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Provider 1396814331

NPI: 1396814331Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,248,449

Total Claims

145K

Beneficiaries

86K

1.7 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+5%
2019
$1.7M
-17%
2020
$1.4M
+6%
2021
$1.5M
-8%
2022
$1.4M
-21%
2023
$1.1M
+31%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 84% of total spending.

T1017Normal range

Targeted case management, per 15 min

$8.6M

122K claims · 84.2%

Your Cost: $70.49/claim|Median: $69.56
1.0× median
96112Normal range

Developmental test administration

$611K

7,014 claims · 6.0%

Your Cost: $87.12/claim|Median: $102.95
0.8× median
96113Normal range

Developmental test admin, each additional 30 min

$458K

6,424 claims · 4.5%

Your Cost: $71.34/claim|Median: $77.06
0.9× median
H0031Normal range

Mental health assessment by non-physician

$169K

2,157 claims · 1.6%

Your Cost: $78.39/claim|Median: $96.18
0.8× median
92523Normal range

Evaluation of speech sound production with language comprehension

$144K

1,067 claims · 1.4%

Your Cost: $134.85/claim|Median: $110.87
1.2× median
96111Normal range

$78K

968 claims · 0.8%

Your Cost: $80.35/claim|Median: $86.72
0.9× median
92579Normal range

$30K

951 claims · 0.3%

Your Cost: $31.68/claim|Median: $30.58
1.0× median
97167Normal range

OT evaluation, high complexity

$19K

504 claims · 0.2%

Your Cost: $38.04/claim|Median: $70.96
0.5× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$15K

488 claims · 0.1%

Your Cost: $31.31/claim|Median: $31.08
1.0× median
96130Normal range

Psychological testing evaluation by professional, first hour

$15K

351 claims · 0.1%

Your Cost: $42.16/claim|Median: $79.21
0.5× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$14K

300 claims · 0.1%

Your Cost: $46.33/claim|Median: $76.05
0.6× median
90846Normal range

Family psychotherapy without patient, 50 min

$14K

308 claims · 0.1%

Your Cost: $44.69/claim|Median: $76.61
0.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$12K

445 claims · 0.1%

Your Cost: $27.84/claim|Median: $77.33
0.4× median
92567Normal range

$11K

943 claims · 0.1%

Your Cost: $12.09/claim|Median: $11.50
1.1× median
96131Normal range

Psychological testing evaluation, each additional hour

$11K

352 claims · 0.1%

Your Cost: $31.72/claim|Median: $133.38
0.2× median
92587Normal range

$8K

282 claims · 0.1%

Your Cost: $28.49/claim|Median: $19.24
1.5× median
97161Normal range

Physical therapy evaluation, low complexity

$5K

169 claims · 0.0%

Your Cost: $28.76/claim|Median: $47.89
0.6× median
97803Top 1%

Medical nutrition therapy, reassessment, group, thirty minutes

$4K

14 claims · 0.0%

Your Cost: $292.50/claim|Median: $24.33
12.0× median
97162Normal range

PT evaluation, moderate complexity

$1K

31 claims · 0.0%

Your Cost: $38.56/claim|Median: $46.10
0.8× median
99199Normal range

Unlisted special service, procedure, or report

$197

41 claims · 0.0%

Your Cost: $4.81/claim|Median: $5.39
0.9× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$164

51 claims · 0.0%

Your Cost: $3.21/claim|Median: $106.70
0.0× median
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