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Provider 1265736615

NPI: 1265736615Share
Active Billing Period:2019-01→2024-12(67 months)

Total Paid

$17.3M

$17,348,110

Total Claims

104K

Beneficiaries

12K

9.0 claims/patient

Avg Cost/Claim

$166

Monthly Spending Trend

Yearly Spending

2019
$606K
+110%
2020
$1.3M
+82%
2021
$2.3M
+32%
2022
$3.1M
+76%
2023
$5.4M
-12%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 87% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$15.1M

67K claims · 86.9%

Your Cost: $225.85/claim|Median: $167.38
1.3× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.7M

24K claims · 10.0%

Your Cost: $72.30/claim|Median: $146.45
0.5× median
97151Normal range

Behavior identification assessment

$311K

5,126 claims · 1.8%

Your Cost: $60.64/claim|Median: $161.10
0.4× median
97156Normal range

$79K

1,471 claims · 0.5%

Your Cost: $53.83/claim|Median: $88.65
0.6× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$59K

5,528 claims · 0.3%

Your Cost: $10.72/claim|Median: $55.95
0.2× median
96152Top 25%

Health behavior intervention, individual

$47K

461 claims · 0.3%

Your Cost: $101.36/claim|Median: $20.02
5.1× median
90837Normal range

Psychotherapy, 60 minutes

$16K

275 claims · 0.1%

Your Cost: $58.67/claim|Median: $85.66
0.7× median
92507Normal range

Speech/hearing/language treatment

$11K

426 claims · 0.1%

Your Cost: $24.82/claim|Median: $49.45
0.5× median
97157Top 5%

$7K

36 claims · 0.0%

Your Cost: $187.82/claim|Median: $43.58
4.3× median
90832Normal range

Psychotherapy, 30 minutes

$5K

166 claims · 0.0%

Your Cost: $32.96/claim|Median: $41.28
0.8× median
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