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Provider 1366532103

NPI: 1366532103Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.8M

$12,814,439

Total Claims

183K

Beneficiaries

78K

2.3 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+5%
2019
$2.9M
-21%
2020
$2.3M
-20%
2021
$1.8M
-23%
2022
$1.4M
-35%
2023
$891K
-1%
2024
$882K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 33% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$4.3M

54K claims · 33.4%

Your Cost: $79.20/claim|Median: $85.66
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$3.4M

47K claims · 26.6%

Your Cost: $72.09/claim|Median: $84.12
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.2M

16K claims · 9.1%

Your Cost: $71.75/claim|Median: $96.24
0.7× median
T2020Normal range

Day habilitation, waiver; per diem

$883K

18K claims · 6.9%

Your Cost: $48.26/claim|Median: $87.34
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$640K

6,560 claims · 5.0%

Your Cost: $97.52/claim|Median: $74.63
1.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$509K

7,196 claims · 4.0%

Your Cost: $70.66/claim|Median: $77.33
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$313K

5,518 claims · 2.4%

Your Cost: $56.71/claim|Median: $63.65
0.9× median
99214Normal range

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

$252K

5,674 claims · 2.0%

Your Cost: $44.33/claim|Median: $53.41
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$211K

1,960 claims · 1.6%

Your Cost: $107.44/claim|Median: $108.91
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$198K

4,252 claims · 1.5%

Your Cost: $46.62/claim|Median: $91.63
0.5× median
90885Normal range

$192K

2,664 claims · 1.5%

Your Cost: $72.23/claim|Median: $59.45
1.2× median
H2027Normal range

Psychoeducational service, per 15 minutes

$186K

2,198 claims · 1.5%

Your Cost: $84.63/claim|Median: $82.72
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$125K

3,227 claims · 1.0%

Your Cost: $38.82/claim|Median: $41.28
0.9× median
90846Normal range

Family psychotherapy without patient, 50 min

$124K

1,598 claims · 1.0%

Your Cost: $77.74/claim|Median: $76.61
1.0× median
S0220Normal range

$112K

1,898 claims · 0.9%

Your Cost: $59.07/claim|Median: $62.26
0.9× median
90887Normal range

Interpretation/explanation of results

$103K

1,981 claims · 0.8%

Your Cost: $52.03/claim|Median: $47.55
1.1× median
90853Top 25%

Group psychotherapy

$61K

1,381 claims · 0.5%

Your Cost: $44.47/claim|Median: $25.02
1.8× median
90791Top 10%

Psychiatric diagnostic evaluation

$27K

133 claims · 0.2%

Your Cost: $201.85/claim|Median: $99.21
2.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$19K

318 claims · 0.1%

Your Cost: $59.90/claim|Median: $215.80
0.3× median
99213Normal range

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

$3K

77 claims · 0.0%

Your Cost: $33.08/claim|Median: $37.81
0.9× median
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