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Provider 1417934175

NPI: 1417934175Share
Active Billing Period:2018-012021-01(37 months)
Billing appears to have stoppedLast active: 2021-01

Total Paid

$7.6M

$7,615,999

Total Claims

166K

Beneficiaries

67K

2.5 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-55%
2019
$1.8M
-13%
2020
$1.6M
-95%
2021
$79K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 30% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$2.2M

39K claims · 29.5%

Your Cost: $56.96/claim|Median: $85.66
0.7× median
J2426Top 5%

$1.2M

480 claims · 16.0%

Your Cost: $2,539.63/claim|Median: $625.59
4.1× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$533K

20K claims · 7.0%

Your Cost: $26.72/claim|Median: $73.58
0.4× median
99213Normal range

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

$523K

18K claims · 6.9%

Your Cost: $29.41/claim|Median: $37.81
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$469K

9,297 claims · 6.2%

Your Cost: $50.50/claim|Median: $63.65
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$421K

13K claims · 5.5%

Your Cost: $32.51/claim|Median: $41.28
0.8× median
J0401Top 25%

$377K

275 claims · 5.0%

Your Cost: $1,371.07/claim|Median: $714.38
1.9× median
H2012Normal range

Behavioral health day treatment, per hour

$362K

18K claims · 4.8%

Your Cost: $19.82/claim|Median: $137.86
0.1× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$317K

11K claims · 4.2%

Your Cost: $27.75/claim|Median: $76.05
0.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$238K

4,663 claims · 3.1%

Your Cost: $51.04/claim|Median: $77.33
0.7× median
99214Normal range

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

$232K

5,477 claims · 3.1%

Your Cost: $42.43/claim|Median: $53.41
0.8× median
H0031Normal range

Mental health assessment by non-physician

$202K

4,060 claims · 2.7%

Your Cost: $49.83/claim|Median: $96.18
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$105K

1,963 claims · 1.4%

Your Cost: $53.60/claim|Median: $99.21
0.5× median
90853Normal range

Group psychotherapy

$59K

5,635 claims · 0.8%

Your Cost: $10.51/claim|Median: $25.02
0.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$53K

752 claims · 0.7%

Your Cost: $70.42/claim|Median: $108.91
0.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$48K

1,140 claims · 0.6%

Your Cost: $41.78/claim|Median: $215.80
0.2× median
T1002Normal range

RN services, per 15 minutes

$38K

1,984 claims · 0.5%

Your Cost: $19.39/claim|Median: $37.42
0.5× median
90846Normal range

Family psychotherapy without patient, 50 min

$38K

474 claims · 0.5%

Your Cost: $80.86/claim|Median: $76.61
1.1× median
T2048Normal range

Behavioral health; long-term residential, per diem

$34K

1,587 claims · 0.4%

Your Cost: $21.13/claim|Median: $1,437.23
0.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$30K

636 claims · 0.4%

Your Cost: $47.69/claim|Median: $96.24
0.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$18K

269 claims · 0.2%

Your Cost: $67.71/claim|Median: $91.63
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$14K

1,045 claims · 0.2%

Your Cost: $13.14/claim|Median: $9.56
1.4× median
99203Normal range

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

$12K

429 claims · 0.2%

Your Cost: $28.70/claim|Median: $57.85
0.5× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$10K

3,947 claims · 0.1%

Your Cost: $2.63/claim|Median: $7.86
0.3× median
H0032Normal range

Mental health service plan development

$6K

697 claims · 0.1%

Your Cost: $8.38/claim|Median: $80.64
0.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$5K

297 claims · 0.1%

Your Cost: $18.42/claim|Median: $55.04
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$2K

58 claims · 0.0%

Your Cost: $34.45/claim|Median: $25.06
1.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$786

246 claims · 0.0%

Your Cost: $3.19/claim|Median: $3.67
0.9× median
80375Normal range

$0

460 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.44