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Provider 1518088178

NPI: 1518088178Share
Active Billing Period:2018-01→2024-09(69 months)

Total Paid

$7.9M

$7,857,299

Total Claims

164K

Beneficiaries

40K

4.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$425K
+53%
2019
$649K
-21%
2020
$511K
+67%
2021
$853K
-6%
2022
$800K
+150%
2023
$2.0M
+31%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 31% of total spending.

H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$2.5M

9,674 claims · 31.3%

Your Cost: $254.22/claim|Median: $74.63
3.4× median
H2014Normal range

Skills training & development, per 15 min

$2.2M

40K claims · 27.7%

Your Cost: $53.80/claim|Median: $83.88
0.6× median
T1019Normal range

Personal care services, per 15 min

$1.0M

34K claims · 13.2%

Your Cost: $30.34/claim|Median: $82.47
0.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$380K

7,796 claims · 4.8%

Your Cost: $48.69/claim|Median: $24.49
2.0× median
96152Top 5%

Health behavior intervention, individual

$338K

1,350 claims · 4.3%

Your Cost: $250.08/claim|Median: $20.02
12.5× median
97530Normal range

Therapeutic activities, each 15 min

$321K

5,652 claims · 4.1%

Your Cost: $56.82/claim|Median: $33.11
1.7× median
92507Normal range

Speech/hearing/language treatment

$310K

17K claims · 3.9%

Your Cost: $18.29/claim|Median: $49.45
0.4× median
99412Normal range

$181K

3,223 claims · 2.3%

Your Cost: $56.07/claim|Median: $34.41
1.6× median
92508Normal range

Treatment of speech/language disorder, group, 2+ patients

$161K

25K claims · 2.0%

Your Cost: $6.56/claim|Median: $13.22
0.5× median
96130Normal range

Psychological testing evaluation by professional, first hour

$73K

709 claims · 0.9%

Your Cost: $102.59/claim|Median: $79.21
1.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$71K

512 claims · 0.9%

Your Cost: $137.86/claim|Median: $110.87
1.2× median
96131Normal range

Psychological testing evaluation, each additional hour

$64K

404 claims · 0.8%

Your Cost: $157.52/claim|Median: $133.38
1.2× median
T1001Normal range

Nursing assessment/evaluation, per visit

$55K

1,087 claims · 0.7%

Your Cost: $50.86/claim|Median: $49.05
1.0× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$47K

402 claims · 0.6%

Your Cost: $117.69/claim|Median: $92.96
1.3× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$43K

3,027 claims · 0.6%

Your Cost: $14.31/claim|Median: $91.63
0.2× median
V5008Top 25%

$37K

2,646 claims · 0.5%

Your Cost: $13.83/claim|Median: $8.98
1.5× median
96101Normal range

$32K

275 claims · 0.4%

Your Cost: $114.82/claim|Median: $196.08
0.6× median
A0080Normal range

$26K

9,520 claims · 0.3%

Your Cost: $2.75/claim|Median: $26.51
0.1× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$26K

703 claims · 0.3%

Your Cost: $36.94/claim|Median: $30.49
1.2× median
96150Top 10%

Health behavior assessment, initial

$11K

196 claims · 0.1%

Your Cost: $56.29/claim|Median: $17.83
3.2× median
92522Top 25%

Evaluation of speech sound production

$3K

39 claims · 0.0%

Your Cost: $85.54/claim|Median: $32.17
2.7× median
G9002Normal range

Coordinated care fee, maintenance period

$3K

77 claims · 0.0%

Your Cost: $39.17/claim|Median: $108.80
0.4× median
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