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Provider 1376696096

NPI: 1376696096Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.1M

$11,135,134

Total Claims

157K

Beneficiaries

75K

2.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$4K
+42445%
2020
$1.8M
-22%
2021
$1.4M
+48%
2022
$2.1M
+23%
2023
$2.6M
+22%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (96165 (Health behavior intervention, family, each additional fifteen minutes)) accounts for 23% of total spending.

96165Top 10%

Health behavior intervention, family, each additional fifteen minutes

$2.5M

29K claims · 22.8%

Your Cost: $88.52/claim|Median: $15.54
5.7× median
90837Top 5%

Psychotherapy, 60 minutes

$2.5M

16K claims · 22.6%

Your Cost: $153.45/claim|Median: $85.66
1.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.3M

19K claims · 11.8%

Your Cost: $70.94/claim|Median: $74.63
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$822K

8,610 claims · 7.4%

Your Cost: $95.45/claim|Median: $96.24
1.0× median
99214Top 5%

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

$734K

4,428 claims · 6.6%

Your Cost: $165.68/claim|Median: $53.41
3.1× median
96164Top 5%

$667K

29K claims · 6.0%

Your Cost: $23.28/claim|Median: $9.87
2.4× median
90832Top 25%

Psychotherapy, 30 minutes

$621K

7,343 claims · 5.6%

Your Cost: $84.55/claim|Median: $41.28
2.0× median
99215Top 5%

Office/outpatient visit, high complexity

$429K

1,473 claims · 3.9%

Your Cost: $291.53/claim|Median: $74.09
3.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$347K

6,555 claims · 3.1%

Your Cost: $52.97/claim|Median: $55.04
1.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$343K

1,745 claims · 3.1%

Your Cost: $196.41/claim|Median: $99.21
2.0× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$288K

889 claims · 2.6%

Your Cost: $323.46/claim|Median: $108.91
3.0× median
H0046Normal range

Mental health services, not otherwise specified

$214K

3,063 claims · 1.9%

Your Cost: $69.99/claim|Median: $85.02
0.8× median
90834Top 25%

Psychotherapy, 45 minutes

$189K

1,924 claims · 1.7%

Your Cost: $98.28/claim|Median: $63.65
1.5× median
99213Top 5%

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

$46K

403 claims · 0.4%

Your Cost: $115.06/claim|Median: $37.81
3.0× median
96153Normal range

Health/behavior intervention, group

$38K

25K claims · 0.3%

Your Cost: $1.51/claim|Median: $6.67
0.2× median
90853Top 25%

Group psychotherapy

$14K

237 claims · 0.1%

Your Cost: $59.21/claim|Median: $25.02
2.4× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$7K

784 claims · 0.1%

Your Cost: $9.04/claim|Median: $91.63
0.1× median
H0001Normal range

Alcohol and/or drug assessment

$6K

919 claims · 0.1%

Your Cost: $6.96/claim|Median: $94.22
0.1× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$2K

224 claims · 0.0%

Your Cost: $8.04/claim|Median: $53.97
0.1× median
H2014Normal range

Skills training & development, per 15 min

$2K

381 claims · 0.0%

Your Cost: $4.10/claim|Median: $83.88
0.0× median
T1016Normal range

Case management, each 15 min

$0

608 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
H0031Normal range

Mental health assessment by non-physician

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.18
99212Normal range

Office/outpatient visit, low complexity

$0

442 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.37
99051Normal range

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.89
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