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Provider 1316119019

NPI: 1316119019Share
Active Billing Period:2018-01→2024-04(66 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$17.6M

$17,589,396

Total Claims

252K

Beneficiaries

180K

1.4 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$3.6M
-7%
2019
$3.3M
-7%
2020
$3.1M
+0%
2021
$3.1M
+5%
2022
$3.3M
-61%
2023
$1.3M
-100%
2024
$646

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 29% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$5.1M

78K claims · 28.8%

Your Cost: $65.23/claim|Median: $84.12
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$4.5M

48K claims · 25.4%

Your Cost: $93.29/claim|Median: $85.66
1.1× median
99213Top 10%

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

$1.7M

23K claims · 9.5%

Your Cost: $71.98/claim|Median: $37.81
1.9× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$1.5M

33K claims · 8.5%

Your Cost: $45.33/claim|Median: $76.05
0.6× median
99214Top 10%

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

$980K

9,076 claims · 5.6%

Your Cost: $107.97/claim|Median: $53.41
2.0× median
90839Top 25%

Psychotherapy for crisis, first 60 min

$752K

6,477 claims · 4.3%

Your Cost: $116.17/claim|Median: $83.98
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$738K

11K claims · 4.2%

Your Cost: $64.28/claim|Median: $63.65
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$464K

9,234 claims · 2.6%

Your Cost: $50.23/claim|Median: $41.28
1.2× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$453K

3,905 claims · 2.6%

Your Cost: $116.08/claim|Median: $144.05
0.8× median
90840Top 25%

Psychotherapy for crisis, each additional 30 min

$428K

3,856 claims · 2.4%

Your Cost: $111.11/claim|Median: $50.71
2.2× median
90791Normal range

Psychiatric diagnostic evaluation

$265K

2,703 claims · 1.5%

Your Cost: $97.97/claim|Median: $99.21
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$226K

8,204 claims · 1.3%

Your Cost: $27.60/claim|Median: $91.63
0.3× median
99212Top 25%

Office/outpatient visit, low complexity

$191K

4,406 claims · 1.1%

Your Cost: $43.25/claim|Median: $25.06
1.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$130K

1,078 claims · 0.7%

Your Cost: $120.77/claim|Median: $108.91
1.1× median
90853Normal range

Group psychotherapy

$100K

4,134 claims · 0.6%

Your Cost: $24.15/claim|Median: $25.02
1.0× median
99204Top 10%

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

$61K

379 claims · 0.3%

Your Cost: $160.19/claim|Median: $84.03
1.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$36K

2,013 claims · 0.2%

Your Cost: $17.97/claim|Median: $9.56
1.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$26K

628 claims · 0.1%

Your Cost: $40.86/claim|Median: $74.63
0.5× median
90785Top 25%

$13K

1,277 claims · 0.1%

Your Cost: $10.34/claim|Median: $6.43
1.6× median
99203Top 10%

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

$7K

60 claims · 0.0%

Your Cost: $115.59/claim|Median: $57.85
2.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$6K

754 claims · 0.0%

Your Cost: $7.61/claim|Median: $12.93
0.6× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$4K

48 claims · 0.0%

Your Cost: $84.67/claim|Median: $40.11
2.1× median
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