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

⚖️ Compare🖨️ Print Report

Provider 1316236458

NPI: 1316236458Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,410,616

Total Claims

79K

Beneficiaries

10K

7.8 claims/patient

Avg Cost/Claim

$182

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+8%
2019
$1.8M
+27%
2020
$2.4M
-34%
2021
$1.6M
+3%
2022
$1.6M
+60%
2023
$2.6M
+9%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 50% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$7.2M

29K claims · 49.7%

Your Cost: $245.88/claim|Median: $336.31
0.7× median
H2012Normal range

Behavioral health day treatment, per hour

$6.7M

39K claims · 46.5%

Your Cost: $171.79/claim|Median: $137.86
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$323K

7,816 claims · 2.2%

Your Cost: $41.34/claim|Median: $41.28
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$102K

1,758 claims · 0.7%

Your Cost: $58.23/claim|Median: $63.65
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$67K

1,140 claims · 0.5%

Your Cost: $59.16/claim|Median: $85.66
0.7× median
H2022GTNormal range

$21K

89 claims · 0.1%

Your Cost: $239.66/claim|Median: $258.20
0.9× median
H2012HANormal range

$13K

67 claims · 0.1%

Your Cost: $188.46/claim|Median: $188.46
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$7K

68 claims · 0.0%

Your Cost: $96.92/claim|Median: $99.21
1.0× median
90853Normal range

Group psychotherapy

$3K

80 claims · 0.0%

Your Cost: $36.00/claim|Median: $25.02
1.4× median
90832GTNormal range

$1K

23 claims · 0.0%

Your Cost: $47.72/claim|Median: $47.72
1.0× median
98966Normal range

$607

68 claims · 0.0%

Your Cost: $8.92/claim|Median: $6.84
1.3× median
← All providersHow we detect fraud →