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

⚖️ Compare🖨️ Print Report

Provider 1508100447

NPI: 1508100447Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.1M

$18,050,701

Total Claims

225K

Beneficiaries

122K

1.8 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$575K
+114%
2019
$1.2M
+47%
2020
$1.8M
+26%
2021
$2.3M
+58%
2022
$3.6M
+18%
2023
$4.3M
-1%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 32% of total spending.

T2023Normal range

Community transition, waiver; per service

$5.7M

20K claims · 31.7%

Your Cost: $288.03/claim|Median: $300.13
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$3.0M

43K claims · 16.8%

Your Cost: $71.27/claim|Median: $85.66
0.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.8M

22K claims · 10.1%

Your Cost: $83.36/claim|Median: $96.24
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$991K

27K claims · 5.5%

Your Cost: $37.33/claim|Median: $41.28
0.9× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$981K

11K claims · 5.4%

Your Cost: $89.08/claim|Median: $55.95
1.6× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$951K

9,242 claims · 5.3%

Your Cost: $102.86/claim|Median: $129.75
0.8× median
H2020Top 25%

Day habilitation, waiver, per 15 minutes

$867K

4,138 claims · 4.8%

Your Cost: $209.51/claim|Median: $144.05
1.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$648K

6,322 claims · 3.6%

Your Cost: $102.55/claim|Median: $84.12
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$501K

11K claims · 2.8%

Your Cost: $44.06/claim|Median: $55.04
0.8× median
H0032Normal range

Mental health service plan development

$462K

7,734 claims · 2.6%

Your Cost: $59.73/claim|Median: $80.64
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$427K

8,693 claims · 2.4%

Your Cost: $49.15/claim|Median: $63.65
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$388K

4,778 claims · 2.1%

Your Cost: $81.13/claim|Median: $99.21
0.8× median
99214Normal range

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

$365K

6,078 claims · 2.0%

Your Cost: $60.02/claim|Median: $53.41
1.1× median
90785Normal range

$179K

25K claims · 1.0%

Your Cost: $7.22/claim|Median: $6.43
1.1× median
99213Normal range

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

$142K

2,906 claims · 0.8%

Your Cost: $49.01/claim|Median: $37.81
1.3× median
H2027Normal range

Psychoeducational service, per 15 minutes

$118K

901 claims · 0.7%

Your Cost: $130.64/claim|Median: $82.72
1.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$111K

2,142 claims · 0.6%

Your Cost: $51.93/claim|Median: $169.11
0.3× median
90887Normal range

Interpretation/explanation of results

$109K

2,633 claims · 0.6%

Your Cost: $41.49/claim|Median: $47.55
0.9× median
90833Normal range

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

$54K

1,537 claims · 0.3%

Your Cost: $35.45/claim|Median: $38.83
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$33K

531 claims · 0.2%

Your Cost: $62.58/claim|Median: $74.63
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$31K

457 claims · 0.2%

Your Cost: $68.61/claim|Median: $84.03
0.8× median
90853Top 25%

Group psychotherapy

$25K

570 claims · 0.1%

Your Cost: $44.53/claim|Median: $25.02
1.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$20K

1,765 claims · 0.1%

Your Cost: $11.33/claim|Median: $12.93
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$15K

268 claims · 0.1%

Your Cost: $57.43/claim|Median: $77.33
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$13K

207 claims · 0.1%

Your Cost: $62.93/claim|Median: $111.09
0.6× median
H0001Normal range

Alcohol and/or drug assessment

$10K

174 claims · 0.1%

Your Cost: $58.73/claim|Median: $94.22
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$6K

4,683 claims · 0.0%

Your Cost: $1.27/claim|Median: $3.67
0.3× median
99354Normal range

$4K

51 claims · 0.0%

Your Cost: $70.26/claim|Median: $54.96
1.3× median
T1007Normal range

Alcohol/drug services, treatment plan review

$4K

93 claims · 0.0%

Your Cost: $38.27/claim|Median: $64.10
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$3K

32 claims · 0.0%

Your Cost: $101.38/claim|Median: $74.09
1.4× median
← All providersHow we detect fraud →