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Provider 1235641697

NPI: 1235641697Share
Active Billing Period:2019-03→2024-12(70 months)

Total Paid

$8.9M

$8,922,660

Total Claims

99K

Beneficiaries

15K

6.6 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2019
$288K
+153%
2020
$729K
-31%
2021
$500K
+422%
2022
$2.6M
+3%
2023
$2.7M
-21%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0036 (Community psychiatric supportive treatment, per 15 min)) accounts for 86% of total spending.

H0036Normal range

Community psychiatric supportive treatment, per 15 min

$7.7M

87K claims · 86.3%

Your Cost: $88.54/claim|Median: $76.05
1.2× median
90837Top 25%

Psychotherapy, 60 minutes

$478K

4,132 claims · 5.4%

Your Cost: $115.66/claim|Median: $85.66
1.4× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$326K

3,050 claims · 3.7%

Your Cost: $107.04/claim|Median: $74.63
1.4× median
99214Top 5%

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

$158K

1,142 claims · 1.8%

Your Cost: $138.25/claim|Median: $53.41
2.6× median
H0034Normal range

Medication training and management, per 15 min

$121K

2,200 claims · 1.4%

Your Cost: $55.20/claim|Median: $56.90
1.0× median
99213Top 10%

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

$88K

1,186 claims · 1.0%

Your Cost: $74.18/claim|Median: $37.81
2.0× median
90834Top 25%

Psychotherapy, 45 minutes

$20K

183 claims · 0.2%

Your Cost: $107.82/claim|Median: $63.65
1.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$16K

133 claims · 0.2%

Your Cost: $123.89/claim|Median: $108.91
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$11K

102 claims · 0.1%

Your Cost: $103.02/claim|Median: $99.21
1.0× median
H0002Top 25%

Behavioral health screening

$6K

66 claims · 0.1%

Your Cost: $83.44/claim|Median: $38.77
2.2× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$2K

96 claims · 0.0%

Your Cost: $20.43/claim|Median: $3.67
5.6× median
H2031Normal range

$0

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $90.06
99999Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $348.86
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