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Provider 1316035157

NPI: 1316035157Share
Active Billing Period:2018-07→2024-11(72 months)

Total Paid

$11.5M

$11,478,010

Total Claims

8,062

Beneficiaries

3,266

2.5 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018
$21K
+174%
2019
$57K
+27%
2020
$72K
+277%
2021
$273K
+919%
2022
$2.8M
+52%
2023
$4.2M
-5%
2024
$4.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T2048 (Behavioral health; long-term residential, per diem)) accounts for 66% of total spending.

T2048Top 5%

Behavioral health; long-term residential, per diem

$7.6M

771 claims · 66.3%

Your Cost: $9,867.47/claim|Median: $1,437.23
6.9× median
H0019Top 10%

Behavioral health; residential, per diem

$3.2M

879 claims · 27.9%

Your Cost: $3,644.11/claim|Median: $357.16
10.2× median
H2029Normal range

$500K

2,654 claims · 4.4%

Your Cost: $188.29/claim|Median: $450.00
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$129K

3,324 claims · 1.1%

Your Cost: $38.69/claim|Median: $63.65
0.6× median
H2020Top 5%

Day habilitation, waiver, per 15 minutes

$25K

12 claims · 0.2%

Your Cost: $2,102.16/claim|Median: $144.05
14.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$11K

244 claims · 0.1%

Your Cost: $44.60/claim|Median: $77.33
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$2K

108 claims · 0.0%

Your Cost: $16.39/claim|Median: $85.66
0.2× median
90853Normal range

Group psychotherapy

$818

70 claims · 0.0%

Your Cost: $11.68/claim|Median: $25.02
0.5× median
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