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Provider 1275577215

NPI: 1275577215Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.3M

$18,257,055

Total Claims

236K

Beneficiaries

63K

3.8 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+12%
2019
$3.5M
-33%
2020
$2.3M
+13%
2021
$2.6M
-13%
2022
$2.3M
+7%
2023
$2.5M
-23%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2032 (Activity therapy, per 15 minutes)) accounts for 30% of total spending.

H2032Normal range

Activity therapy, per 15 minutes

$5.4M

47K claims · 29.8%

Your Cost: $115.28/claim|Median: $108.23
1.1× median
H2014Normal range

Skills training & development, per 15 min

$3.4M

42K claims · 18.4%

Your Cost: $80.05/claim|Median: $83.88
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$3.3M

69K claims · 18.3%

Your Cost: $48.22/claim|Median: $84.12
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.7M

17K claims · 9.3%

Your Cost: $101.06/claim|Median: $96.24
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.6M

17K claims · 8.7%

Your Cost: $94.57/claim|Median: $91.63
1.0× median
T2039Normal range

$743K

1,985 claims · 4.1%

Your Cost: $374.11/claim|Median: $8,646.71
0.0× median
H0025Normal range

Behavioral health prevention education, per session

$701K

11K claims · 3.8%

Your Cost: $60.96/claim|Median: $36.25
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$589K

6,513 claims · 3.2%

Your Cost: $90.37/claim|Median: $85.66
1.1× median
99214Normal range

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

$303K

6,787 claims · 1.7%

Your Cost: $44.68/claim|Median: $53.41
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$118K

2,194 claims · 0.6%

Your Cost: $53.94/claim|Median: $74.09
0.7× median
H0046Normal range

Mental health services, not otherwise specified

$98K

8,835 claims · 0.5%

Your Cost: $11.04/claim|Median: $85.02
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$90K

2,064 claims · 0.5%

Your Cost: $43.65/claim|Median: $63.65
0.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$54K

1,361 claims · 0.3%

Your Cost: $39.70/claim|Median: $23.99
1.7× median
90791Normal range

Psychiatric diagnostic evaluation

$33K

266 claims · 0.2%

Your Cost: $123.87/claim|Median: $99.21
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$22K

190 claims · 0.1%

Your Cost: $117.71/claim|Median: $67.32
1.7× median
96133Normal range

$12K

51 claims · 0.1%

Your Cost: $243.30/claim|Median: $185.94
1.3× median
96132Normal range

$9K

103 claims · 0.0%

Your Cost: $86.80/claim|Median: $70.53
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$8K

68 claims · 0.0%

Your Cost: $116.02/claim|Median: $111.09
1.0× median
95886Normal range

$7K

133 claims · 0.0%

Your Cost: $49.03/claim|Median: $67.70
0.7× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$5K

124 claims · 0.0%

Your Cost: $44.00/claim|Median: $14.00
3.1× median
90832Normal range

Psychotherapy, 30 minutes

$5K

95 claims · 0.0%

Your Cost: $51.92/claim|Median: $41.28
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$5K

74 claims · 0.0%

Your Cost: $65.92/claim|Median: $35.30
1.9× median
95874Normal range

$5K

728 claims · 0.0%

Your Cost: $6.56/claim|Median: $11.29
0.6× median
96137Top 25%

Psychological/neuropsychological testing, each additional 30 min

$3K

13 claims · 0.0%

Your Cost: $265.07/claim|Median: $92.96
2.9× median
96116Normal range

Neurobehavioral status examination, first hour

$3K

38 claims · 0.0%

Your Cost: $81.01/claim|Median: $46.64
1.7× median
H0032Normal range

Mental health service plan development

$3K

34 claims · 0.0%

Your Cost: $84.13/claim|Median: $80.64
1.0× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$3K

32 claims · 0.0%

Your Cost: $84.87/claim|Median: $88.91
1.0× median
99213Normal range

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

$2K

38 claims · 0.0%

Your Cost: $46.00/claim|Median: $37.81
1.2× median
64644Normal range

$2K

28 claims · 0.0%

Your Cost: $60.69/claim|Median: $54.92
1.1× median
99417Normal range

$1K

30 claims · 0.0%

Your Cost: $49.00/claim|Median: $34.90
1.4× median
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