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

⚖️ Compare🖨️ Print Report

Provider 1477508406

NPI: 1477508406Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,567,497

Total Claims

172K

Beneficiaries

99K

1.7 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+13%
2019
$2.3M
-9%
2020
$2.1M
-8%
2021
$1.9M
-13%
2022
$1.7M
+10%
2023
$1.8M
-12%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 46% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$6.2M

60K claims · 45.6%

Your Cost: $102.23/claim|Median: $84.12
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$2.8M

31K claims · 20.7%

Your Cost: $90.72/claim|Median: $85.66
1.1× median
99214Top 25%

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

$2.0M

22K claims · 15.0%

Your Cost: $92.89/claim|Median: $53.41
1.7× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$418K

11K claims · 3.1%

Your Cost: $39.71/claim|Median: $76.05
0.5× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$365K

2,815 claims · 2.7%

Your Cost: $129.61/claim|Median: $144.05
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$355K

7,550 claims · 2.6%

Your Cost: $47.03/claim|Median: $41.28
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$272K

4,323 claims · 2.0%

Your Cost: $62.84/claim|Median: $63.65
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$255K

10K claims · 1.9%

Your Cost: $25.06/claim|Median: $91.63
0.3× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$241K

1,195 claims · 1.8%

Your Cost: $201.98/claim|Median: $111.09
1.8× median
90791Normal range

Psychiatric diagnostic evaluation

$218K

2,203 claims · 1.6%

Your Cost: $98.83/claim|Median: $99.21
1.0× median
90785Top 25%

$157K

15K claims · 1.2%

Your Cost: $10.43/claim|Median: $6.43
1.6× median
90839Normal range

Psychotherapy for crisis, first 60 min

$113K

1,194 claims · 0.8%

Your Cost: $94.80/claim|Median: $83.98
1.1× median
99213Top 25%

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

$86K

1,554 claims · 0.6%

Your Cost: $55.36/claim|Median: $37.81
1.5× median
90840Normal range

Psychotherapy for crisis, each additional 30 min

$37K

614 claims · 0.3%

Your Cost: $60.02/claim|Median: $50.71
1.2× median
90853Normal range

Group psychotherapy

$30K

1,220 claims · 0.2%

Your Cost: $24.87/claim|Median: $25.02
1.0× median
90875Normal range

$0

189 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.70
← All providersHow we detect fraud →