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Provider 1316232598

NPI: 1316232598Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,871,058

Total Claims

47K

Beneficiaries

20K

2.3 claims/patient

Avg Cost/Claim

$231

Monthly Spending Trend

Yearly Spending

2018
$808K
-5%
2019
$765K
+4%
2020
$797K
+94%
2021
$1.5M
+3%
2022
$1.6M
+67%
2023
$2.7M
+0%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2011 (Crisis intervention service, per 15 minutes)) accounts for 57% of total spending.

H2011Normal range

Crisis intervention service, per 15 minutes

$6.1M

13K claims · 56.6%

Your Cost: $480.11/claim|Median: $215.80
2.2× median
H2015Top 25%

Comprehensive community support services, per 15 min

$3.3M

18K claims · 30.4%

Your Cost: $182.63/claim|Median: $96.24
1.9× median
99214Top 5%

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

$272K

1,937 claims · 2.5%

Your Cost: $140.42/claim|Median: $53.41
2.6× median
90853Top 25%

Group psychotherapy

$268K

6,154 claims · 2.5%

Your Cost: $43.63/claim|Median: $25.02
1.7× median
99213Top 25%

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

$196K

2,920 claims · 1.8%

Your Cost: $67.19/claim|Median: $37.81
1.8× median
H2022Normal range

Community-based wrap-around services, per diem

$190K

840 claims · 1.7%

Your Cost: $225.95/claim|Median: $336.31
0.7× median
90847Top 25%

Family psychotherapy with patient, 50 min

$167K

1,266 claims · 1.5%

Your Cost: $131.65/claim|Median: $77.33
1.7× median
H0015Top 10%

Alcohol and/or drug abuse, intensive outpatient, per hour

$103K

453 claims · 1.0%

Your Cost: $228.10/claim|Median: $129.75
1.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$89K

1,080 claims · 0.8%

Your Cost: $82.23/claim|Median: $55.04
1.5× median
90834Top 25%

Psychotherapy, 45 minutes

$31K

355 claims · 0.3%

Your Cost: $87.81/claim|Median: $63.65
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$30K

592 claims · 0.3%

Your Cost: $50.42/claim|Median: $41.28
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$25K

185 claims · 0.2%

Your Cost: $136.28/claim|Median: $108.91
1.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$23K

161 claims · 0.2%

Your Cost: $145.38/claim|Median: $99.21
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$12K

120 claims · 0.1%

Your Cost: $99.34/claim|Median: $85.66
1.2× median
H2015HTNormal range

$3K

17 claims · 0.0%

Your Cost: $185.33/claim|Median: $173.43
1.1× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$2K

12 claims · 0.0%

Your Cost: $167.50/claim|Median: $162.29
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$394

40 claims · 0.0%

Your Cost: $9.84/claim|Median: $22.44
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$178

16 claims · 0.0%

Your Cost: $11.09/claim|Median: $12.93
0.9× median
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