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Provider 1215182928

NPI: 1215182928Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$15.2M

$15,239,305

Total Claims

67K

Beneficiaries

12K

5.6 claims/patient

Avg Cost/Claim

$229

Monthly Spending Trend

Yearly Spending

2018
$940K
+89%
2019
$1.8M
-2%
2020
$1.7M
+83%
2021
$3.2M
-14%
2022
$2.8M
-5%
2023
$2.6M
-16%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0035 (Mental health partial hospitalization, treatment, per hour)) accounts for 92% of total spending.

H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$14.0M

47K claims · 92.0%

Your Cost: $295.53/claim|Median: $148.53
2.0× median
90853Top 10%

Group psychotherapy

$335K

5,035 claims · 2.2%

Your Cost: $66.49/claim|Median: $25.02
2.7× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$250K

3,980 claims · 1.6%

Your Cost: $62.73/claim|Median: $23.99
2.6× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$174K

1,937 claims · 1.1%

Your Cost: $89.94/claim|Median: $35.30
2.5× median
99223Top 5%

Initial hospital care, per day, high complexity

$110K

644 claims · 0.7%

Your Cost: $171.06/claim|Median: $67.32
2.5× median
90832Normal range

Psychotherapy, 30 minutes

$93K

2,301 claims · 0.6%

Your Cost: $40.33/claim|Median: $41.28
1.0× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$72K

2,138 claims · 0.5%

Your Cost: $33.87/claim|Median: $16.77
2.0× median
99254Normal range

$68K

719 claims · 0.4%

Your Cost: $95.02/claim|Median: $81.43
1.2× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$37K

387 claims · 0.2%

Your Cost: $95.02/claim|Median: $43.85
2.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$21K

565 claims · 0.1%

Your Cost: $37.60/claim|Median: $77.33
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$19K

235 claims · 0.1%

Your Cost: $82.09/claim|Median: $85.66
1.0× median
90833Top 25%

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

$16K

257 claims · 0.1%

Your Cost: $61.43/claim|Median: $38.83
1.6× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$7K

114 claims · 0.0%

Your Cost: $63.91/claim|Median: $37.22
1.7× median
99214Top 25%

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

$5K

58 claims · 0.0%

Your Cost: $85.56/claim|Median: $53.41
1.6× median
90791Normal range

Psychiatric diagnostic evaluation

$5K

83 claims · 0.0%

Your Cost: $56.78/claim|Median: $99.21
0.6× median
90785Normal range

$4K

402 claims · 0.0%

Your Cost: $9.04/claim|Median: $6.43
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$3K

52 claims · 0.0%

Your Cost: $53.31/claim|Median: $63.65
0.8× median
36415Normal range

Collection of venous blood by venipuncture

$457

298 claims · 0.0%

Your Cost: $1.53/claim|Median: $1.57
1.0× median
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