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Provider 1255308136

NPI: 1255308136Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.4M

$17,362,104

Total Claims

296K

Beneficiaries

158K

1.9 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+25%
2019
$2.7M
-4%
2020
$2.6M
-7%
2021
$2.4M
-4%
2022
$2.3M
+12%
2023
$2.6M
-7%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 23% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$4.0M

45K claims · 23.1%

Your Cost: $88.65/claim|Median: $85.66
1.0× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$2.9M

76K claims · 17.0%

Your Cost: $38.66/claim|Median: $76.05
0.5× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$2.8M

25K claims · 16.1%

Your Cost: $111.47/claim|Median: $144.05
0.8× median
99213Top 25%

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

$2.2M

33K claims · 12.4%

Your Cost: $66.00/claim|Median: $37.81
1.7× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$1.2M

42K claims · 7.1%

Your Cost: $29.79/claim|Median: $84.12
0.4× median
99214Top 25%

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

$1.2M

13K claims · 7.1%

Your Cost: $96.22/claim|Median: $53.41
1.8× median
90834Normal range

Psychotherapy, 45 minutes

$935K

16K claims · 5.4%

Your Cost: $58.09/claim|Median: $63.65
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$609K

14K claims · 3.5%

Your Cost: $42.84/claim|Median: $41.28
1.0× median
H2036Normal range

Alcohol/drug treatment, per hour

$473K

4,030 claims · 2.7%

Your Cost: $117.40/claim|Median: $253.79
0.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$218K

10K claims · 1.3%

Your Cost: $21.40/claim|Median: $91.63
0.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$197K

1,624 claims · 1.1%

Your Cost: $121.21/claim|Median: $108.91
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$149K

1,647 claims · 0.9%

Your Cost: $90.46/claim|Median: $99.21
0.9× median
90839Normal range

Psychotherapy for crisis, first 60 min

$126K

1,707 claims · 0.7%

Your Cost: $73.62/claim|Median: $83.98
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$96K

7,324 claims · 0.6%

Your Cost: $13.16/claim|Median: $12.93
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$70K

2,179 claims · 0.4%

Your Cost: $32.12/claim|Median: $25.06
1.3× median
90840Normal range

Psychotherapy for crisis, each additional 30 min

$48K

952 claims · 0.3%

Your Cost: $50.58/claim|Median: $50.71
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$19K

1,076 claims · 0.1%

Your Cost: $17.50/claim|Median: $47.35
0.4× median
90833Normal range

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

$15K

352 claims · 0.1%

Your Cost: $43.84/claim|Median: $38.83
1.1× median
90853Normal range

Group psychotherapy

$12K

703 claims · 0.1%

Your Cost: $16.67/claim|Median: $25.02
0.7× median
H2012Normal range

Behavioral health day treatment, per hour

$10K

260 claims · 0.1%

Your Cost: $38.05/claim|Median: $137.86
0.3× median
99215Top 25%

Office/outpatient visit, high complexity

$4K

33 claims · 0.0%

Your Cost: $114.61/claim|Median: $74.09
1.5× median
H0006Normal range

Alcohol and/or drug services, case management

$2K

282 claims · 0.0%

Your Cost: $6.86/claim|Median: $43.10
0.2× median
90785Normal range

$233

150 claims · 0.0%

Your Cost: $1.55/claim|Median: $6.43
0.2× median
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