Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1386777555

NPI: 1386777555Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,192,757

Total Claims

251K

Beneficiaries

34K

7.5 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-15%
2019
$1.9M
-9%
2020
$1.7M
+44%
2021
$2.5M
+43%
2022
$3.6M
-13%
2023
$3.1M
-2%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 43% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$7.8M

51K claims · 43.0%

Your Cost: $154.39/claim|Median: $467.51
0.3× median
H0006Top 25%

Alcohol and/or drug services, case management

$2.9M

35K claims · 15.8%

Your Cost: $81.66/claim|Median: $43.10
1.9× median
T1012Normal range

Alcohol/drug services, skills development

$2.6M

42K claims · 14.1%

Your Cost: $61.11/claim|Median: $40.78
1.5× median
S9976Normal range

$1.5M

54K claims · 8.5%

Your Cost: $28.43/claim|Median: $64.43
0.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$1.2M

44K claims · 6.9%

Your Cost: $28.51/claim|Median: $55.04
0.5× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$804K

11K claims · 4.4%

Your Cost: $71.83/claim|Median: $53.97
1.3× median
H0001Normal range

Alcohol and/or drug assessment

$366K

2,988 claims · 2.0%

Your Cost: $122.54/claim|Median: $94.22
1.3× median
H0019Normal range

Behavioral health; residential, per diem

$353K

3,601 claims · 1.9%

Your Cost: $98.00/claim|Median: $357.16
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$284K

3,105 claims · 1.6%

Your Cost: $91.42/claim|Median: $85.66
1.1× median
S0280Top 10%

Medical home program, comprehensive care management

$178K

611 claims · 1.0%

Your Cost: $291.10/claim|Median: $48.38
6.0× median
90853Normal range

Group psychotherapy

$51K

1,534 claims · 0.3%

Your Cost: $32.99/claim|Median: $25.02
1.3× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$48K

619 claims · 0.3%

Your Cost: $78.19/claim|Median: $94.63
0.8× median
H0015Normal range

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

$39K

459 claims · 0.2%

Your Cost: $84.11/claim|Median: $129.75
0.6× median
H0003Normal range

$15K

507 claims · 0.1%

Your Cost: $29.18/claim|Median: $13.38
2.2× median
← All providersHow we detect fraud →