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Provider 1427390061

NPI: 1427390061Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,777,082

Total Claims

117K

Beneficiaries

95K

1.2 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+19%
2019
$1.3M
+14%
2020
$1.5M
-7%
2021
$1.4M
-13%
2022
$1.2M
+2%
2023
$1.2M
-9%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99490 (Chronic care management services, 20 minutes per month)) accounts for 80% of total spending.

99490Top 1%

Chronic care management services, 20 minutes per month

$7.0M

40K claims · 80.1%

Your Cost: $176.75/claim|Median: $6.31
28.0× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.1M

22K claims · 12.6%

Your Cost: $51.12/claim|Median: $321.53
0.2× median
T1017Normal range

Targeted case management, per 15 min

$456K

3,638 claims · 5.2%

Your Cost: $125.40/claim|Median: $69.56
1.8× median
90834Top 25%

Psychotherapy, 45 minutes

$75K

857 claims · 0.9%

Your Cost: $87.52/claim|Median: $63.65
1.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$56K

877 claims · 0.6%

Your Cost: $64.40/claim|Median: $96.24
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$47K

665 claims · 0.5%

Your Cost: $70.71/claim|Median: $85.66
0.8× median
99214Normal range

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

$4K

160 claims · 0.0%

Your Cost: $26.60/claim|Median: $53.41
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

14 claims · 0.0%

Your Cost: $113.57/claim|Median: $99.21
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$500

6,025 claims · 0.0%

Your Cost: $0.08/claim|Median: $55.04
0.0× median
99426Normal range

$0

688 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
G2058Normal range

$0

420 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.40
99439Normal range

$0

5,804 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.83
S0281Normal range

$0

3,462 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.97
G0506Normal range

Comprehensive assessment of chronic care management

$0

7,946 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.41
G9008Normal range

Coordination of long-term care services, per month

$0

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $66.78
G2065Normal range

$0

734 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.39
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