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Provider 1366815508

NPI: 1366815508Share
Active Billing Period:2018-11→2024-12(72 months)

Total Paid

$11.7M

$11,707,603

Total Claims

45K

Beneficiaries

11K

4.2 claims/patient

Avg Cost/Claim

$263

Monthly Spending Trend

Yearly Spending

2018
$3K
+546%
2019
$22K
+1468%
2020
$343K
+4%
2021
$358K
+613%
2022
$2.6M
+56%
2023
$4.0M
+12%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (S9480 (Intensive outpatient psychiatric services, per diem)) accounts for 54% of total spending.

S9480Top 25%

Intensive outpatient psychiatric services, per diem

$6.3M

17K claims · 53.6%

Your Cost: $367.89/claim|Median: $135.70
2.7× median
H0015Top 5%

Alcohol and/or drug abuse, intensive outpatient, per hour

$4.0M

9,222 claims · 34.6%

Your Cost: $438.94/claim|Median: $129.75
3.4× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$989K

8,666 claims · 8.4%

Your Cost: $114.09/claim|Median: $74.63
1.5× median
H0031Normal range

Mental health assessment by non-physician

$141K

1,002 claims · 1.2%

Your Cost: $140.39/claim|Median: $96.18
1.5× median
99213Normal range

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

$42K

899 claims · 0.4%

Your Cost: $47.19/claim|Median: $37.81
1.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$38K

247 claims · 0.3%

Your Cost: $153.28/claim|Median: $99.21
1.5× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$36K

2,088 claims · 0.3%

Your Cost: $17.14/claim|Median: $21.33
0.8× median
T1016Normal range

Case management, each 15 min

$35K

729 claims · 0.3%

Your Cost: $48.31/claim|Median: $49.62
1.0× median
99204Normal range

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

$31K

363 claims · 0.3%

Your Cost: $86.04/claim|Median: $84.03
1.0× median
A0120Normal range

Non-emergency mini-bus transport

$24K

2,087 claims · 0.2%

Your Cost: $11.42/claim|Median: $16.09
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$15K

274 claims · 0.1%

Your Cost: $53.06/claim|Median: $41.28
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$13K

399 claims · 0.1%

Your Cost: $31.48/claim|Median: $63.65
0.5× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$8K

50 claims · 0.1%

Your Cost: $158.91/claim|Median: $108.91
1.5× median
99214Normal range

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

$5K

78 claims · 0.0%

Your Cost: $63.62/claim|Median: $53.41
1.2× median
A0110Normal range

Non-emergency taxi transport

$4K

1,014 claims · 0.0%

Your Cost: $3.91/claim|Median: $9.27
0.4× median
H2014Normal range

Skills training & development, per 15 min

$4K

136 claims · 0.0%

Your Cost: $27.22/claim|Median: $83.88
0.3× median
H0025Normal range

Behavioral health prevention education, per session

$2K

213 claims · 0.0%

Your Cost: $8.43/claim|Median: $36.25
0.2× median
H0001Normal range

Alcohol and/or drug assessment

$1K

53 claims · 0.0%

Your Cost: $25.19/claim|Median: $94.22
0.3× median
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