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Provider 1457691263

NPI: 1457691263Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,543,449

Total Claims

129K

Beneficiaries

36K

3.6 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-10%
2019
$2.9M
-26%
2020
$2.1M
-36%
2021
$1.4M
-30%
2022
$953K
+2%
2023
$969K
+13%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 27% of total spending.

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$3.4M

34K claims · 26.8%

Your Cost: $100.03/claim|Median: $91.63
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.0M

39K claims · 24.1%

Your Cost: $78.10/claim|Median: $96.24
0.8× median
T1013Top 25%

Sign language or oral interpretive services, per 15 minutes

$1.2M

20K claims · 9.6%

Your Cost: $60.89/claim|Median: $17.67
3.4× median
T1017Normal range

Targeted case management, per 15 min

$1.1M

16K claims · 9.1%

Your Cost: $71.81/claim|Median: $69.56
1.0× median
H2014Top 25%

Skills training & development, per 15 min

$967K

6,298 claims · 7.7%

Your Cost: $153.51/claim|Median: $83.88
1.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$703K

7,450 claims · 5.6%

Your Cost: $94.35/claim|Median: $74.63
1.3× median
99408Top 5%

$397K

1,503 claims · 3.2%

Your Cost: $263.83/claim|Median: $9.32
28.3× median
H0047Top 25%

Alcohol and/or drug abuse, not otherwise specified

$386K

1,503 claims · 3.1%

Your Cost: $256.54/claim|Median: $81.37
3.2× median
T1012Top 1%

Alcohol/drug services, skills development

$350K

656 claims · 2.8%

Your Cost: $534.08/claim|Median: $40.78
13.1× median
T1041Normal range

Medicaid CCBHC services, per diem

$347K

858 claims · 2.8%

Your Cost: $405.00/claim|Median: $913.47
0.4× median
T2022Top 10%

Case management, per month

$317K

823 claims · 2.5%

Your Cost: $385.22/claim|Median: $202.77
1.9× median
T1007Top 5%

Alcohol/drug services, treatment plan review

$217K

859 claims · 1.7%

Your Cost: $252.15/claim|Median: $64.10
3.9× median
H2010Normal range

Comprehensive medication services, per 15 min

$113K

1,004 claims · 0.9%

Your Cost: $112.57/claim|Median: $62.69
1.8× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$19K

142 claims · 0.2%

Your Cost: $134.11/claim|Median: $114.71
1.2× median
99213Normal range

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

$352

25 claims · 0.0%

Your Cost: $14.09/claim|Median: $37.81
0.4× median
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