Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1285928457

NPI: 1285928457Share
Active Billing Period:2018-01→2021-10(46 months)
Billing appears to have stoppedLast active: 2021-10

Total Paid

$12.1M

$12,082,720

Total Claims

141K

Beneficiaries

27K

5.2 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$6.8M
-61%
2019
$2.6M
-31%
2020
$1.8M
-51%
2021
$891K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (90847 (Family psychotherapy with patient, 50 min)) accounts for 46% of total spending.

90847Top 25%

Family psychotherapy with patient, 50 min

$5.5M

46K claims · 45.9%

Your Cost: $121.14/claim|Median: $77.33
1.6× median
90834Top 25%

Psychotherapy, 45 minutes

$5.4M

62K claims · 44.3%

Your Cost: $85.65/claim|Median: $63.65
1.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$536K

3,849 claims · 4.4%

Your Cost: $139.25/claim|Median: $99.21
1.4× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$397K

1,695 claims · 3.3%

Your Cost: $234.09/claim|Median: $108.91
2.1× median
A0425Normal range

Ground mileage, per statute mile

$97K

19K claims · 0.8%

Your Cost: $5.00/claim|Median: $23.36
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$46K

1,302 claims · 0.4%

Your Cost: $35.26/claim|Median: $85.66
0.4× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$46K

702 claims · 0.4%

Your Cost: $65.35/claim|Median: $38.83
1.7× median
A0090Normal range

Non-emergency transport, per mile

$44K

4,946 claims · 0.4%

Your Cost: $8.99/claim|Median: $10.45
0.9× median
90853Normal range

Group psychotherapy

$21K

783 claims · 0.2%

Your Cost: $26.84/claim|Median: $25.02
1.1× median
← All providersHow we detect fraud →