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Provider 1265794986

NPI: 1265794986Share
Active Billing Period:2018-012024-11(79 months)

Total Paid

$10.3M

$10,311,601

Total Claims

95K

Beneficiaries

16K

6.0 claims/patient

Avg Cost/Claim

$109

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+33%
2019
$2.8M
-31%
2020
$1.9M
-29%
2021
$1.4M
-74%
2022
$358K
+123%
2023
$796K
+14%
2024
$910K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 67% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$6.9M

63K claims · 67.1%

Your Cost: $109.59/claim|Median: $84.12
1.3× median
H0032Normal range

Mental health service plan development

$1.9M

16K claims · 18.4%

Your Cost: $116.76/claim|Median: $80.64
1.4× median
S5110Normal range

Home care training, family; per 15 min

$1.4M

13K claims · 13.2%

Your Cost: $102.45/claim|Median: $74.36
1.4× median
H2014Normal range

Skills training & development, per 15 min

$121K

1,848 claims · 1.2%

Your Cost: $65.35/claim|Median: $83.88
0.8× median
H0031Top 25%

Mental health assessment by non-physician

$12K

57 claims · 0.1%

Your Cost: $206.14/claim|Median: $96.18
2.1× median