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Provider 1477727345

NPI: 1477727345Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$7.9M

$7,858,427

Total Claims

120K

Beneficiaries

38K

3.2 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$770K
+20%
2019
$923K
+7%
2020
$990K
+19%
2021
$1.2M
+15%
2022
$1.4M
+9%
2023
$1.5M
-20%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 60% of total spending.

T1016Normal range

Case management, each 15 min

$4.7M

67K claims · 59.7%

Your Cost: $69.83/claim|Median: $49.62
1.4× median
S9484Normal range

Crisis intervention mental health services, per hour

$885K

16K claims · 11.3%

Your Cost: $56.49/claim|Median: $249.51
0.2× median
H0039Normal range

Assertive community treatment, per diem

$773K

22K claims · 9.8%

Your Cost: $34.77/claim|Median: $132.62
0.3× median
T1017Normal range

Targeted case management, per 15 min

$652K

7,829 claims · 8.3%

Your Cost: $83.33/claim|Median: $69.56
1.2× median
H0042Normal range

$580K

594 claims · 7.4%

Your Cost: $975.67/claim|Median: $802.17
1.2× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$115K

896 claims · 1.5%

Your Cost: $128.42/claim|Median: $28.63
4.5× median
T2028Top 25%

Specialized supply, NOS; per unit

$53K

212 claims · 0.7%

Your Cost: $251.57/claim|Median: $79.30
3.2× median
A9999Top 25%

$27K

211 claims · 0.3%

Your Cost: $128.09/claim|Median: $39.73
3.2× median
H2011Normal range

Crisis intervention service, per 15 minutes

$24K

459 claims · 0.3%

Your Cost: $53.00/claim|Median: $215.80
0.2× median
99213Normal range

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

$24K

2,014 claims · 0.3%

Your Cost: $11.84/claim|Median: $37.81
0.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$9K

442 claims · 0.1%

Your Cost: $21.48/claim|Median: $47.35
0.5× median
H0022Normal range

$8K

250 claims · 0.1%

Your Cost: $32.36/claim|Median: $32.48
1.0× median
S9485Normal range

Crisis intervention mental health services, per diem

$8K

12 claims · 0.1%

Your Cost: $652.56/claim|Median: $501.33
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$3K

61 claims · 0.0%

Your Cost: $48.25/claim|Median: $85.66
0.6× median
Q3014Normal range

Telehealth originating site facility fee

$1K

146 claims · 0.0%

Your Cost: $8.52/claim|Median: $15.37
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$579

420 claims · 0.0%

Your Cost: $1.38/claim|Median: $9.56
0.1× median
99214Normal range

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

$254

19 claims · 0.0%

Your Cost: $13.37/claim|Median: $53.41
0.3× median
H0030Normal range

$0

975 claims · 0.0%

Your Cost: $0.00/claim|Median: $20.62
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