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

⚖️ Compare🖨️ Print Report

Provider 1346393683

NPI: 1346393683Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.4M

$12,407,221

Total Claims

52K

Beneficiaries

26K

2.0 claims/patient

Avg Cost/Claim

$237

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+3%
2019
$2.2M
-23%
2020
$1.7M
+21%
2021
$2.1M
-29%
2022
$1.5M
+0%
2023
$1.5M
-7%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0010 (Alcohol and/or drug services, sub-acute detoxification, per diem)) accounts for 35% of total spending.

H0010Top 25%

Alcohol and/or drug services, sub-acute detoxification, per diem

$4.4M

7,172 claims · 35.3%

Your Cost: $610.46/claim|Median: $369.55
1.7× median
H0018Normal range

Behavioral health; short-term residential, per diem

$3.3M

9,948 claims · 26.6%

Your Cost: $332.31/claim|Median: $467.51
0.7× median
S9976Top 25%

$2.2M

11K claims · 17.4%

Your Cost: $196.69/claim|Median: $64.43
3.1× median
H0019Top 25%

Behavioral health; residential, per diem

$1.0M

641 claims · 8.2%

Your Cost: $1,589.17/claim|Median: $357.16
4.4× median
99213Top 5%

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

$778K

8,309 claims · 6.3%

Your Cost: $93.66/claim|Median: $37.81
2.5× median
90837Normal range

Psychotherapy, 60 minutes

$233K

2,467 claims · 1.9%

Your Cost: $94.62/claim|Median: $85.66
1.1× median
H0048Top 5%

$151K

7,364 claims · 1.2%

Your Cost: $20.56/claim|Median: $13.25
1.6× median
90832Top 25%

Psychotherapy, 30 minutes

$103K

1,208 claims · 0.8%

Your Cost: $84.87/claim|Median: $41.28
2.1× median
99204Top 1%

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

$84K

341 claims · 0.7%

Your Cost: $245.20/claim|Median: $84.03
2.9× median
90853Normal range

Group psychotherapy

$54K

1,428 claims · 0.4%

Your Cost: $37.74/claim|Median: $25.02
1.5× median
H0001Normal range

Alcohol and/or drug assessment

$48K

330 claims · 0.4%

Your Cost: $144.30/claim|Median: $94.22
1.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$39K

1,489 claims · 0.3%

Your Cost: $26.13/claim|Median: $47.35
0.6× median
99215Top 5%

Office/outpatient visit, high complexity

$38K

176 claims · 0.3%

Your Cost: $215.64/claim|Median: $74.09
2.9× median
99214Top 25%

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

$9K

111 claims · 0.1%

Your Cost: $77.19/claim|Median: $53.41
1.4× median
90834Top 25%

Psychotherapy, 45 minutes

$8K

92 claims · 0.1%

Your Cost: $86.61/claim|Median: $63.65
1.4× median
99211Top 25%

Office/outpatient visit, minimal complexity

$4K

162 claims · 0.0%

Your Cost: $27.70/claim|Median: $12.93
2.1× median
H0002Normal range

Behavioral health screening

$875

12 claims · 0.0%

Your Cost: $72.90/claim|Median: $38.77
1.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$808

43 claims · 0.0%

Your Cost: $18.80/claim|Median: $55.04
0.3× median
← All providersHow we detect fraud →