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Provider 1477766905

NPI: 1477766905Share
Active Billing Period:2018-01→2024-06(71 months)

Total Paid

$8.4M

$8,426,766

Total Claims

127K

Beneficiaries

56K

2.3 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+19%
2019
$3.0M
-79%
2020
$613K
-94%
2021
$37K
+2538%
2022
$966K
+4%
2023
$1.0M
-63%
2024
$368K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 20% of total spending.

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.7M

14K claims · 20.3%

Your Cost: $125.85/claim|Median: $91.63
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$1.7M

27K claims · 19.8%

Your Cost: $61.19/claim|Median: $63.65
1.0× median
T1017Normal range

Targeted case management, per 15 min

$1.0M

20K claims · 12.4%

Your Cost: $51.58/claim|Median: $69.56
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$783K

7,678 claims · 9.3%

Your Cost: $101.99/claim|Median: $55.04
1.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$514K

6,424 claims · 6.1%

Your Cost: $80.05/claim|Median: $77.33
1.0× median
H0031Top 25%

Mental health assessment by non-physician

$489K

2,817 claims · 5.8%

Your Cost: $173.56/claim|Median: $96.18
1.8× median
H0046Normal range

Mental health services, not otherwise specified

$448K

6,242 claims · 5.3%

Your Cost: $71.74/claim|Median: $85.02
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$384K

4,803 claims · 4.6%

Your Cost: $79.98/claim|Median: $85.66
0.9× median
S5150Normal range

Unskilled respite care, per 15 min

$325K

7,570 claims · 3.9%

Your Cost: $42.96/claim|Median: $84.46
0.5× median
T1016Normal range

Case management, each 15 min

$274K

5,183 claims · 3.3%

Your Cost: $52.92/claim|Median: $49.62
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$195K

1,885 claims · 2.3%

Your Cost: $103.34/claim|Median: $99.21
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$131K

3,144 claims · 1.6%

Your Cost: $41.81/claim|Median: $41.28
1.0× median
99214Top 25%

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

$100K

1,238 claims · 1.2%

Your Cost: $80.50/claim|Median: $53.41
1.5× median
H0032Normal range

Mental health service plan development

$72K

1,893 claims · 0.9%

Your Cost: $38.17/claim|Median: $80.64
0.5× median
90846Normal range

Family psychotherapy without patient, 50 min

$63K

812 claims · 0.7%

Your Cost: $77.13/claim|Median: $76.61
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$54K

1,217 claims · 0.6%

Your Cost: $44.20/claim|Median: $47.35
0.9× median
H1011Normal range

$49K

761 claims · 0.6%

Your Cost: $63.88/claim|Median: $47.19
1.4× median
90785Normal range

$40K

11K claims · 0.5%

Your Cost: $3.74/claim|Median: $6.43
0.6× median
99213Top 25%

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

$27K

457 claims · 0.3%

Your Cost: $59.24/claim|Median: $37.81
1.6× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$27K

877 claims · 0.3%

Your Cost: $30.65/claim|Median: $38.83
0.8× median
90853Normal range

Group psychotherapy

$24K

1,018 claims · 0.3%

Your Cost: $23.60/claim|Median: $25.02
0.9× median
T2002Normal range

Non-emergency transport; per trip

$6K

844 claims · 0.1%

Your Cost: $6.61/claim|Median: $19.35
0.3× median
T1014Top 10%

$3K

139 claims · 0.0%

Your Cost: $20.45/claim|Median: $12.88
1.6× median
90839Top 25%

Psychotherapy for crisis, first 60 min

$2K

13 claims · 0.0%

Your Cost: $128.92/claim|Median: $83.98
1.5× median
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