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Provider 1245375203

NPI: 1245375203Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,014,500

Total Claims

65K

Beneficiaries

17K

3.7 claims/patient

Avg Cost/Claim

$124

Monthly Spending Trend

Yearly Spending

2018
$959K
+29%
2019
$1.2M
+8%
2020
$1.3M
-9%
2021
$1.2M
+13%
2022
$1.4M
-18%
2023
$1.1M
-36%
2024
$725K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 62% of total spending.

H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$5.0M

36K claims · 61.9%

Your Cost: $138.39/claim|Median: $129.75
1.1× median
H0014Normal range

$2.3M

13K claims · 28.5%

Your Cost: $176.98/claim|Median: $137.81
1.3× median
99214Normal range

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

$312K

4,422 claims · 3.9%

Your Cost: $70.65/claim|Median: $53.41
1.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$161K

1,275 claims · 2.0%

Your Cost: $126.57/claim|Median: $99.21
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$89K

2,774 claims · 1.1%

Your Cost: $32.24/claim|Median: $74.63
0.4× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$79K

950 claims · 1.0%

Your Cost: $83.17/claim|Median: $84.03
1.0× median
99213Top 25%

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

$27K

452 claims · 0.3%

Your Cost: $59.21/claim|Median: $37.81
1.6× median
H0001Normal range

Alcohol and/or drug assessment

$25K

483 claims · 0.3%

Your Cost: $52.57/claim|Median: $94.22
0.6× median
H0005Normal range

Alcohol and/or drug services, group counseling

$23K

2,920 claims · 0.3%

Your Cost: $8.04/claim|Median: $47.35
0.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$23K

1,252 claims · 0.3%

Your Cost: $18.70/claim|Median: $12.93
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$10K

95 claims · 0.1%

Your Cost: $100.42/claim|Median: $111.09
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$6K

200 claims · 0.1%

Your Cost: $32.23/claim|Median: $63.65
0.5× median
90853Normal range

Group psychotherapy

$4K

348 claims · 0.1%

Your Cost: $11.80/claim|Median: $25.02
0.5× median
90833Normal range

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

$4K

132 claims · 0.0%

Your Cost: $27.42/claim|Median: $38.83
0.7× median
90785Normal range

$967

447 claims · 0.0%

Your Cost: $2.16/claim|Median: $6.43
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$391

33 claims · 0.0%

Your Cost: $11.84/claim|Median: $41.28
0.3× median
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