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

Provider 1386839009

NPI: 1386839009Share
Active Billing Period:2018-072024-12(30 months)

Total Paid

$14.6M

$14,628,722

Total Claims

144K

Beneficiaries

26K

5.6 claims/patient

Avg Cost/Claim

$101

Monthly Spending Trend

Yearly Spending

2018
$82K
-100%
2019
$0
2023
$9.1M
-39%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H0025 (Behavioral health prevention education, per session)) accounts for 51% of total spending.

H0025Top 25%

Behavioral health prevention education, per session

$7.5M

57K claims · 51.0%

Your Cost: $131.35/claim|Median: $36.25
3.6× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$2.9M

20K claims · 19.7%

Your Cost: $142.55/claim|Median: $55.04
2.6× median
90853Top 5%

Group psychotherapy

$1.2M

12K claims · 8.1%

Your Cost: $98.93/claim|Median: $25.02
4.0× median
90837Normal range

Psychotherapy, 60 minutes

$808K

8,181 claims · 5.5%

Your Cost: $98.73/claim|Median: $85.66
1.2× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$587K

8,544 claims · 4.0%

Your Cost: $68.68/claim|Median: $47.35
1.5× median
H0032Top 25%

Mental health service plan development

$583K

3,179 claims · 4.0%

Your Cost: $183.40/claim|Median: $80.64
2.3× median
T1017Normal range

Targeted case management, per 15 min

$394K

15K claims · 2.7%

Your Cost: $26.76/claim|Median: $69.56
0.4× median
H0043Normal range

Supported housing, per diem

$243K

12K claims · 1.7%

Your Cost: $19.78/claim|Median: $164.87
0.1× median
S5151Normal range

Unskilled respite care, per diem

$188K

1,548 claims · 1.3%

Your Cost: $121.41/claim|Median: $249.18
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$87K

896 claims · 0.6%

Your Cost: $97.08/claim|Median: $99.21
1.0× median
H0006Normal range

Alcohol and/or drug services, case management

$80K

4,276 claims · 0.5%

Your Cost: $18.72/claim|Median: $43.10
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$52K

841 claims · 0.4%

Your Cost: $62.31/claim|Median: $74.63
0.8× median
H0001Normal range

Alcohol and/or drug assessment

$35K

323 claims · 0.2%

Your Cost: $107.71/claim|Median: $94.22
1.1× median
H2027Normal range

Psychoeducational service, per 15 minutes

$24K

376 claims · 0.2%

Your Cost: $64.75/claim|Median: $82.72
0.8× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$21K

270 claims · 0.1%

Your Cost: $76.89/claim|Median: $100.49
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$2K

52 claims · 0.0%

Your Cost: $45.94/claim|Median: $41.28
1.1× median