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Provider 1336173236

NPI: 1336173236Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.1M

$14,116,726

Total Claims

232K

Beneficiaries

172K

1.3 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$4.4M
-39%
2019
$2.7M
-35%
2020
$1.8M
-22%
2021
$1.4M
-15%
2022
$1.2M
+27%
2023
$1.5M
-20%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 39% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$5.5M

74K claims · 39.0%

Your Cost: $74.72/claim|Median: $84.12
0.9× median
S0281Top 10%

$1.9M

6,110 claims · 13.1%

Your Cost: $303.25/claim|Median: $92.97
3.3× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$1.7M

39K claims · 11.8%

Your Cost: $42.27/claim|Median: $76.05
0.6× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.7M

50K claims · 11.8%

Your Cost: $33.12/claim|Median: $91.63
0.4× median
99214Top 10%

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

$899K

8,987 claims · 6.4%

Your Cost: $99.98/claim|Median: $53.41
1.9× median
99213Normal range

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

$745K

14K claims · 5.3%

Your Cost: $52.76/claim|Median: $37.81
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$684K

7,034 claims · 4.8%

Your Cost: $97.25/claim|Median: $85.66
1.1× median
90833Normal range

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

$312K

5,793 claims · 2.2%

Your Cost: $53.87/claim|Median: $38.83
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$292K

6,320 claims · 2.1%

Your Cost: $46.23/claim|Median: $41.28
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$103K

963 claims · 0.7%

Your Cost: $106.82/claim|Median: $99.21
1.1× median
90785Top 25%

$80K

7,210 claims · 0.6%

Your Cost: $11.06/claim|Median: $6.43
1.7× median
99204Top 10%

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

$76K

492 claims · 0.5%

Your Cost: $154.76/claim|Median: $84.03
1.8× median
90834Normal range

Psychotherapy, 45 minutes

$68K

1,026 claims · 0.5%

Your Cost: $66.27/claim|Median: $63.65
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$47K

1,457 claims · 0.3%

Your Cost: $32.52/claim|Median: $25.06
1.3× median
99354Top 25%

$39K

547 claims · 0.3%

Your Cost: $71.91/claim|Median: $54.96
1.3× median
G0467Normal range

Federally qualified health center visit, mental health

$16K

572 claims · 0.1%

Your Cost: $27.79/claim|Median: $21.91
1.3× median
99203Top 25%

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

$14K

146 claims · 0.1%

Your Cost: $94.32/claim|Median: $57.85
1.6× median
90839Normal range

Psychotherapy for crisis, first 60 min

$13K

126 claims · 0.1%

Your Cost: $101.13/claim|Median: $83.98
1.2× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$11K

511 claims · 0.1%

Your Cost: $21.85/claim|Median: $40.58
0.5× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$11K

76 claims · 0.1%

Your Cost: $138.66/claim|Median: $144.05
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$10K

76 claims · 0.1%

Your Cost: $135.84/claim|Median: $74.09
1.8× median
99348Normal range

$6K

320 claims · 0.0%

Your Cost: $19.03/claim|Median: $17.17
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$2K

26 claims · 0.0%

Your Cost: $77.08/claim|Median: $77.33
1.0× median
99347Top 25%

$486

16 claims · 0.0%

Your Cost: $30.40/claim|Median: $11.74
2.6× median
G2012Normal range

Brief communication technology-based service

$117

37 claims · 0.0%

Your Cost: $3.15/claim|Median: $8.79
0.4× median
G8511Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.28
G8510Normal range

$0

421 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
4000FNormal range

$0

342 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
1110F

$0

21 claims · 0.0%

3077FNormal range

$0

196 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
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