$3.8M

17K claims · 34.1%

Your Cost: $220.44/claim|Median: $62.69
3.5× median
99484Top 5%

$641K

1,141 claims · 5.8%

Your Cost: $561.85/claim|Median: $7.13
78.8× median
90837Top 1%

Psychotherapy, 60 minutes

$433K

1,197 claims · 3.9%

Your Cost: $361.36/claim|Median: $85.66
4.2× median
T1017Top 25%

Targeted case management, per 15 min

$388K

1,794 claims · 3.5%

Your Cost: $216.31/claim|Median: $69.56
3.1× median
99215Top 1%

Office/outpatient visit, high complexity

$264K

241 claims · 2.4%

Your Cost: $1,095.70/claim|Median: $74.09
14.8× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$192K

587 claims · 1.7%

Your Cost: $327.07/claim|Median: $91.63
3.6× median
H0032Top 10%

Mental health service plan development

$191K

800 claims · 1.7%

Your Cost: $238.69/claim|Median: $80.64
3.0× median
99214Top 1%

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

$175K

217 claims · 1.6%

Your Cost: $806.49/claim|Median: $53.41
15.1× median
H0034Top 25%

Medication training and management, per 15 min

$118K

465 claims · 1.1%

Your Cost: $252.92/claim|Median: $56.90
4.4× median
99213Top 1%

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

$96K

168 claims · 0.9%

Your Cost: $570.94/claim|Median: $37.81
15.1× median
90834Top 1%

Psychotherapy, 45 minutes

$68K

251 claims · 0.6%

Your Cost: $271.29/claim|Median: $63.65
4.3× median
H0031Top 5%

Mental health assessment by non-physician

$51K

79 claims · 0.5%

Your Cost: $650.82/claim|Median: $96.18
6.8× median
G2212Normal range

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

$39K

227 claims · 0.4%

Your Cost: $173.66/claim|Median: $72.96
2.4× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$12K

23 claims · 0.1%

Your Cost: $534.79/claim|Median: $150.51
3.6× median
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