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Provider 1245696350

NPI: 1245696350Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.9M

$7,910,283

Total Claims

102K

Beneficiaries

70K

1.4 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+163%
2019
$4.2M
-72%
2020
$1.2M
-99%
2021
$13K
+299%
2022
$50K
-57%
2023
$21K
+3653%
2024
$799K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 29% of total spending.

H2014Top 10%

Skills training & development, per 15 min

$2.3M

6,979 claims · 28.5%

Your Cost: $323.50/claim|Median: $83.88
3.9× median
90834Normal range

Psychotherapy, 45 minutes

$1.7M

31K claims · 21.0%

Your Cost: $54.31/claim|Median: $63.65
0.9× median
99214Normal range

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

$1.3M

24K claims · 16.6%

Your Cost: $55.06/claim|Median: $53.41
1.0× median
J2426Top 25%

$492K

261 claims · 6.2%

Your Cost: $1,883.48/claim|Median: $625.59
3.0× median
90791Normal range

Psychiatric diagnostic evaluation

$331K

3,613 claims · 4.2%

Your Cost: $91.67/claim|Median: $99.21
0.9× median
T1017Normal range

Targeted case management, per 15 min

$289K

5,193 claims · 3.7%

Your Cost: $55.73/claim|Median: $69.56
0.8× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$245K

4,477 claims · 3.1%

Your Cost: $54.79/claim|Median: $73.58
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$232K

2,563 claims · 2.9%

Your Cost: $90.67/claim|Median: $85.66
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$212K

5,597 claims · 2.7%

Your Cost: $37.95/claim|Median: $41.28
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$174K

1,608 claims · 2.2%

Your Cost: $107.95/claim|Median: $108.91
1.0× median
H2031Normal range

$113K

1,198 claims · 1.4%

Your Cost: $94.56/claim|Median: $90.06
1.0× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$83K

800 claims · 1.0%

Your Cost: $103.57/claim|Median: $74.63
1.4× median
90853Normal range

Group psychotherapy

$77K

2,663 claims · 1.0%

Your Cost: $28.75/claim|Median: $25.02
1.1× median
H0034Normal range

Medication training and management, per 15 min

$76K

2,025 claims · 1.0%

Your Cost: $37.55/claim|Median: $56.90
0.7× median
99213Normal range

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

$73K

1,836 claims · 0.9%

Your Cost: $39.75/claim|Median: $37.81
1.1× median
H2023Normal range

Supported employment, per 15 min

$67K

1,943 claims · 0.8%

Your Cost: $34.42/claim|Median: $103.94
0.3× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$66K

1,974 claims · 0.8%

Your Cost: $33.67/claim|Median: $9.56
3.5× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$57K

987 claims · 0.7%

Your Cost: $57.57/claim|Median: $53.97
1.1× median
H0032Normal range

Mental health service plan development

$25K

1,642 claims · 0.3%

Your Cost: $15.37/claim|Median: $80.64
0.2× median
99204Top 1%

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

$20K

87 claims · 0.3%

Your Cost: $233.96/claim|Median: $84.03
2.8× median
99215Normal range

Office/outpatient visit, high complexity

$17K

259 claims · 0.2%

Your Cost: $67.24/claim|Median: $74.09
0.9× median
J0401Normal range

$17K

17 claims · 0.2%

Your Cost: $980.47/claim|Median: $714.38
1.4× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$4K

12 claims · 0.0%

Your Cost: $326.67/claim|Median: $111.09
2.9× median
H0002Normal range

Behavioral health screening

$3K

77 claims · 0.0%

Your Cost: $41.27/claim|Median: $38.77
1.1× median
97537Normal range

$1K

872 claims · 0.0%

Your Cost: $1.21/claim|Median: $24.64
0.0× median
90785Normal range

$203

665 claims · 0.0%

Your Cost: $0.31/claim|Median: $6.43
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$56

24 claims · 0.0%

Your Cost: $2.33/claim|Median: $25.06
0.1× median
90833Normal range

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

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.83
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