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Provider 1316906886

NPI: 1316906886Share
Active Billing Period:2018-01→2024-10(79 months)

Total Paid

$10.3M

$10,329,625

Total Claims

347K

Beneficiaries

183K

1.9 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$588K
+157%
2019
$1.5M
+49%
2020
$2.2M
-70%
2021
$671K
+141%
2022
$1.6M
+16%
2023
$1.9M
-2%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 34% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$3.5M

74K claims · 33.9%

Your Cost: $47.19/claim|Median: $85.66
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$981K

35K claims · 9.5%

Your Cost: $27.99/claim|Median: $63.65
0.4× median
99214Normal range

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

$830K

22K claims · 8.0%

Your Cost: $38.46/claim|Median: $53.41
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$628K

37K claims · 6.1%

Your Cost: $16.87/claim|Median: $55.04
0.3× median
H2014Normal range

Skills training & development, per 15 min

$611K

20K claims · 5.9%

Your Cost: $29.81/claim|Median: $83.88
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$557K

9,523 claims · 5.4%

Your Cost: $58.46/claim|Median: $99.21
0.6× median
T1017Normal range

Targeted case management, per 15 min

$497K

26K claims · 4.8%

Your Cost: $18.96/claim|Median: $69.56
0.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$452K

11K claims · 4.4%

Your Cost: $42.29/claim|Median: $74.63
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$407K

18K claims · 3.9%

Your Cost: $22.84/claim|Median: $41.28
0.6× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$345K

24K claims · 3.3%

Your Cost: $14.54/claim|Median: $53.97
0.3× median
T1007Normal range

Alcohol/drug services, treatment plan review

$182K

5,693 claims · 1.8%

Your Cost: $31.96/claim|Median: $64.10
0.5× median
H0018Normal range

Behavioral health; short-term residential, per diem

$158K

6,457 claims · 1.5%

Your Cost: $24.42/claim|Median: $467.51
0.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$155K

1,474 claims · 1.5%

Your Cost: $105.16/claim|Median: $215.80
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$141K

3,020 claims · 1.4%

Your Cost: $46.56/claim|Median: $74.09
0.6× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$127K

4,853 claims · 1.2%

Your Cost: $26.23/claim|Median: $76.05
0.3× median
H2012Normal range

Behavioral health day treatment, per hour

$112K

789 claims · 1.1%

Your Cost: $141.61/claim|Median: $137.86
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$82K

1,885 claims · 0.8%

Your Cost: $43.53/claim|Median: $108.91
0.4× median
H0002Normal range

Behavioral health screening

$79K

2,791 claims · 0.8%

Your Cost: $28.13/claim|Median: $38.77
0.7× median
T1019Normal range

Personal care services, per 15 min

$73K

3,519 claims · 0.7%

Your Cost: $20.79/claim|Median: $82.47
0.3× median
90846Normal range

Family psychotherapy without patient, 50 min

$58K

2,182 claims · 0.6%

Your Cost: $26.69/claim|Median: $76.61
0.3× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$54K

4,991 claims · 0.5%

Your Cost: $10.88/claim|Median: $135.70
0.1× median
90853Normal range

Group psychotherapy

$51K

3,700 claims · 0.5%

Your Cost: $13.78/claim|Median: $25.02
0.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$41K

1,383 claims · 0.4%

Your Cost: $29.52/claim|Median: $77.33
0.4× median
H0032Normal range

Mental health service plan development

$32K

1,531 claims · 0.3%

Your Cost: $20.81/claim|Median: $80.64
0.3× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$27K

7,353 claims · 0.3%

Your Cost: $3.71/claim|Median: $91.63
0.0× median
99213Normal range

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

$24K

1,281 claims · 0.2%

Your Cost: $18.72/claim|Median: $37.81
0.5× median
H2023Normal range

Supported employment, per 15 min

$21K

3,785 claims · 0.2%

Your Cost: $5.59/claim|Median: $103.94
0.1× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$21K

1,372 claims · 0.2%

Your Cost: $15.16/claim|Median: $106.70
0.1× median
S3005Normal range

$21K

2,457 claims · 0.2%

Your Cost: $8.37/claim|Median: $9.84
0.9× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$14K

643 claims · 0.1%

Your Cost: $21.03/claim|Median: $38.83
0.5× median
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