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Provider 1417295783

NPI: 1417295783Share
Active Billing Period:2020-08→2023-07(36 months)
Billing appears to have stoppedLast active: 2023-07

Total Paid

$13.5M

$13,501,978

Total Claims

75K

Beneficiaries

47K

1.6 claims/patient

Avg Cost/Claim

$180

Monthly Spending Trend

Yearly Spending

2020
$810K
+680%
2021
$6.3M
+0%
2022
$6.3M
-100%
2023
$27K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 27% of total spending.

90837Top 5%

Psychotherapy, 60 minutes

$3.7M

13K claims · 27.3%

Your Cost: $278.43/claim|Median: $85.66
3.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.8M

6,557 claims · 13.1%

Your Cost: $269.13/claim|Median: $215.80
1.2× median
90834Top 5%

Psychotherapy, 45 minutes

$895K

4,761 claims · 6.6%

Your Cost: $188.07/claim|Median: $63.65
3.0× median
90791Top 5%

Psychiatric diagnostic evaluation

$824K

2,848 claims · 6.1%

Your Cost: $289.27/claim|Median: $99.21
2.9× median
H0017Normal range

$702K

610 claims · 5.2%

Your Cost: $1,151.22/claim|Median: $470.95
2.4× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$672K

1,413 claims · 5.0%

Your Cost: $475.76/claim|Median: $369.55
1.3× median
99215Top 5%

Office/outpatient visit, high complexity

$600K

2,100 claims · 4.4%

Your Cost: $285.80/claim|Median: $74.09
3.9× median
T1017Normal range

Targeted case management, per 15 min

$595K

4,606 claims · 4.4%

Your Cost: $129.26/claim|Median: $69.56
1.9× median
90853Top 25%

Group psychotherapy

$524K

9,150 claims · 3.9%

Your Cost: $57.30/claim|Median: $25.02
2.3× median
99214Top 5%

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

$520K

2,866 claims · 3.9%

Your Cost: $181.44/claim|Median: $53.41
3.4× median
90832Top 5%

Psychotherapy, 30 minutes

$495K

3,296 claims · 3.7%

Your Cost: $150.15/claim|Median: $41.28
3.6× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$333K

5,620 claims · 2.5%

Your Cost: $59.33/claim|Median: $53.97
1.1× median
H0039Normal range

Assertive community treatment, per diem

$329K

3,703 claims · 2.4%

Your Cost: $88.84/claim|Median: $132.62
0.7× median
90847Top 5%

Family psychotherapy with patient, 50 min

$309K

1,213 claims · 2.3%

Your Cost: $254.89/claim|Median: $77.33
3.3× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$259K

740 claims · 1.9%

Your Cost: $350.18/claim|Median: $108.91
3.2× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$170K

1,809 claims · 1.3%

Your Cost: $93.93/claim|Median: $114.71
0.8× median
H2014Normal range

Skills training & development, per 15 min

$154K

1,355 claims · 1.1%

Your Cost: $113.48/claim|Median: $83.88
1.4× median
H0018Normal range

Behavioral health; short-term residential, per diem

$148K

225 claims · 1.1%

Your Cost: $659.56/claim|Median: $467.51
1.4× median
H0002Normal range

Behavioral health screening

$103K

1,617 claims · 0.8%

Your Cost: $63.60/claim|Median: $38.77
1.6× median
99213Top 5%

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

$100K

821 claims · 0.7%

Your Cost: $122.05/claim|Median: $37.81
3.2× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$98K

2,312 claims · 0.7%

Your Cost: $42.38/claim|Median: $76.05
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$45K

532 claims · 0.3%

Your Cost: $84.24/claim|Median: $74.63
1.1× median
H0006Normal range

Alcohol and/or drug services, case management

$33K

594 claims · 0.2%

Your Cost: $55.48/claim|Median: $43.10
1.3× median
H2023Normal range

Supported employment, per 15 min

$30K

924 claims · 0.2%

Your Cost: $32.60/claim|Median: $103.94
0.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$27K

815 claims · 0.2%

Your Cost: $33.60/claim|Median: $47.35
0.7× median
H0001Top 5%

Alcohol and/or drug assessment

$22K

72 claims · 0.2%

Your Cost: $300.93/claim|Median: $94.22
3.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$20K

515 claims · 0.2%

Your Cost: $39.67/claim|Median: $55.04
0.7× median
90846Top 5%

Family psychotherapy without patient, 50 min

$20K

81 claims · 0.1%

Your Cost: $249.77/claim|Median: $76.61
3.3× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$14K

452 claims · 0.1%

Your Cost: $30.73/claim|Median: $9.56
3.2× median
H0031Top 25%

Mental health assessment by non-physician

$6K

28 claims · 0.0%

Your Cost: $197.48/claim|Median: $96.18
2.1× median
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