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

Provider 1457976813

NPI: 1457976813Share
Active Billing Period:2020-112022-12(25 months)
Billing appears to have stoppedLast active: 2022-12

Total Paid

$10.3M

$10,345,831

Total Claims

8,613

Beneficiaries

2,430

3.5 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2020
$1.1M
+406%
2021
$5.7M
-39%
2022
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H2027 (Psychoeducational service, per 15 minutes)) accounts for 55% of total spending.

H2027Top 5%

Psychoeducational service, per 15 minutes

$5.7M

2,596 claims · 54.9%

Your Cost: $2,186.89/claim|Median: $82.72
26.4× median
H2014Top 5%

Skills training & development, per 15 min

$2.2M

2,509 claims · 21.5%

Your Cost: $888.61/claim|Median: $83.88
10.6× median
T1016Top 5%

Case management, each 15 min

$2.1M

2,712 claims · 20.0%

Your Cost: $764.44/claim|Median: $49.62
15.4× median
H0015Top 1%

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

$226K

77 claims · 2.2%

Your Cost: $2,933.00/claim|Median: $129.75
22.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$109K

561 claims · 1.1%

Your Cost: $194.02/claim|Median: $215.80
0.9× median
H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$20K

56 claims · 0.2%

Your Cost: $349.92/claim|Median: $91.63
3.8× median
H0031Top 25%

Mental health assessment by non-physician

$6K

26 claims · 0.1%

Your Cost: $214.64/claim|Median: $96.18
2.2× median
H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$4K

25 claims · 0.0%

Your Cost: $177.64/claim|Median: $74.63
2.4× median
H0001Normal range

Alcohol and/or drug assessment

$918

25 claims · 0.0%

Your Cost: $36.73/claim|Median: $94.22
0.4× median
H0002Normal range

Behavioral health screening

$744

26 claims · 0.0%

Your Cost: $28.61/claim|Median: $38.77
0.7× median