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Provider 1275844789

NPI: 1275844789Share
Active Billing Period:2018-02→2024-12(69 months)

Total Paid

$11.6M

$11,615,212

Total Claims

93K

Beneficiaries

55K

1.7 claims/patient

Avg Cost/Claim

$125

Monthly Spending Trend

Yearly Spending

2018
$14K
-26%
2019
$10K
+2917%
2020
$312K
+635%
2021
$2.3M
+22%
2022
$2.8M
+15%
2023
$3.2M
-8%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 31% of total spending.

90834Top 25%

Psychotherapy, 45 minutes

$3.6M

34K claims · 30.8%

Your Cost: $103.69/claim|Median: $63.65
1.6× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$2.7M

15K claims · 23.4%

Your Cost: $178.18/claim|Median: $167.38
1.1× median
H0034Normal range

Medication training and management, per 15 min

$1.5M

12K claims · 12.9%

Your Cost: $120.29/claim|Median: $56.90
2.1× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$1.0M

6,288 claims · 8.8%

Your Cost: $163.47/claim|Median: $108.91
1.5× median
99241Top 5%

Office consultation, straightforward

$636K

5,796 claims · 5.5%

Your Cost: $109.82/claim|Median: $36.49
3.0× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$571K

3,283 claims · 4.9%

Your Cost: $174.05/claim|Median: $146.45
1.2× median
97151Normal range

Behavior identification assessment

$529K

5,454 claims · 4.6%

Your Cost: $96.99/claim|Median: $161.10
0.6× median
99201Top 10%

Office/outpatient visit, new patient, straightforward

$450K

4,110 claims · 3.9%

Your Cost: $109.41/claim|Median: $27.38
4.0× median
H0032Top 25%

Mental health service plan development

$243K

1,836 claims · 2.1%

Your Cost: $132.21/claim|Median: $80.64
1.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$209K

1,957 claims · 1.8%

Your Cost: $106.77/claim|Median: $169.11
0.6× median
97156Normal range

$108K

1,129 claims · 0.9%

Your Cost: $95.58/claim|Median: $88.65
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$33K

614 claims · 0.3%

Your Cost: $53.38/claim|Median: $41.28
1.3× median
99213Top 25%

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

$13K

191 claims · 0.1%

Your Cost: $66.85/claim|Median: $37.81
1.8× median
97152Normal range

$6K

58 claims · 0.1%

Your Cost: $100.61/claim|Median: $155.16
0.6× median
90837Top 25%

Psychotherapy, 60 minutes

$3K

26 claims · 0.0%

Your Cost: $108.02/claim|Median: $85.66
1.3× median
H0046Normal range

Mental health services, not otherwise specified

$3K

42 claims · 0.0%

Your Cost: $62.22/claim|Median: $85.02
0.7× median
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