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

⚖️ Compare🖨️ Print Report

Provider 1407157456

NPI: 1407157456Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,980,525

Total Claims

47K

Beneficiaries

33K

1.4 claims/patient

Avg Cost/Claim

$275

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-53%
2019
$940K
-10%
2020
$850K
+83%
2021
$1.6M
+27%
2022
$2.0M
+67%
2023
$3.3M
-28%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 79% of total spending.

T1041Normal range

Medicaid CCBHC services, per diem

$10.3M

13K claims · 79.3%

Your Cost: $793.89/claim|Median: $913.47
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$858K

19K claims · 6.6%

Your Cost: $44.73/claim|Median: $74.63
0.6× median
G9009Normal range

$735K

2,130 claims · 5.7%

Your Cost: $345.25/claim|Median: $345.34
1.0× median
G9010Normal range

$718K

711 claims · 5.5%

Your Cost: $1,009.19/claim|Median: $1,009.60
1.0× median
G9002Normal range

Coordinated care fee, maintenance period

$151K

1,037 claims · 1.2%

Your Cost: $145.48/claim|Median: $108.80
1.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$117K

5,078 claims · 0.9%

Your Cost: $23.13/claim|Median: $84.12
0.3× median
99213Normal range

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

$34K

815 claims · 0.3%

Your Cost: $41.44/claim|Median: $37.81
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$23K

1,862 claims · 0.2%

Your Cost: $12.45/claim|Median: $96.24
0.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$18K

2,085 claims · 0.1%

Your Cost: $8.41/claim|Median: $91.63
0.1× median
T1017Normal range

Targeted case management, per 15 min

$8K

278 claims · 0.1%

Your Cost: $29.74/claim|Median: $69.56
0.4× median
H0031Normal range

Mental health assessment by non-physician

$5K

102 claims · 0.0%

Your Cost: $49.64/claim|Median: $96.18
0.5× median
H0032Normal range

Mental health service plan development

$5K

115 claims · 0.0%

Your Cost: $43.30/claim|Median: $80.64
0.5× median
T1016Normal range

Case management, each 15 min

$4K

75 claims · 0.0%

Your Cost: $50.79/claim|Median: $49.62
1.0× median
99214Top 25%

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

$2K

28 claims · 0.0%

Your Cost: $87.08/claim|Median: $53.41
1.6× median
H0034Normal range

Medication training and management, per 15 min

$1K

105 claims · 0.0%

Your Cost: $11.98/claim|Median: $56.90
0.2× median
H0002Normal range

Behavioral health screening

$633

25 claims · 0.0%

Your Cost: $25.32/claim|Median: $38.77
0.7× median
T1027Normal range

Family training and counseling, per 15 minutes

$47

479 claims · 0.0%

Your Cost: $0.10/claim|Median: $53.00
0.0× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $106.70
← All providersHow we detect fraud →