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

Provider 1306870910

NPI: 1306870910Share
Active Billing Period:2018-012024-09(81 months)

Total Paid

$8.3M

$8,285,810

Total Claims

74K

Beneficiaries

19K

3.8 claims/patient

Avg Cost/Claim

$113

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-22%
2019
$1.3M
+2%
2020
$1.3M
+16%
2021
$1.5M
-24%
2022
$1.1M
-19%
2023
$916K
-41%
2024
$539K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (90853 (Group psychotherapy)) accounts for 82% of total spending.

90853Top 5%

Group psychotherapy

$6.8M

50K claims · 82.2%

Your Cost: $137.48/claim|Median: $25.02
5.5× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$1.3M

3,928 claims · 16.2%

Your Cost: $342.61/claim|Median: $35.43
9.7× median
S9485Normal range

Crisis intervention mental health services, per diem

$84K

3,758 claims · 1.0%

Your Cost: $22.38/claim|Median: $501.33
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$28K

2,853 claims · 0.3%

Your Cost: $9.65/claim|Median: $85.66
0.1× median
80324Top 5%

$6K

247 claims · 0.1%

Your Cost: $23.30/claim|Median: $6.08
3.8× median
90834Normal range

Psychotherapy, 45 minutes

$5K

1,841 claims · 0.1%

Your Cost: $2.52/claim|Median: $63.65
0.0× median
S9484Normal range

Crisis intervention mental health services, per hour

$2K

512 claims · 0.0%

Your Cost: $3.47/claim|Median: $249.51
0.0× median
99236Normal range

Observation care same day admit and discharge

$1K

1,722 claims · 0.0%

Your Cost: $0.68/claim|Median: $128.23
0.0× median
G0177Normal range

Training and educational services, per session

$694

82 claims · 0.0%

Your Cost: $8.47/claim|Median: $8.90
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$654

4,943 claims · 0.0%

Your Cost: $0.13/claim|Median: $41.28
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$523

13 claims · 0.0%

Your Cost: $40.26/claim|Median: $39.70
1.0× median
H0031Normal range

Mental health assessment by non-physician

$135

138 claims · 0.0%

Your Cost: $0.98/claim|Median: $96.18
0.0× median
80349Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.96
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.62
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.20
99366Normal range

$0

65 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.02
H0034Normal range

Medication training and management, per 15 min

$0

248 claims · 0.0%

Your Cost: $0.00/claim|Median: $56.90
90863Normal range

$0

836 claims · 0.0%

Your Cost: $0.00/claim|Median: $29.71
99368Normal range

$0

992 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.67
T1016Normal range

Case management, each 15 min

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
0593TNormal range

$0

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $479.97
T1002Normal range

RN services, per 15 minutes

$0

256 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.42
80320Normal range

$0

113 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.02
36415Normal range

Collection of venous blood by venipuncture

$0

1,399 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57