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Provider 1437125416

NPI: 1437125416Share
Active Billing Period:2018-01→2020-10(34 months)
Billing appears to have stoppedLast active: 2020-10

Total Paid

$18.2M

$18,181,769

Total Claims

269K

Beneficiaries

156K

1.7 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$6.6M
-1%
2019
$6.5M
-21%
2020
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (S0280 (Medical home program, comprehensive care management)) accounts for 49% of total spending.

S0280Normal range

Medical home program, comprehensive care management

$9.0M

62K claims · 49.4%

Your Cost: $145.73/claim|Median: $48.38
3.0× median
H0043Normal range

Supported housing, per diem

$3.7M

58K claims · 20.1%

Your Cost: $62.96/claim|Median: $164.87
0.4× median
H0036Top 1%

Community psychiatric supportive treatment, per 15 min

$3.0M

2,039 claims · 16.6%

Your Cost: $1,484.15/claim|Median: $76.05
19.5× median
90834Normal range

Psychotherapy, 45 minutes

$963K

27K claims · 5.3%

Your Cost: $36.06/claim|Median: $63.65
0.6× median
99213Normal range

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

$602K

23K claims · 3.3%

Your Cost: $26.06/claim|Median: $37.81
0.7× median
T1041Top 1%

Medicaid CCBHC services, per diem

$275K

58 claims · 1.5%

Your Cost: $4,745.93/claim|Median: $913.47
5.2× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$208K

2,038 claims · 1.1%

Your Cost: $101.86/claim|Median: $225.50
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$180K

3,244 claims · 1.0%

Your Cost: $55.58/claim|Median: $99.21
0.6× median
99214Normal range

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

$69K

1,989 claims · 0.4%

Your Cost: $34.82/claim|Median: $53.41
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$60K

2,346 claims · 0.3%

Your Cost: $25.52/claim|Median: $41.28
0.6× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$40K

2,405 claims · 0.2%

Your Cost: $16.77/claim|Median: $38.83
0.4× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$34K

1,308 claims · 0.2%

Your Cost: $25.69/claim|Median: $56.18
0.5× median
G9002Normal range

Coordinated care fee, maintenance period

$32K

468 claims · 0.2%

Your Cost: $68.21/claim|Median: $108.80
0.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$21K

517 claims · 0.1%

Your Cost: $40.71/claim|Median: $77.33
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$12K

214 claims · 0.1%

Your Cost: $54.38/claim|Median: $85.66
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$11K

812 claims · 0.1%

Your Cost: $13.52/claim|Median: $25.06
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

263 claims · 0.0%

Your Cost: $9.19/claim|Median: $12.93
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

540 claims · 0.0%

Your Cost: $3.89/claim|Median: $9.56
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

40 claims · 0.0%

Your Cost: $47.74/claim|Median: $111.09
0.4× median
36415Normal range

Collection of venous blood by venipuncture

$692

782 claims · 0.0%

Your Cost: $0.89/claim|Median: $1.57
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$262

13 claims · 0.0%

Your Cost: $20.14/claim|Median: $108.91
0.2× median
G9010Normal range

$177

41K claims · 0.0%

Your Cost: $0.00/claim|Median: $1,009.60
0.0× median
90785Normal range

$140

55 claims · 0.0%

Your Cost: $2.54/claim|Median: $6.43
0.4× median
3008FNormal range

$10

263 claims · 0.0%

Your Cost: $0.04/claim|Median: $0.06
0.6× median
G9007Normal range

$0

662 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44
G9011Normal range

$0

188 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.92
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$0

19K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.08
G9004Normal range

$0

19K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.49
G9006Normal range

Coordination of long-term care services, per hour

$0

397 claims · 0.0%

Your Cost: $0.00/claim|Median: $204.93
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