Is NEW NARRATIVE flagged for Medicaid fraud?

NEW NARRATIVE (NPI: 1265595664) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does NEW NARRATIVE bill Medicaid?

NEW NARRATIVE received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Mental Health (Including Community Mental Health Center) provider. Located in TIGARD, OR.

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NEW NARRATIVE

Clinic/Center, Mental Health (Including Community Mental Health Center)·TIGARD, OR·NPI: 1265595664Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.9M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$46.9M

$46,930,024

Total Claims

82K

Beneficiaries

45K

1.8 claims/patient

Avg Cost/Claim

$572

Monthly Spending Trend

Yearly Spending

2018

$4.5M

+14%

2019

$5.1M

+23%

2020

$6.3M

+8%

2021

$6.7M

+9%

2022

$7.3M

+7%

2023

$7.9M

+17%

2024

$9.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (T1020 (Personal care services, per diem)) accounts for 86% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1020Personal care services, per diemSee all providers →

$40.2M

8,262 claims

$4,869.52

$296.27

16.4×

Top 5%

T1020Top 5%

Personal care services, per diem

$40.2M

8,262 claims · 85.7%

Your Cost: $4,869.52/claim|Median: $296.27

16.4× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$2.6M

22K claims

$116.58

$74.63

1.6×

Top 25%

H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$2.6M

22K claims · 5.6%

Your Cost: $116.58/claim|Median: $74.63

1.6× median

H2018Psychosocial rehabilitation services, per diemSee all providers →

$1.2M

11K claims

$110.22

$392.63

0.3×

Normal range

H2018Normal range

Psychosocial rehabilitation services, per diem

$1.2M

11K claims · 2.5%

Your Cost: $110.22/claim|Median: $392.63

0.3× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$791K

10K claims

$78.68

$53.41

1.5×

Top 25%

99214Top 25%

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

$791K

10K claims · 1.7%

Your Cost: $78.68/claim|Median: $53.41

1.5× median

H0031Mental health assessment by non-physicianSee all providers →

$498K

2,031 claims

$245.34

$96.18

2.6×

Top 10%

H0031Top 10%

Mental health assessment by non-physician

$498K

2,031 claims · 1.1%

Your Cost: $245.34/claim|Median: $96.18

2.6× median

T1016Case management, each 15 minSee all providers →

$471K

5,876 claims

$80.18

$49.62

1.6×

Normal range

T1016Normal range

Case management, each 15 min

$471K

5,876 claims · 1.0%

Your Cost: $80.18/claim|Median: $49.62

1.6× median

H2010Comprehensive medication services, per 15 minSee all providers →

$419K

8,505 claims

$49.26

$62.69

0.8×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$419K

8,505 claims · 0.9%

Your Cost: $49.26/claim|Median: $62.69

0.8× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$241K

6,206 claims

$38.80

$37.81

1.0×

Normal range

99213Normal range

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

$241K

6,206 claims · 0.5%

Your Cost: $38.80/claim|Median: $37.81

1.0× median

H0019Behavioral health; residential, per diemSee all providers →

$202K

2,555 claims

$78.99

$357.16

0.2×

Normal range

H0019Normal range

Behavioral health; residential, per diem

$202K

2,555 claims · 0.4%

Your Cost: $78.99/claim|Median: $357.16

0.2× median

H2014Skills training & development, per 15 minSee all providers →

$123K

2,309 claims

$53.45

$83.88

0.6×

Normal range

H2014Normal range

Skills training & development, per 15 min

$123K

2,309 claims · 0.3%

Your Cost: $53.45/claim|Median: $83.88

0.6× median

90853Group psychotherapySee all providers →

$52K

1,414 claims

$36.65

$25.02

1.5×

Normal range

90853Normal range

Group psychotherapy

$52K

1,414 claims · 0.1%

Your Cost: $36.65/claim|Median: $25.02

1.5× median

99215Office/outpatient visit, high complexitySee all providers →

$50K

458 claims

$109.31

$74.09

1.5×

Top 25%

99215Top 25%

Office/outpatient visit, high complexity

$50K

458 claims · 0.1%

Your Cost: $109.31/claim|Median: $74.09

1.5× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$20K

201 claims

$98.35

$55.04

1.8×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$20K

201 claims · 0.0%

Your Cost: $98.35/claim|Median: $55.04

1.8× median

H0032Mental health service plan developmentSee all providers →

$13K

49 claims

$262.02

$80.64

3.2×

Top 5%

H0032Top 5%

Mental health service plan development

$13K

49 claims · 0.0%

Your Cost: $262.02/claim|Median: $80.64

3.2× median

99212Office/outpatient visit, low complexitySee all providers →

$8K

500 claims

$16.07

$25.06

0.6×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$8K

500 claims · 0.0%

Your Cost: $16.07/claim|Median: $25.06

0.6× median

99417 See all providers →

$3K

146 claims

$21.16

$34.90

0.6×

Normal range

99417Normal range

$3K

146 claims · 0.0%

Your Cost: $21.16/claim|Median: $34.90

0.6× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$3K

15 claims

$188.92

$108.91

1.7×

Top 25%

90792Top 25%

Psychiatric diagnostic evaluation with medical services

$3K

15 claims · 0.0%

Your Cost: $188.92/claim|Median: $108.91

1.7× median

90899Unlisted psychiatric service/procedureSee all providers →

$2K

83 claims

$18.07

$30.72

0.6×

Normal range

90899Normal range

Unlisted psychiatric service/procedure

$2K

83 claims · 0.0%

Your Cost: $18.07/claim|Median: $30.72

0.6× median

G0176Activity therapy (group), per sessionSee all providers →

$1K

114 claims

$11.40

$85.09

0.1×

Normal range

G0176Normal range

Activity therapy (group), per session

$1K

114 claims · 0.0%

Your Cost: $11.40/claim|Median: $85.09

0.1× median

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Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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