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Provider 1467449157

NPI: 1467449157Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$7.6M

$7,605,992

Total Claims

87K

Beneficiaries

21K

4.2 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-15%
2019
$899K
-39%
2020
$552K
+110%
2021
$1.2M
+0%
2022
$1.2M
+11%
2023
$1.3M
+14%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2021 (Community-based wrap-around services, per 15 min)) accounts for 68% of total spending.

H2021Normal range

Community-based wrap-around services, per 15 min

$5.2M

53K claims · 68.0%

Your Cost: $98.05/claim|Median: $169.11
0.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$2.0M

26K claims · 26.3%

Your Cost: $75.54/claim|Median: $321.53
0.2× median
90863Top 10%

$259K

3,271 claims · 3.4%

Your Cost: $79.22/claim|Median: $29.71
2.7× median
T1012Normal range

Alcohol/drug services, skills development

$82K

2,291 claims · 1.1%

Your Cost: $35.91/claim|Median: $40.78
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$37K

500 claims · 0.5%

Your Cost: $74.90/claim|Median: $74.63
1.0× median
W0037Top 10%

$24K

398 claims · 0.3%

Your Cost: $60.87/claim|Median: $3.00
20.3× median
90832Normal range

Psychotherapy, 30 minutes

$9K

240 claims · 0.1%

Your Cost: $36.91/claim|Median: $41.28
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$9K

121 claims · 0.1%

Your Cost: $71.79/claim|Median: $99.21
0.7× median
Q3014Normal range

Telehealth originating site facility fee

$7K

667 claims · 0.1%

Your Cost: $11.05/claim|Median: $15.37
0.7× median
99213Normal range

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

$5K

231 claims · 0.1%

Your Cost: $22.93/claim|Median: $37.81
0.6× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$3K

50 claims · 0.0%

Your Cost: $67.41/claim|Median: $47.35
1.4× median
99214Normal range

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

$0

110 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
90853Normal range

Group psychotherapy

$0

93 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02