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Provider 1447694831

NPI: 1447694831Share
Active Billing Period:2018-01→2024-11(81 months)

Total Paid

$12.5M

$12,507,760

Total Claims

69K

Beneficiaries

6,762

10.2 claims/patient

Avg Cost/Claim

$182

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-18%
2019
$862K
-14%
2020
$742K
+66%
2021
$1.2M
+86%
2022
$2.3M
+73%
2023
$4.0M
-40%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 69% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$8.6M

38K claims · 68.6%

Your Cost: $228.83/claim|Median: $167.38
1.4× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.6M

18K claims · 20.7%

Your Cost: $144.89/claim|Median: $146.45
1.0× median
0364TTop 1%

$767K

5,622 claims · 6.1%

Your Cost: $136.35/claim|Median: $21.31
6.4× median
0368TTop 5%

$266K

2,437 claims · 2.1%

Your Cost: $109.22/claim|Median: $44.63
2.4× median
H0032Normal range

Mental health service plan development

$155K

4,506 claims · 1.2%

Your Cost: $34.35/claim|Median: $80.64
0.4× median
97151Normal range

Behavior identification assessment

$106K

454 claims · 0.8%

Your Cost: $233.59/claim|Median: $161.10
1.4× median
97156Normal range

$20K

189 claims · 0.2%

Your Cost: $104.29/claim|Median: $88.65
1.2× median
0359TNormal range

$15K

34 claims · 0.1%

Your Cost: $450.40/claim|Median: $444.44
1.0× median
96136Top 5%

Psychological/neuropsychological testing, first 30 min

$10K

122 claims · 0.1%

Your Cost: $80.01/claim|Median: $30.49
2.6× median
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