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Provider 1295811925

NPI: 1295811925Share
Active Billing Period:2019-09→2024-12(64 months)

Total Paid

$13.3M

$13,287,865

Total Claims

41K

Beneficiaries

21K

1.9 claims/patient

Avg Cost/Claim

$328

Monthly Spending Trend

Yearly Spending

2019
$45K
+724%
2020
$368K
+856%
2021
$3.5M
+9%
2022
$3.8M
-25%
2023
$2.9M
-6%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 54% of total spending.

S5145Top 25%

Foster care, therapeutic, child, per diem

$7.2M

8,479 claims · 54.3%

Your Cost: $850.54/claim|Median: $216.31
3.9× median
H0041Normal range

$3.1M

9,106 claims · 23.5%

Your Cost: $342.82/claim|Median: $192.56
1.8× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$1.4M

12K claims · 10.7%

Your Cost: $115.78/claim|Median: $74.63
1.6× median
90791Top 5%

Psychiatric diagnostic evaluation

$692K

2,094 claims · 5.2%

Your Cost: $330.24/claim|Median: $99.21
3.3× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$306K

4,210 claims · 2.3%

Your Cost: $72.62/claim|Median: $76.05
1.0× median
99215Top 5%

Office/outpatient visit, high complexity

$226K

682 claims · 1.7%

Your Cost: $330.91/claim|Median: $74.09
4.5× median
99214Top 10%

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

$57K

496 claims · 0.4%

Your Cost: $114.12/claim|Median: $53.41
2.1× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$54K

149 claims · 0.4%

Your Cost: $364.90/claim|Median: $108.91
3.4× median
90832Top 25%

Psychotherapy, 30 minutes

$45K

680 claims · 0.3%

Your Cost: $66.51/claim|Median: $41.28
1.6× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$34K

673 claims · 0.3%

Your Cost: $50.12/claim|Median: $91.63
0.5× median
99212Top 5%

Office/outpatient visit, low complexity

$19K

185 claims · 0.1%

Your Cost: $103.72/claim|Median: $25.06
4.1× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$19K

146 claims · 0.1%

Your Cost: $128.97/claim|Median: $75.18
1.7× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$16K

101 claims · 0.1%

Your Cost: $159.63/claim|Median: $74.82
2.1× median
99213Top 25%

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

$12K

198 claims · 0.1%

Your Cost: $58.29/claim|Median: $37.81
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$11K

321 claims · 0.1%

Your Cost: $35.23/claim|Median: $69.35
0.5× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$11K

84 claims · 0.1%

Your Cost: $131.66/claim|Median: $80.15
1.6× median
96112Top 25%

Developmental test administration

$10K

58 claims · 0.1%

Your Cost: $179.94/claim|Median: $102.95
1.7× median
90853Top 10%

Group psychotherapy

$9K

116 claims · 0.1%

Your Cost: $77.49/claim|Median: $25.02
3.1× median
90834Top 10%

Psychotherapy, 45 minutes

$8K

62 claims · 0.1%

Your Cost: $121.96/claim|Median: $63.65
1.9× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$4K

22 claims · 0.0%

Your Cost: $171.93/claim|Median: $84.03
2.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$3K

214 claims · 0.0%

Your Cost: $15.62/claim|Median: $17.85
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$2K

196 claims · 0.0%

Your Cost: $8.37/claim|Median: $6.61
1.3× median
36415Top 10%

Collection of venous blood by venipuncture

$144

18 claims · 0.0%

Your Cost: $8.00/claim|Median: $1.57
5.1× median
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