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Provider 1316917222

NPI: 1316917222Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.5M

$13,469,684

Total Claims

129K

Beneficiaries

20K

6.5 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+11%
2019
$1.7M
+19%
2020
$2.0M
+17%
2021
$2.3M
-4%
2022
$2.2M
+1%
2023
$2.2M
-27%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 70% of total spending.

H2019Top 25%

Therapeutic behavioral services, per 15 min

$9.4M

58K claims · 69.9%

Your Cost: $162.31/claim|Median: $84.12
1.9× median
H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$2.1M

7,784 claims · 15.7%

Your Cost: $271.78/claim|Median: $148.53
1.8× median
T1027Top 10%

Family training and counseling, per 15 minutes

$1.5M

14K claims · 11.5%

Your Cost: $112.76/claim|Median: $53.00
2.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$206K

26K claims · 1.5%

Your Cost: $7.97/claim|Median: $16.77
0.5× median
G0410Normal range

$130K

11K claims · 1.0%

Your Cost: $11.82/claim|Median: $24.14
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$44K

699 claims · 0.3%

Your Cost: $62.29/claim|Median: $99.21
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$8K

634 claims · 0.1%

Your Cost: $12.99/claim|Median: $23.99
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$3K

182 claims · 0.0%

Your Cost: $16.90/claim|Median: $37.22
0.5× median
99221Normal range

Initial hospital care, straightforward/low

$3K

133 claims · 0.0%

Your Cost: $22.04/claim|Median: $39.96
0.6× median
G0177Normal range

Training and educational services, per session

$2K

11K claims · 0.0%

Your Cost: $0.15/claim|Median: $8.90
0.0× median
99223Normal range

Initial hospital care, per day, high complexity

$508

12 claims · 0.0%

Your Cost: $42.31/claim|Median: $67.32
0.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$281

13 claims · 0.0%

Your Cost: $21.60/claim|Median: $35.30
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
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