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Provider 1417324989

NPI: 1417324989Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,948,619

Total Claims

173K

Beneficiaries

85K

2.0 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+22%
2019
$2.6M
-27%
2020
$1.9M
-16%
2021
$1.6M
-24%
2022
$1.2M
+21%
2023
$1.5M
+36%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 44% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$5.7M

87K claims · 44.1%

Your Cost: $65.93/claim|Median: $85.66
0.8× median
T2023Normal range

Community transition, waiver; per service

$4.0M

14K claims · 30.6%

Your Cost: $284.24/claim|Median: $300.13
0.9× median
99354Normal range

$861K

15K claims · 6.6%

Your Cost: $55.84/claim|Median: $54.96
1.0× median
H0032Normal range

Mental health service plan development

$806K

14K claims · 6.2%

Your Cost: $57.19/claim|Median: $80.64
0.7× median
H0031Normal range

Mental health assessment by non-physician

$744K

13K claims · 5.7%

Your Cost: $55.99/claim|Median: $96.18
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$279K

8,018 claims · 2.2%

Your Cost: $34.81/claim|Median: $41.28
0.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$238K

4,598 claims · 1.8%

Your Cost: $51.68/claim|Median: $55.04
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$176K

3,892 claims · 1.4%

Your Cost: $45.13/claim|Median: $63.65
0.7× median
90785Normal range

$78K

11K claims · 0.6%

Your Cost: $6.79/claim|Median: $6.43
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$54K

760 claims · 0.4%

Your Cost: $70.77/claim|Median: $99.21
0.7× median
90887Normal range

Interpretation/explanation of results

$18K

429 claims · 0.1%

Your Cost: $42.07/claim|Median: $47.55
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$12K

220 claims · 0.1%

Your Cost: $54.48/claim|Median: $96.24
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$6K

222 claims · 0.0%

Your Cost: $25.77/claim|Median: $74.63
0.3× median
99050Normal range

$932

379 claims · 0.0%

Your Cost: $2.46/claim|Median: $11.81
0.2× median
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