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Provider 1447464136

NPI: 1447464136Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$7.5M

$7,536,357

Total Claims

59K

Beneficiaries

26K

2.2 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$122K
+321%
2019
$513K
+68%
2020
$862K
+57%
2021
$1.4M
+16%
2022
$1.6M
+13%
2023
$1.8M
-23%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 47% of total spending.

H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$3.5M

13K claims · 46.9%

Your Cost: $267.36/claim|Median: $74.63
3.6× median
H0005Top 10%

Alcohol and/or drug services, group counseling

$1.6M

19K claims · 21.3%

Your Cost: $85.10/claim|Median: $47.35
1.8× median
H0006Normal range

Alcohol and/or drug services, case management

$940K

16K claims · 12.5%

Your Cost: $58.00/claim|Median: $43.10
1.3× median
T1017Normal range

Targeted case management, per 15 min

$457K

5,065 claims · 6.1%

Your Cost: $90.15/claim|Median: $69.56
1.3× median
G0397Top 25%

$386K

1,371 claims · 5.1%

Your Cost: $281.54/claim|Median: $142.31
2.0× median
H0049Top 5%

$216K

1,876 claims · 2.9%

Your Cost: $114.98/claim|Median: $9.27
12.4× median
H0050Top 10%

$153K

1,289 claims · 2.0%

Your Cost: $118.74/claim|Median: $46.71
2.5× median
H2010Normal range

Comprehensive medication services, per 15 min

$126K

602 claims · 1.7%

Your Cost: $209.70/claim|Median: $62.69
3.3× median
99212Top 1%

Office/outpatient visit, low complexity

$41K

200 claims · 0.5%

Your Cost: $205.04/claim|Median: $25.06
8.2× median
99214Top 1%

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

$31K

46 claims · 0.4%

Your Cost: $678.19/claim|Median: $53.41
12.7× median
H0034Top 25%

Medication training and management, per 15 min

$24K

162 claims · 0.3%

Your Cost: $146.61/claim|Median: $56.90
2.6× median
G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$8K

75 claims · 0.1%

Your Cost: $112.89/claim|Median: $40.58
2.8× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$7K

29 claims · 0.1%

Your Cost: $235.40/claim|Median: $108.91
2.2× median
H0033Top 25%

Oral medication administration, direct observation

$4K

26 claims · 0.1%

Your Cost: $149.04/claim|Median: $31.37
4.8× median
G9008Normal range

Coordination of long-term care services, per month

$2K

39 claims · 0.0%

Your Cost: $53.78/claim|Median: $66.78
0.8× median
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