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Provider 1386728681

NPI: 1386728681Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,284,205

Total Claims

223K

Beneficiaries

109K

2.0 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-3%
2019
$3.0M
-36%
2020
$1.9M
+11%
2021
$2.1M
-10%
2022
$1.9M
-7%
2023
$1.8M
-9%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 43% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$6.5M

84K claims · 42.7%

Your Cost: $77.27/claim|Median: $85.66
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$3.6M

52K claims · 23.8%

Your Cost: $69.98/claim|Median: $84.12
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$986K

17K claims · 6.5%

Your Cost: $58.31/claim|Median: $63.65
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$828K

12K claims · 5.4%

Your Cost: $67.98/claim|Median: $96.24
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$790K

8,472 claims · 5.2%

Your Cost: $93.30/claim|Median: $74.63
1.3× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$684K

17K claims · 4.5%

Your Cost: $39.62/claim|Median: $91.63
0.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$367K

3,674 claims · 2.4%

Your Cost: $99.95/claim|Median: $108.91
0.9× median
99214Normal range

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

$311K

7,711 claims · 2.0%

Your Cost: $40.32/claim|Median: $53.41
0.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$222K

2,915 claims · 1.5%

Your Cost: $76.27/claim|Median: $77.33
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$202K

5,143 claims · 1.3%

Your Cost: $39.18/claim|Median: $41.28
0.9× median
90885Normal range

$177K

2,509 claims · 1.2%

Your Cost: $70.41/claim|Median: $59.45
1.2× median
S0220Normal range

$113K

1,779 claims · 0.7%

Your Cost: $63.72/claim|Median: $62.26
1.0× median
90853Top 25%

Group psychotherapy

$106K

2,444 claims · 0.7%

Your Cost: $43.42/claim|Median: $25.02
1.7× median
90846Normal range

Family psychotherapy without patient, 50 min

$76K

1,090 claims · 0.5%

Your Cost: $69.75/claim|Median: $76.61
0.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$67K

776 claims · 0.4%

Your Cost: $86.86/claim|Median: $215.80
0.4× median
90791Top 10%

Psychiatric diagnostic evaluation

$67K

404 claims · 0.4%

Your Cost: $166.82/claim|Median: $99.21
1.7× median
T2020Normal range

Day habilitation, waiver; per diem

$51K

1,327 claims · 0.3%

Your Cost: $38.57/claim|Median: $87.34
0.4× median
90887Normal range

Interpretation/explanation of results

$47K

1,105 claims · 0.3%

Your Cost: $42.71/claim|Median: $47.55
0.9× median
99213Normal range

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

$22K

831 claims · 0.1%

Your Cost: $26.20/claim|Median: $37.81
0.7× median
H2027Normal range

Psychoeducational service, per 15 minutes

$927

26 claims · 0.0%

Your Cost: $35.67/claim|Median: $82.72
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$368

27 claims · 0.0%

Your Cost: $13.63/claim|Median: $74.09
0.2× median
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