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Provider 1295850493

NPI: 1295850493Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,170,226

Total Claims

158K

Beneficiaries

15K

10.2 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$832K
+15%
2019
$961K
+37%
2020
$1.3M
+23%
2021
$1.6M
+18%
2022
$1.9M
-27%
2023
$1.4M
-20%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 39% of total spending.

H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$3.6M

25K claims · 39.3%

Your Cost: $146.70/claim|Median: $74.63
2.0× median
H2032Normal range

Activity therapy, per 15 minutes

$2.0M

45K claims · 22.0%

Your Cost: $44.48/claim|Median: $108.23
0.4× median
97537Normal range

$1.6M

62K claims · 17.1%

Your Cost: $25.38/claim|Median: $24.64
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.1M

15K claims · 11.9%

Your Cost: $73.81/claim|Median: $96.24
0.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$344K

3,015 claims · 3.8%

Your Cost: $114.25/claim|Median: $84.12
1.4× median
T1019Normal range

Personal care services, per 15 min

$335K

6,355 claims · 3.7%

Your Cost: $52.71/claim|Median: $82.47
0.6× median
96152Top 10%

Health behavior intervention, individual

$202K

1,537 claims · 2.2%

Your Cost: $131.33/claim|Median: $20.02
6.6× median
T1027Normal range

Family training and counseling, per 15 minutes

$10K

432 claims · 0.1%

Your Cost: $23.71/claim|Median: $53.00
0.4× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$1K

27 claims · 0.0%

Your Cost: $41.37/claim|Median: $114.71
0.4× median
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