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Provider 1235551094

NPI: 1235551094Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$7.6M

$7,631,249

Total Claims

112K

Beneficiaries

19K

5.8 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+37%
2019
$1.4M
+23%
2020
$1.7M
-45%
2021
$947K
+11%
2022
$1.0M
-1%
2023
$1.0M
-55%
2024
$464K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 51% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$3.9M

56K claims · 51.2%

Your Cost: $69.81/claim|Median: $85.66
0.8× median
99354Normal range

$1.8M

32K claims · 24.1%

Your Cost: $57.00/claim|Median: $54.96
1.0× median
99355Top 25%

$1.1M

12K claims · 14.9%

Your Cost: $94.22/claim|Median: $55.81
1.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$588K

7,577 claims · 7.7%

Your Cost: $77.56/claim|Median: $74.63
1.0× median
90887Normal range

Interpretation/explanation of results

$158K

3,790 claims · 2.1%

Your Cost: $41.75/claim|Median: $47.55
0.9× median