Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1427194521

NPI: 1427194521Share
Active Billing Period:2018-01→2024-10(65 months)

Total Paid

$11.2M

$11,242,400

Total Claims

254K

Beneficiaries

34K

7.4 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+8%
2019
$1.5M
-37%
2020
$930K
+114%
2021
$2.0M
+13%
2022
$2.2M
-43%
2023
$1.3M
+54%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 30% of total spending.

H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$3.4M

30K claims · 29.8%

Your Cost: $110.04/claim|Median: $74.63
1.5× median
H2014Normal range

Skills training & development, per 15 min

$2.8M

75K claims · 24.8%

Your Cost: $36.96/claim|Median: $83.88
0.4× median
96152Top 25%

Health behavior intervention, individual

$1.4M

32K claims · 12.7%

Your Cost: $45.20/claim|Median: $20.02
2.3× median
97530Normal range

Therapeutic activities, each 15 min

$1.1M

19K claims · 9.6%

Your Cost: $58.34/claim|Median: $33.11
1.8× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$766K

6,367 claims · 6.8%

Your Cost: $120.27/claim|Median: $91.63
1.3× median
92507Normal range

Speech/hearing/language treatment

$374K

14K claims · 3.3%

Your Cost: $27.49/claim|Median: $49.45
0.6× median
99412Normal range

$254K

12K claims · 2.3%

Your Cost: $21.26/claim|Median: $34.41
0.6× median
H0005Normal range

Alcohol and/or drug services, group counseling

$240K

16K claims · 2.1%

Your Cost: $15.03/claim|Median: $47.35
0.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$226K

4,611 claims · 2.0%

Your Cost: $49.12/claim|Median: $24.49
2.0× median
T1019Normal range

Personal care services, per 15 min

$203K

5,783 claims · 1.8%

Your Cost: $35.16/claim|Median: $82.47
0.4× median
92508Normal range

Treatment of speech/language disorder, group, 2+ patients

$197K

23K claims · 1.8%

Your Cost: $8.65/claim|Median: $13.22
0.7× median
96153Normal range

Health/behavior intervention, group

$142K

15K claims · 1.3%

Your Cost: $9.41/claim|Median: $6.67
1.4× median
92523Normal range

Evaluation of speech sound production with language comprehension

$69K

527 claims · 0.6%

Your Cost: $130.47/claim|Median: $110.87
1.2× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$51K

408 claims · 0.5%

Your Cost: $125.82/claim|Median: $92.96
1.4× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$22K

580 claims · 0.2%

Your Cost: $37.84/claim|Median: $30.49
1.2× median
96130Normal range

Psychological testing evaluation by professional, first hour

$14K

137 claims · 0.1%

Your Cost: $102.67/claim|Median: $79.21
1.3× median
T1001Normal range

Nursing assessment/evaluation, per visit

$12K

218 claims · 0.1%

Your Cost: $53.05/claim|Median: $49.05
1.1× median
96101Normal range

$6K

82 claims · 0.1%

Your Cost: $77.56/claim|Median: $196.08
0.4× median
97165Top 25%

OT evaluation, low complexity

$6K

69 claims · 0.1%

Your Cost: $82.26/claim|Median: $46.78
1.8× median
96131Normal range

Psychological testing evaluation, each additional hour

$4K

27 claims · 0.0%

Your Cost: $154.64/claim|Median: $133.38
1.2× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$2K

49 claims · 0.0%

Your Cost: $46.50/claim|Median: $84.12
0.6× median
96138Normal range

$2K

77 claims · 0.0%

Your Cost: $29.43/claim|Median: $19.87
1.5× median
← All providersHow we detect fraud →