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Provider 1366477911

NPI: 1366477911Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,808,909

Total Claims

138K

Beneficiaries

69K

2.0 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-10%
2019
$2.0M
-21%
2020
$1.6M
-11%
2021
$1.4M
-6%
2022
$1.3M
+2%
2023
$1.3M
-25%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 40% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$4.3M

48K claims · 39.5%

Your Cost: $89.01/claim|Median: $85.66
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$3.2M

36K claims · 29.4%

Your Cost: $87.28/claim|Median: $84.12
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$650K

8,469 claims · 6.0%

Your Cost: $76.76/claim|Median: $96.24
0.8× median
90853Top 25%

Group psychotherapy

$503K

11K claims · 4.7%

Your Cost: $44.56/claim|Median: $25.02
1.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$488K

5,130 claims · 4.5%

Your Cost: $95.06/claim|Median: $74.63
1.3× median
99214Normal range

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

$325K

5,165 claims · 3.0%

Your Cost: $62.88/claim|Median: $53.41
1.2× median
T2020Normal range

Day habilitation, waiver; per diem

$322K

6,812 claims · 3.0%

Your Cost: $47.21/claim|Median: $87.34
0.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$187K

2,408 claims · 1.7%

Your Cost: $77.46/claim|Median: $77.33
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$163K

3,526 claims · 1.5%

Your Cost: $46.26/claim|Median: $41.28
1.1× median
99213Normal range

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

$140K

3,257 claims · 1.3%

Your Cost: $43.01/claim|Median: $37.81
1.1× median
90885Normal range

$128K

1,898 claims · 1.2%

Your Cost: $67.26/claim|Median: $59.45
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$108K

1,635 claims · 1.0%

Your Cost: $66.32/claim|Median: $63.65
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$93K

823 claims · 0.9%

Your Cost: $112.71/claim|Median: $108.91
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$75K

971 claims · 0.7%

Your Cost: $77.01/claim|Median: $76.61
1.0× median
90791Top 25%

Psychiatric diagnostic evaluation

$52K

361 claims · 0.5%

Your Cost: $142.70/claim|Median: $99.21
1.4× median
S0220Top 25%

$50K

576 claims · 0.5%

Your Cost: $86.83/claim|Median: $62.26
1.4× median
90887Normal range

Interpretation/explanation of results

$41K

836 claims · 0.4%

Your Cost: $49.59/claim|Median: $47.55
1.0× median
H2027Normal range

Psychoeducational service, per 15 minutes

$26K

315 claims · 0.2%

Your Cost: $83.19/claim|Median: $82.72
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$5K

568 claims · 0.0%

Your Cost: $9.21/claim|Median: $91.63
0.1× median
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