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Provider 1417972647

NPI: 1417972647Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,850,204

Total Claims

128K

Beneficiaries

95K

1.4 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+107%
2019
$2.1M
-20%
2020
$1.7M
-16%
2021
$1.4M
+11%
2022
$1.6M
-32%
2023
$1.1M
-17%
2024
$903K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 40% of total spending.

90834Top 25%

Psychotherapy, 45 minutes

$3.9M

46K claims · 39.6%

Your Cost: $84.22/claim|Median: $63.65
1.3× median
S9485Normal range

Crisis intervention mental health services, per diem

$680K

984 claims · 6.9%

Your Cost: $690.70/claim|Median: $501.33
1.4× median
99214Top 25%

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

$556K

5,864 claims · 5.6%

Your Cost: $94.74/claim|Median: $53.41
1.8× median
96133Top 10%

$522K

1,133 claims · 5.3%

Your Cost: $461.15/claim|Median: $185.94
2.5× median
90791Top 25%

Psychiatric diagnostic evaluation

$512K

3,688 claims · 5.2%

Your Cost: $138.86/claim|Median: $99.21
1.4× median
99284Top 25%

Emergency dept visit, high complexity

$433K

2,676 claims · 4.4%

Your Cost: $161.93/claim|Median: $69.51
2.3× median
96137Top 5%

Psychological/neuropsychological testing, each additional 30 min

$431K

1,085 claims · 4.4%

Your Cost: $396.80/claim|Median: $92.96
4.3× median
99283Top 10%

Emergency dept visit, moderate complexity

$328K

2,128 claims · 3.3%

Your Cost: $153.98/claim|Median: $42.48
3.6× median
99213Top 25%

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

$318K

5,215 claims · 3.2%

Your Cost: $60.99/claim|Median: $37.81
1.6× median
96118Top 5%

$244K

254 claims · 2.5%

Your Cost: $960.36/claim|Median: $196.66
4.9× median
96361Top 5%

IV infusion, hydration, each additional hour

$186K

439 claims · 1.9%

Your Cost: $422.65/claim|Median: $38.92
10.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$183K

2,085 claims · 1.9%

Your Cost: $87.55/claim|Median: $77.33
1.1× median
90837Top 25%

Psychotherapy, 60 minutes

$182K

1,768 claims · 1.8%

Your Cost: $102.69/claim|Median: $85.66
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$176K

1,636 claims · 1.8%

Your Cost: $107.54/claim|Median: $108.91
1.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$174K

1,034 claims · 1.8%

Your Cost: $168.44/claim|Median: $85.65
2.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$123K

1,277 claims · 1.2%

Your Cost: $96.13/claim|Median: $76.61
1.3× median
96132Top 25%

$122K

1,145 claims · 1.2%

Your Cost: $106.54/claim|Median: $70.53
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$90K

708 claims · 0.9%

Your Cost: $127.52/claim|Median: $74.09
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$73K

1,728 claims · 0.7%

Your Cost: $42.30/claim|Median: $41.28
1.0× median
96136Top 25%

Psychological/neuropsychological testing, first 30 min

$53K

1,086 claims · 0.5%

Your Cost: $48.90/claim|Median: $30.49
1.6× median
99282Top 10%

Emergency dept visit, low complexity

$40K

241 claims · 0.4%

Your Cost: $166.36/claim|Median: $37.72
4.4× median
90887Normal range

Interpretation/explanation of results

$39K

946 claims · 0.4%

Your Cost: $41.00/claim|Median: $47.55
0.9× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$39K

306 claims · 0.4%

Your Cost: $126.01/claim|Median: $10.88
11.6× median
90853Normal range

Group psychotherapy

$34K

1,013 claims · 0.3%

Your Cost: $33.99/claim|Median: $25.02
1.4× median
99402Top 10%

$33K

409 claims · 0.3%

Your Cost: $81.26/claim|Median: $31.79
2.6× median
96360Top 10%

IV infusion, hydration, initial, 31 minutes to 1 hour

$33K

159 claims · 0.3%

Your Cost: $207.37/claim|Median: $61.57
3.4× median
96139Top 10%

$28K

99 claims · 0.3%

Your Cost: $285.35/claim|Median: $97.14
2.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$27K

587 claims · 0.3%

Your Cost: $46.34/claim|Median: $35.43
1.3× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$27K

245 claims · 0.3%

Your Cost: $109.03/claim|Median: $65.45
1.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$22K

965 claims · 0.2%

Your Cost: $22.48/claim|Median: $12.93
1.7× median
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