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Provider 1245765734

NPI: 1245765734Share
Active Billing Period:2018-01→2023-04(64 months)
Billing appears to have stoppedLast active: 2023-04

Total Paid

$16.7M

$16,737,336

Total Claims

300K

Beneficiaries

136K

2.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$792K
+210%
2019
$2.5M
+59%
2020
$3.9M
+15%
2021
$4.5M
-6%
2022
$4.2M
-78%
2023
$923K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 30% of total spending.

T2023Normal range

Community transition, waiver; per service

$4.9M

14K claims · 29.5%

Your Cost: $342.95/claim|Median: $300.13
1.1× median
H0001Normal range

Alcohol and/or drug assessment

$4.3M

68K claims · 25.8%

Your Cost: $62.96/claim|Median: $94.22
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$3.1M

59K claims · 18.3%

Your Cost: $51.97/claim|Median: $63.65
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$1.7M

25K claims · 10.3%

Your Cost: $68.16/claim|Median: $85.66
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$1.1M

30K claims · 6.4%

Your Cost: $35.21/claim|Median: $41.28
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$575K

79K claims · 3.4%

Your Cost: $7.30/claim|Median: $55.04
0.1× median
T1007Normal range

Alcohol/drug services, treatment plan review

$506K

7,753 claims · 3.0%

Your Cost: $65.26/claim|Median: $64.10
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$276K

3,593 claims · 1.6%

Your Cost: $76.72/claim|Median: $99.21
0.8× median
99213Normal range

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

$170K

5,248 claims · 1.0%

Your Cost: $32.43/claim|Median: $37.81
0.9× median
90853Normal range

Group psychotherapy

$47K

4,504 claims · 0.3%

Your Cost: $10.53/claim|Median: $25.02
0.4× median
99204Normal range

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

$22K

262 claims · 0.1%

Your Cost: $83.66/claim|Median: $84.03
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$6K

116 claims · 0.0%

Your Cost: $52.96/claim|Median: $77.33
0.7× median
H2011Normal range

Crisis intervention service, per 15 minutes

$6K

101 claims · 0.0%

Your Cost: $60.27/claim|Median: $215.80
0.3× median
H0002Normal range

Behavioral health screening

$4K

131 claims · 0.0%

Your Cost: $32.63/claim|Median: $38.77
0.8× median
82075Normal range

Alcohol (ethanol) breath test

$4K

347 claims · 0.0%

Your Cost: $11.86/claim|Median: $16.59
0.7× median
80305Normal range

$4K

764 claims · 0.0%

Your Cost: $4.84/claim|Median: $7.44
0.6× median
99401Top 5%

$3K

75 claims · 0.0%

Your Cost: $40.59/claim|Median: $16.53
2.5× median
99406Normal range

$3K

448 claims · 0.0%

Your Cost: $5.67/claim|Median: $6.53
0.9× median
H2027Normal range

Psychoeducational service, per 15 minutes

$913

46 claims · 0.0%

Your Cost: $19.85/claim|Median: $82.72
0.2× median
90785Normal range

$134

16 claims · 0.0%

Your Cost: $8.35/claim|Median: $6.43
1.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35
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