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

⚖️ Compare🖨️ Print Report

Unknown Provider 1447219449

NPI: 1447219449Share
Active Billing Period:2018-01→2021-09(45 months)
Billing appears to have stoppedLast active: 2021-09

Total Paid

$42.7M

$42,659,714

Total Claims

231K

Beneficiaries

117K

2.0 claims/patient

Avg Cost/Claim

$184

Monthly Spending Trend

Yearly Spending

2018
$8.4M
+82%
2019
$15.3M
+3%
2020
$15.8M
-80%
2021
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 45 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 27% of total spending.

90837Top 5%

Psychotherapy, 60 minutes

$11.4M

40K claims · 26.8%

Your Cost: $287.74/claim|Median: $85.66
3.4× median
90834Top 5%

Psychotherapy, 45 minutes

$4.2M

22K claims · 9.9%

Your Cost: $192.73/claim|Median: $63.65
3.0× median
99214Top 5%

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

$3.0M

17K claims · 7.1%

Your Cost: $175.83/claim|Median: $53.41
3.3× median
H0018Normal range

Behavioral health; short-term residential, per diem

$2.1M

3,071 claims · 5.0%

Your Cost: $688.72/claim|Median: $467.51
1.5× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$2.0M

8,630 claims · 4.7%

Your Cost: $231.91/claim|Median: $74.63
3.1× median
T1017Normal range

Targeted case management, per 15 min

$1.9M

17K claims · 4.5%

Your Cost: $110.74/claim|Median: $69.56
1.6× median
H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$1.9M

10K claims · 4.5%

Your Cost: $186.28/claim|Median: $129.75
1.4× median
90791Top 5%

Psychiatric diagnostic evaluation

$1.5M

5,040 claims · 3.5%

Your Cost: $298.76/claim|Median: $99.21
3.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.3M

3,642 claims · 3.1%

Your Cost: $367.24/claim|Median: $215.80
1.7× median
90853Top 25%

Group psychotherapy

$1.2M

21K claims · 2.9%

Your Cost: $59.25/claim|Median: $25.02
2.4× median
90832Top 5%

Psychotherapy, 30 minutes

$1.2M

8,346 claims · 2.8%

Your Cost: $143.03/claim|Median: $41.28
3.5× median
J2426Top 10%

$1.2M

552 claims · 2.8%

Your Cost: $2,160.03/claim|Median: $625.59
3.5× median
H0005Top 5%

Alcohol and/or drug services, group counseling

$1.2M

11K claims · 2.7%

Your Cost: $106.75/claim|Median: $47.35
2.3× median
90847Top 5%

Family psychotherapy with patient, 50 min

$958K

4,158 claims · 2.2%

Your Cost: $230.42/claim|Median: $77.33
3.0× median
J2315Normal range

$835K

712 claims · 2.0%

Your Cost: $1,172.48/claim|Median: $1,045.36
1.1× median
H0023Top 25%

Behavioral health outreach service, per 15 minutes

$760K

5,309 claims · 1.8%

Your Cost: $143.10/claim|Median: $53.97
2.7× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$573K

3,278 claims · 1.3%

Your Cost: $174.91/claim|Median: $55.04
3.2× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$560K

1,699 claims · 1.3%

Your Cost: $329.47/claim|Median: $108.91
3.0× median
H2031Top 25%

$519K

2,300 claims · 1.2%

Your Cost: $225.62/claim|Median: $90.06
2.5× median
99213Top 5%

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

$456K

4,752 claims · 1.1%

Your Cost: $95.87/claim|Median: $37.81
2.5× median
90846Top 5%

Family psychotherapy without patient, 50 min

$422K

1,793 claims · 1.0%

Your Cost: $235.28/claim|Median: $76.61
3.1× median
H0006Top 25%

Alcohol and/or drug services, case management

$405K

4,345 claims · 0.9%

Your Cost: $93.26/claim|Median: $43.10
2.2× median
H2014Top 25%

Skills training & development, per 15 min

$319K

1,609 claims · 0.7%

Your Cost: $198.37/claim|Median: $83.88
2.4× median
H0001Top 5%

Alcohol and/or drug assessment

$298K

1,024 claims · 0.7%

Your Cost: $290.60/claim|Median: $94.22
3.1× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$245K

3,332 claims · 0.6%

Your Cost: $73.41/claim|Median: $73.58
1.0× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$242K

1,796 claims · 0.6%

Your Cost: $134.47/claim|Median: $114.71
1.2× median
H0033Normal range

Oral medication administration, direct observation

$220K

8,637 claims · 0.5%

Your Cost: $25.52/claim|Median: $31.37
0.8× median
H0039Normal range

Assertive community treatment, per diem

$204K

3,191 claims · 0.5%

Your Cost: $63.83/claim|Median: $132.62
0.5× median
S9480Top 25%

Intensive outpatient psychiatric services, per diem

$198K

688 claims · 0.5%

Your Cost: $288.22/claim|Median: $135.70
2.1× median
90876Top 1%

$182K

782 claims · 0.4%

Your Cost: $232.91/claim|Median: $85.83
2.7× median
H0031Top 25%

Mental health assessment by non-physician

$179K

986 claims · 0.4%

Your Cost: $181.89/claim|Median: $96.18
1.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$155K

3,041 claims · 0.4%

Your Cost: $51.12/claim|Median: $9.56
5.3× median
S5151Normal range

Unskilled respite care, per diem

$134K

572 claims · 0.3%

Your Cost: $233.47/claim|Median: $249.18
0.9× median
H0032Normal range

Mental health service plan development

$103K

1,910 claims · 0.2%

Your Cost: $53.88/claim|Median: $80.64
0.7× median
99215Top 5%

Office/outpatient visit, high complexity

$94K

304 claims · 0.2%

Your Cost: $310.81/claim|Median: $74.09
4.2× median
H0002Normal range

Behavioral health screening

$87K

1,459 claims · 0.2%

Your Cost: $59.74/claim|Median: $38.77
1.5× median
90785Top 1%

$81K

2,500 claims · 0.2%

Your Cost: $32.39/claim|Median: $6.43
5.0× median
J0401Top 10%

$50K

25 claims · 0.1%

Your Cost: $2,009.16/claim|Median: $714.38
2.8× median
H2032Normal range

Activity therapy, per 15 minutes

$47K

962 claims · 0.1%

Your Cost: $48.89/claim|Median: $108.23
0.5× median
H0025Normal range

Behavioral health prevention education, per session

$37K

961 claims · 0.1%

Your Cost: $38.61/claim|Median: $36.25
1.1× median
H2027Normal range

Psychoeducational service, per 15 minutes

$28K

1,597 claims · 0.1%

Your Cost: $17.79/claim|Median: $82.72
0.2× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$13K

43 claims · 0.0%

Your Cost: $296.51/claim|Median: $91.63
3.2× median
90833Normal range

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

$6K

187 claims · 0.0%

Your Cost: $33.35/claim|Median: $38.83
0.9× median
99348Top 5%

$5K

35 claims · 0.0%

Your Cost: $142.84/claim|Median: $17.17
8.3× median
H2023Normal range

Supported employment, per 15 min

$508

19 claims · 0.0%

Your Cost: $26.73/claim|Median: $103.94
0.3× median
← All providersHow we detect fraud →