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Provider 1417945254

NPI: 1417945254Share
Active Billing Period:2018-01→2023-08(66 months)
Billing appears to have stoppedLast active: 2023-08

Total Paid

$17.1M

$17,113,573

Total Claims

121K

Beneficiaries

60K

2.0 claims/patient

Avg Cost/Claim

$142

Monthly Spending Trend

Yearly Spending

2018
$7K
+2196%
2019
$157K
+1834%
2020
$3.0M
+68%
2021
$5.1M
+19%
2022
$6.1M
-55%
2023
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 34% of total spending.

H2014Top 25%

Skills training & development, per 15 min

$5.9M

25K claims · 34.5%

Your Cost: $234.32/claim|Median: $83.88
2.8× median
90832Top 5%

Psychotherapy, 30 minutes

$2.5M

17K claims · 14.8%

Your Cost: $146.77/claim|Median: $41.28
3.6× median
T1017Normal range

Targeted case management, per 15 min

$1.4M

22K claims · 8.4%

Your Cost: $66.84/claim|Median: $69.56
1.0× median
90834Top 5%

Psychotherapy, 45 minutes

$1.2M

5,962 claims · 6.8%

Your Cost: $195.21/claim|Median: $63.65
3.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.1M

7,494 claims · 6.4%

Your Cost: $145.78/claim|Median: $215.80
0.7× median
90837Top 5%

Psychotherapy, 60 minutes

$823K

2,912 claims · 4.8%

Your Cost: $282.62/claim|Median: $85.66
3.3× median
99214Top 1%

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

$771K

3,850 claims · 4.5%

Your Cost: $200.25/claim|Median: $53.41
3.7× median
H0031Top 25%

Mental health assessment by non-physician

$522K

3,002 claims · 3.1%

Your Cost: $173.94/claim|Median: $96.18
1.8× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$515K

4,057 claims · 3.0%

Your Cost: $126.95/claim|Median: $74.63
1.7× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$482K

3,657 claims · 2.8%

Your Cost: $131.68/claim|Median: $55.04
2.4× median
H0010Normal range

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

$419K

1,138 claims · 2.4%

Your Cost: $367.79/claim|Median: $369.55
1.0× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$266K

3,728 claims · 1.6%

Your Cost: $71.22/claim|Median: $47.35
1.5× median
T1007Normal range

Alcohol/drug services, treatment plan review

$209K

3,092 claims · 1.2%

Your Cost: $67.74/claim|Median: $64.10
1.1× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$142K

2,359 claims · 0.8%

Your Cost: $60.38/claim|Median: $53.97
1.1× median
H0006Normal range

Alcohol and/or drug services, case management

$130K

2,464 claims · 0.8%

Your Cost: $52.92/claim|Median: $43.10
1.2× median
99213Top 25%

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

$126K

2,331 claims · 0.7%

Your Cost: $53.92/claim|Median: $37.81
1.4× median
T1019Normal range

Personal care services, per 15 min

$95K

2,233 claims · 0.6%

Your Cost: $42.35/claim|Median: $82.47
0.5× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$84K

170 claims · 0.5%

Your Cost: $492.73/claim|Median: $108.91
4.5× median
H2032Normal range

Activity therapy, per 15 minutes

$83K

4,437 claims · 0.5%

Your Cost: $18.80/claim|Median: $108.23
0.2× median
H0001Top 5%

Alcohol and/or drug assessment

$77K

211 claims · 0.5%

Your Cost: $367.01/claim|Median: $94.22
3.9× median
90791Top 1%

Psychiatric diagnostic evaluation

$59K

162 claims · 0.3%

Your Cost: $365.74/claim|Median: $99.21
3.7× median
99212Top 10%

Office/outpatient visit, low complexity

$37K

401 claims · 0.2%

Your Cost: $93.47/claim|Median: $25.06
3.7× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$32K

1,039 claims · 0.2%

Your Cost: $30.86/claim|Median: $106.70
0.3× median
S5150Normal range

Unskilled respite care, per 15 min

$28K

234 claims · 0.2%

Your Cost: $120.69/claim|Median: $84.46
1.4× median
99215Top 1%

Office/outpatient visit, high complexity

$27K

61 claims · 0.2%

Your Cost: $443.89/claim|Median: $74.09
6.0× median
S3005Top 25%

$23K

1,153 claims · 0.1%

Your Cost: $19.79/claim|Median: $9.84
2.0× median
H0032Normal range

Mental health service plan development

$16K

148 claims · 0.1%

Your Cost: $106.85/claim|Median: $80.64
1.3× median
90853Top 10%

Group psychotherapy

$12K

157 claims · 0.1%

Your Cost: $76.22/claim|Median: $25.02
3.0× median
H0002Normal range

Behavioral health screening

$648

349 claims · 0.0%

Your Cost: $1.86/claim|Median: $38.77
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$93

31 claims · 0.0%

Your Cost: $2.99/claim|Median: $9.56
0.3× median
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