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⚖️ Compare🖨️ Print Report

Unknown Provider 1346443298

NPI: 1346443298SharePrint ReportML Risk: 83%
View on Risk Watchlist →

Total Paid

$582K

$582,266

Total Claims

7,160

Beneficiaries

2,882

2.5 claims/patient

Avg Cost/Claim

$81

🔍 Analysis

Provider Overview

is a Medicaid provider based in Unknown location. From 2018-01 through 2018-12, this provider received $582K in Medicaid payments across 7K claims serving 3K beneficiaries, billing 8 distinct procedure codes.

Key Findings

  • 📊Billing stopped in 2018-12, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 49% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$288K

2,834 claims · 49.5%

Your Cost: $101.69/claim|Median: $85.66
1.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$171K

2,049 claims · 29.4%

Your Cost: $83.55/claim|Median: $91.63
0.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$49K

386 claims · 8.5%

Your Cost: $127.74/claim|Median: $99.21
1.3× median
H2014Normal range

Skills training & development, per 15 min

$35K

583 claims · 6.0%

Your Cost: $59.45/claim|Median: $83.88
0.7× median
90853Normal range

Group psychotherapy

$21K

755 claims · 3.6%

Your Cost: $27.68/claim|Median: $25.02
1.1× median
H0002Normal range

Behavioral health screening

$12K

404 claims · 2.0%

Your Cost: $28.79/claim|Median: $38.77
0.7× median
T1016Normal range

Case management, each 15 min

$4K

102 claims · 0.7%

Your Cost: $39.50/claim|Median: $49.62
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$2K

47 claims · 0.4%

Your Cost: $50.40/claim|Median: $41.28
1.2× median
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