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Provider 1295817583

NPI: 1295817583Share
Active Billing Period:2019-03→2024-12(70 months)

Total Paid

$14.8M

$14,793,035

Total Claims

161K

Beneficiaries

73K

2.2 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2019
$622K
+259%
2020
$2.2M
+13%
2021
$2.5M
+1%
2022
$2.6M
+42%
2023
$3.6M
-11%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (90832 (Psychotherapy, 30 minutes)) accounts for 24% of total spending.

90832Top 10%

Psychotherapy, 30 minutes

$3.5M

36K claims · 23.9%

Your Cost: $97.17/claim|Median: $41.28
2.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$2.1M

24K claims · 14.0%

Your Cost: $85.41/claim|Median: $55.04
1.6× median
90834Top 10%

Psychotherapy, 45 minutes

$1.7M

13K claims · 11.2%

Your Cost: $128.79/claim|Median: $63.65
2.0× median
H2001Normal range

$1.6M

19K claims · 10.8%

Your Cost: $82.61/claim|Median: $309.28
0.3× median
90853Top 25%

Group psychotherapy

$1.3M

26K claims · 8.9%

Your Cost: $51.25/claim|Median: $25.02
2.0× median
99215Top 25%

Office/outpatient visit, high complexity

$1.3M

11K claims · 8.5%

Your Cost: $116.83/claim|Median: $74.09
1.6× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$1.2M

11K claims · 7.9%

Your Cost: $105.20/claim|Median: $135.70
0.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$655K

4,203 claims · 4.4%

Your Cost: $155.84/claim|Median: $99.21
1.6× median
H2036Normal range

Alcohol/drug treatment, per hour

$598K

5,634 claims · 4.0%

Your Cost: $106.21/claim|Median: $253.79
0.4× median
H0002Top 10%

Behavioral health screening

$482K

2,752 claims · 3.3%

Your Cost: $175.00/claim|Median: $38.77
4.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$293K

5,586 claims · 2.0%

Your Cost: $52.51/claim|Median: $47.35
1.1× median
H0001Normal range

Alcohol and/or drug assessment

$57K

391 claims · 0.4%

Your Cost: $146.84/claim|Median: $94.22
1.6× median
90836Top 25%

Psychotherapy, 45 min, add-on to E/M

$35K

394 claims · 0.2%

Your Cost: $88.56/claim|Median: $56.18
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$18K

1,357 claims · 0.1%

Your Cost: $12.94/claim|Median: $9.56
1.4× median
H0014Normal range

$16K

127 claims · 0.1%

Your Cost: $123.45/claim|Median: $137.81
0.9× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$6K

53 claims · 0.0%

Your Cost: $111.85/claim|Median: $72.71
1.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

187 claims · 0.0%

Your Cost: $18.29/claim|Median: $12.93
1.4× median
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