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Provider 1457598302

NPI: 1457598302Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.5M

$10,533,948

Total Claims

141K

Beneficiaries

75K

1.9 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+6%
2019
$2.5M
-48%
2020
$1.3M
+2%
2021
$1.3M
-18%
2022
$1.1M
-4%
2023
$1.1M
-19%
2024
$863K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 36% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$3.8M

43K claims · 36.1%

Your Cost: $87.59/claim|Median: $85.66
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$3.8M

46K claims · 35.8%

Your Cost: $82.66/claim|Median: $84.12
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$555K

8,565 claims · 5.3%

Your Cost: $64.74/claim|Median: $96.24
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$477K

5,227 claims · 4.5%

Your Cost: $91.22/claim|Median: $74.63
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$290K

6,541 claims · 2.7%

Your Cost: $44.26/claim|Median: $41.28
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$269K

4,186 claims · 2.5%

Your Cost: $64.15/claim|Median: $63.65
1.0× median
90853Top 25%

Group psychotherapy

$227K

5,171 claims · 2.2%

Your Cost: $43.95/claim|Median: $25.02
1.8× median
99213Normal range

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

$179K

4,654 claims · 1.7%

Your Cost: $38.43/claim|Median: $37.81
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$136K

1,855 claims · 1.3%

Your Cost: $73.19/claim|Median: $76.61
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$135K

1,238 claims · 1.3%

Your Cost: $109.18/claim|Median: $108.91
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$132K

1,768 claims · 1.3%

Your Cost: $74.63/claim|Median: $77.33
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$129K

4,994 claims · 1.2%

Your Cost: $25.83/claim|Median: $87.34
0.3× median
90885Normal range

$96K

1,505 claims · 0.9%

Your Cost: $63.98/claim|Median: $59.45
1.1× median
90887Normal range

Interpretation/explanation of results

$88K

2,631 claims · 0.8%

Your Cost: $33.50/claim|Median: $47.55
0.7× median
S0220Top 5%

$71K

735 claims · 0.7%

Your Cost: $96.46/claim|Median: $62.26
1.5× median
99214Normal range

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

$60K

998 claims · 0.6%

Your Cost: $60.57/claim|Median: $53.41
1.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$58K

386 claims · 0.6%

Your Cost: $150.65/claim|Median: $99.21
1.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$31K

709 claims · 0.3%

Your Cost: $43.74/claim|Median: $91.63
0.5× median
H2027Normal range

Psychoeducational service, per 15 minutes

$11K

136 claims · 0.1%

Your Cost: $81.94/claim|Median: $82.72
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$11K

137 claims · 0.1%

Your Cost: $78.53/claim|Median: $215.80
0.4× median
90849Top 10%

Multiple-family group psychotherapy

$5K

54 claims · 0.0%

Your Cost: $89.20/claim|Median: $40.78
2.2× median
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