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Provider 1417080680

NPI: 1417080680Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,927,335

Total Claims

56K

Beneficiaries

20K

2.8 claims/patient

Avg Cost/Claim

$161

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-22%
2019
$1.2M
+36%
2020
$1.7M
-23%
2021
$1.3M
-4%
2022
$1.2M
-37%
2023
$773K
+59%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 72% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$6.5M

27K claims · 72.3%

Your Cost: $237.34/claim|Median: $336.31
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.0M

8,273 claims · 11.4%

Your Cost: $123.40/claim|Median: $96.24
1.3× median
T1023Top 25%

Screening to determine appropriateness of consideration for program

$342K

1,459 claims · 3.8%

Your Cost: $234.46/claim|Median: $106.70
2.2× median
99214Normal range

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

$287K

3,867 claims · 3.2%

Your Cost: $74.32/claim|Median: $53.41
1.4× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$216K

1,174 claims · 2.4%

Your Cost: $183.83/claim|Median: $148.53
1.2× median
99213Normal range

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

$157K

3,065 claims · 1.8%

Your Cost: $51.13/claim|Median: $37.81
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$138K

3,441 claims · 1.6%

Your Cost: $40.24/claim|Median: $63.65
0.6× median
H0032Top 25%

Mental health service plan development

$84K

489 claims · 0.9%

Your Cost: $172.66/claim|Median: $80.64
2.1× median
90832Normal range

Psychotherapy, 30 minutes

$66K

2,252 claims · 0.7%

Your Cost: $29.30/claim|Median: $41.28
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$34K

889 claims · 0.4%

Your Cost: $38.69/claim|Median: $55.04
0.7× median
99443Normal range

Telephone E/M by physician, 21-30 min

$28K

613 claims · 0.3%

Your Cost: $45.31/claim|Median: $32.55
1.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$22K

860 claims · 0.2%

Your Cost: $25.20/claim|Median: $22.44
1.1× median
H2022GTNormal range

$16K

67 claims · 0.2%

Your Cost: $239.66/claim|Median: $258.20
0.9× median
90833Normal range

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

$14K

469 claims · 0.2%

Your Cost: $30.61/claim|Median: $38.83
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$13K

149 claims · 0.2%

Your Cost: $89.95/claim|Median: $85.66
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$12K

125 claims · 0.1%

Your Cost: $92.08/claim|Median: $99.21
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$8K

787 claims · 0.1%

Your Cost: $9.78/claim|Median: $9.56
1.0× median
H2015HTNormal range

$7K

49 claims · 0.1%

Your Cost: $141.29/claim|Median: $173.43
0.8× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$5K

40 claims · 0.1%

Your Cost: $131.80/claim|Median: $84.03
1.6× median
99441Normal range

Telephone E/M by physician, 5-10 min

$4K

201 claims · 0.0%

Your Cost: $18.01/claim|Median: $13.30
1.4× median
98967Normal range

$521

30 claims · 0.0%

Your Cost: $17.37/claim|Median: $18.97
0.9× median
98968Normal range

$280

18 claims · 0.0%

Your Cost: $15.56/claim|Median: $28.39
0.5× median
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