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Provider 1396807350

NPI: 1396807350Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$17.1M

$17,086,560

Total Claims

273K

Beneficiaries

236K

1.2 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$8K
+172%
2019
$21K
+4896%
2020
$1.0M
+313%
2021
$4.3M
+16%
2022
$5.0M
-26%
2023
$3.7M
-21%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 18% of total spending.

99213Normal range

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

$3.0M

91K claims · 17.8%

Your Cost: $33.45/claim|Median: $37.81
0.9× median
96131Top 25%

Psychological testing evaluation, each additional hour

$2.8M

13K claims · 16.2%

Your Cost: $216.11/claim|Median: $133.38
1.6× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$2.0M

19K claims · 11.7%

Your Cost: $106.27/claim|Median: $92.96
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$1.8M

25K claims · 10.6%

Your Cost: $71.18/claim|Median: $85.66
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$1.7M

16K claims · 10.2%

Your Cost: $111.40/claim|Median: $99.21
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.6M

12K claims · 9.1%

Your Cost: $132.25/claim|Median: $108.91
1.2× median
99214Normal range

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

$1.3M

28K claims · 7.9%

Your Cost: $47.52/claim|Median: $53.41
0.9× median
96130Normal range

Psychological testing evaluation by professional, first hour

$1.0M

13K claims · 6.0%

Your Cost: $76.20/claim|Median: $79.21
1.0× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$573K

18K claims · 3.4%

Your Cost: $31.04/claim|Median: $30.49
1.0× median
90833Normal range

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

$528K

11K claims · 3.1%

Your Cost: $47.24/claim|Median: $38.83
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$521K

11K claims · 3.1%

Your Cost: $48.37/claim|Median: $63.65
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$42K

477 claims · 0.2%

Your Cost: $88.92/claim|Median: $111.09
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$40K

787 claims · 0.2%

Your Cost: $51.05/claim|Median: $74.63
0.7× median
96133Normal range

$37K

124 claims · 0.2%

Your Cost: $294.42/claim|Median: $185.94
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$19K

251 claims · 0.1%

Your Cost: $73.97/claim|Median: $74.09
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$18K

429 claims · 0.1%

Your Cost: $43.02/claim|Median: $47.35
0.9× median
96132Normal range

$12K

132 claims · 0.1%

Your Cost: $91.26/claim|Median: $70.53
1.3× median
H0001Top 5%

Alcohol and/or drug assessment

$11K

30 claims · 0.1%

Your Cost: $375.96/claim|Median: $94.22
4.0× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$1K

370 claims · 0.0%

Your Cost: $3.78/claim|Median: $135.70
0.0× median
90785Normal range

$27

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.43
0.0× median
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