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Provider 1386710861

NPI: 1386710861Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,831,656

Total Claims

245K

Beneficiaries

74K

3.3 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-43%
2019
$1.9M
-41%
2020
$1.1M
+8%
2021
$1.2M
+1%
2022
$1.2M
+0%
2023
$1.2M
+47%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 37% of total spending.

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$4.4M

67K claims · 37.1%

Your Cost: $65.06/claim|Median: $91.63
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.8M

99K claims · 23.5%

Your Cost: $28.03/claim|Median: $96.24
0.3× median
H2020Top 25%

Day habilitation, waiver, per 15 minutes

$2.1M

8,690 claims · 17.9%

Your Cost: $243.35/claim|Median: $144.05
1.7× median
H0023Top 5%

Behavioral health outreach service, per 15 minutes

$1.1M

1,221 claims · 9.0%

Your Cost: $867.37/claim|Median: $53.97
16.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$533K

5,578 claims · 4.5%

Your Cost: $95.55/claim|Median: $74.63
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$298K

34K claims · 2.5%

Your Cost: $8.80/claim|Median: $85.66
0.1× median
H0046Top 1%

Mental health services, not otherwise specified

$141K

96 claims · 1.2%

Your Cost: $1,465.49/claim|Median: $85.02
17.2× median
H2011Normal range

Crisis intervention service, per 15 minutes

$76K

1,300 claims · 0.6%

Your Cost: $58.45/claim|Median: $215.80
0.3× median
S5146Normal range

$74K

99 claims · 0.6%

Your Cost: $742.42/claim|Median: $686.89
1.1× median
H2014Normal range

Skills training & development, per 15 min

$64K

8,538 claims · 0.5%

Your Cost: $7.50/claim|Median: $83.88
0.1× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$54K

125 claims · 0.5%

Your Cost: $433.14/claim|Median: $266.41
1.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$45K

1,731 claims · 0.4%

Your Cost: $26.15/claim|Median: $77.33
0.3× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$40K

630 claims · 0.3%

Your Cost: $63.91/claim|Median: $47.35
1.3× median
H0015Normal range

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

$38K

301 claims · 0.3%

Your Cost: $126.23/claim|Median: $129.75
1.0× median
99213Normal range

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

$33K

1,409 claims · 0.3%

Your Cost: $23.21/claim|Median: $37.81
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$19K

2,002 claims · 0.2%

Your Cost: $9.26/claim|Median: $63.65
0.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$14K

1,174 claims · 0.1%

Your Cost: $11.76/claim|Median: $38.83
0.3× median
99214Normal range

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

$12K

1,636 claims · 0.1%

Your Cost: $7.32/claim|Median: $53.41
0.1× median
T1016Normal range

Case management, each 15 min

$10K

316 claims · 0.1%

Your Cost: $30.21/claim|Median: $49.62
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$9K

3,322 claims · 0.1%

Your Cost: $2.72/claim|Median: $41.28
0.1× median
H0006Normal range

Alcohol and/or drug services, case management

$9K

320 claims · 0.1%

Your Cost: $27.60/claim|Median: $43.10
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$7K

193 claims · 0.1%

Your Cost: $37.32/claim|Median: $99.21
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$6K

522 claims · 0.1%

Your Cost: $11.54/claim|Median: $74.09
0.2× median
H0001Top 25%

Alcohol and/or drug assessment

$2K

13 claims · 0.0%

Your Cost: $173.68/claim|Median: $94.22
1.8× median
90853Normal range

Group psychotherapy

$631

2,250 claims · 0.0%

Your Cost: $0.28/claim|Median: $25.02
0.0× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$0

542 claims · 0.0%

Your Cost: $0.00/claim|Median: $114.71
H2025Normal range

Ongoing support to maintain employment, per 15 min

$0

495 claims · 0.0%

Your Cost: $0.00/claim|Median: $100.49
H2023Normal range

Supported employment, per 15 min

$0

1,709 claims · 0.0%

Your Cost: $0.00/claim|Median: $103.94
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