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Provider 1346589215

NPI: 1346589215Share
Active Billing Period:2019-04→2024-12(69 months)

Total Paid

$16.2M

$16,163,775

Total Claims

128K

Beneficiaries

16K

7.9 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2019
$359K
+102%
2020
$724K
+99%
2021
$1.4M
+73%
2022
$2.5M
+121%
2023
$5.5M
+2%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (T1024 (Evaluation & treatment, integrated specialty team)) accounts for 47% of total spending.

T1024Top 25%

Evaluation & treatment, integrated specialty team

$7.6M

31K claims · 47.0%

Your Cost: $242.12/claim|Median: $119.08
2.0× median
H0046Normal range

Mental health services, not otherwise specified

$4.6M

49K claims · 28.7%

Your Cost: $94.59/claim|Median: $85.02
1.1× median
97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$1.5M

5,745 claims · 9.0%

Your Cost: $252.76/claim|Median: $167.38
1.5× median
T1016Normal range

Case management, each 15 min

$673K

16K claims · 4.2%

Your Cost: $42.23/claim|Median: $49.62
0.9× median
H2014Normal range

Skills training & development, per 15 min

$543K

7,860 claims · 3.4%

Your Cost: $69.15/claim|Median: $83.88
0.8× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$289K

1,504 claims · 1.8%

Your Cost: $192.32/claim|Median: $146.45
1.3× median
97530Normal range

Therapeutic activities, each 15 min

$219K

6,772 claims · 1.4%

Your Cost: $32.39/claim|Median: $33.11
1.0× median
96131Normal range

Psychological testing evaluation, each additional hour

$156K

747 claims · 1.0%

Your Cost: $208.63/claim|Median: $133.38
1.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$120K

941 claims · 0.7%

Your Cost: $127.79/claim|Median: $99.21
1.3× median
92507Normal range

Speech/hearing/language treatment

$86K

2,284 claims · 0.5%

Your Cost: $37.52/claim|Median: $49.45
0.8× median
H0031Normal range

Mental health assessment by non-physician

$70K

472 claims · 0.4%

Your Cost: $147.66/claim|Median: $96.18
1.5× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$64K

335 claims · 0.4%

Your Cost: $190.60/claim|Median: $84.12
2.3× median
96130Normal range

Psychological testing evaluation by professional, first hour

$56K

643 claims · 0.3%

Your Cost: $87.73/claim|Median: $79.21
1.1× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$50K

364 claims · 0.3%

Your Cost: $136.99/claim|Median: $92.96
1.5× median
97535Normal range

Self-care/home management training, per 15 minutes

$44K

2,194 claims · 0.3%

Your Cost: $19.89/claim|Median: $18.18
1.1× median
96139Top 25%

$37K

198 claims · 0.2%

Your Cost: $187.21/claim|Median: $97.14
1.9× median
96136Top 25%

Psychological/neuropsychological testing, first 30 min

$18K

391 claims · 0.1%

Your Cost: $46.57/claim|Median: $30.49
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$13K

145 claims · 0.1%

Your Cost: $90.08/claim|Median: $85.66
1.1× median
96138Top 25%

$9K

242 claims · 0.1%

Your Cost: $35.66/claim|Median: $19.87
1.8× median
97156Normal range

$7K

65 claims · 0.0%

Your Cost: $100.14/claim|Median: $88.65
1.1× median
92609Normal range

$6K

217 claims · 0.0%

Your Cost: $29.24/claim|Median: $59.78
0.5× median
97151Normal range

Behavior identification assessment

$6K

25 claims · 0.0%

Your Cost: $222.55/claim|Median: $161.10
1.4× median
H0032Normal range

Mental health service plan development

$4K

39 claims · 0.0%

Your Cost: $109.41/claim|Median: $80.64
1.4× median
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