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Provider 1346382975

NPI: 1346382975Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.4M

$15,417,946

Total Claims

100K

Beneficiaries

62K

1.6 claims/patient

Avg Cost/Claim

$154

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-9%
2019
$3.0M
-33%
2020
$2.0M
-9%
2021
$1.9M
+10%
2022
$2.1M
-6%
2023
$1.9M
-42%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 33% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$5.0M

31K claims · 32.7%

Your Cost: $163.62/claim|Median: $63.65
2.6× median
90847Top 10%

Family psychotherapy with patient, 50 min

$2.8M

17K claims · 18.2%

Your Cost: $161.01/claim|Median: $77.33
2.1× median
90837Top 10%

Psychotherapy, 60 minutes

$2.5M

17K claims · 15.9%

Your Cost: $142.64/claim|Median: $85.66
1.7× median
H0045Normal range

Respite care services, not in the home, per diem

$1.9M

7,803 claims · 12.6%

Your Cost: $248.40/claim|Median: $119.19
2.1× median
99214Top 5%

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

$1.3M

9,982 claims · 8.5%

Your Cost: $131.41/claim|Median: $53.41
2.5× median
H2014Normal range

Skills training & development, per 15 min

$810K

8,180 claims · 5.3%

Your Cost: $99.03/claim|Median: $83.88
1.2× median
90785Top 1%

$289K

2,056 claims · 1.9%

Your Cost: $140.41/claim|Median: $6.43
21.8× median
90832Top 5%

Psychotherapy, 30 minutes

$233K

1,596 claims · 1.5%

Your Cost: $145.81/claim|Median: $41.28
3.5× median
90791Top 5%

Psychiatric diagnostic evaluation

$142K

602 claims · 0.9%

Your Cost: $236.31/claim|Median: $99.21
2.4× median
99213Top 10%

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

$112K

1,322 claims · 0.7%

Your Cost: $84.92/claim|Median: $37.81
2.2× median
90853Top 10%

Group psychotherapy

$83K

1,129 claims · 0.5%

Your Cost: $73.11/claim|Median: $25.02
2.9× median
90887Top 10%

Interpretation/explanation of results

$80K

626 claims · 0.5%

Your Cost: $128.07/claim|Median: $47.55
2.7× median
90846Top 5%

Family psychotherapy without patient, 50 min

$37K

216 claims · 0.2%

Your Cost: $169.90/claim|Median: $76.61
2.2× median
90899Normal range

Unlisted psychiatric service/procedure

$22K

792 claims · 0.1%

Your Cost: $27.31/claim|Median: $30.72
0.9× median
90833Top 1%

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

$18K

138 claims · 0.1%

Your Cost: $132.96/claim|Median: $38.83
3.4× median
H0032Top 1%

Mental health service plan development

$17K

27 claims · 0.1%

Your Cost: $625.70/claim|Median: $80.64
7.8× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$11K

53 claims · 0.1%

Your Cost: $203.62/claim|Median: $108.91
1.9× median
T1016Normal range

Case management, each 15 min

$10K

142 claims · 0.1%

Your Cost: $68.68/claim|Median: $49.62
1.4× median
H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$5K

25 claims · 0.0%

Your Cost: $191.91/claim|Median: $74.63
2.6× median
99215Normal range

Office/outpatient visit, high complexity

$4K

47 claims · 0.0%

Your Cost: $85.30/claim|Median: $74.09
1.2× median
90882Normal range

Environmental intervention

$1K

22 claims · 0.0%

Your Cost: $59.77/claim|Median: $45.05
1.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$30

23 claims · 0.0%

Your Cost: $1.30/claim|Median: $55.04
0.0× median
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