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Provider 1467827493

NPI: 1467827493Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$8.0M

$7,970,020

Total Claims

34K

Beneficiaries

11K

3.2 claims/patient

Avg Cost/Claim

$236

Monthly Spending Trend

Yearly Spending

2018
$255K
+99%
2019
$507K
+37%
2020
$693K
+83%
2021
$1.3M
+23%
2022
$1.6M
+9%
2023
$1.7M
+15%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 29% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$2.3M

13K claims · 29.1%

Your Cost: $182.68/claim|Median: $167.38
1.1× median
97139Top 5%

$1.6M

3,699 claims · 20.2%

Your Cost: $435.97/claim|Median: $28.71
15.2× median
97530Top 1%

Therapeutic activities, each 15 min

$1.6M

3,691 claims · 19.9%

Your Cost: $429.97/claim|Median: $33.11
13.0× median
97155Top 10%

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.2M

4,674 claims · 14.7%

Your Cost: $251.35/claim|Median: $146.45
1.7× median
H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$744K

6,206 claims · 9.3%

Your Cost: $119.94/claim|Median: $227.82
0.5× median
97156Top 5%

$394K

2,315 claims · 4.9%

Your Cost: $170.02/claim|Median: $88.65
1.9× median
97151Top 25%

Behavior identification assessment

$138K

500 claims · 1.7%

Your Cost: $275.52/claim|Median: $161.10
1.7× median
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