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Provider 1518186600

NPI: 1518186600Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,445,488

Total Claims

181K

Beneficiaries

63K

2.9 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$46K
+2433%
2019
$1.2M
+27%
2020
$1.5M
+10%
2021
$1.6M
+0%
2022
$1.6M
+36%
2023
$2.2M
+1%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (96165 (Health behavior intervention, family, each additional fifteen minutes)) accounts for 54% of total spending.

96165Top 5%

Health behavior intervention, family, each additional fifteen minutes

$5.7M

51K claims · 54.4%

Your Cost: $110.54/claim|Median: $15.54
7.1× median
96164Top 5%

$1.4M

52K claims · 13.8%

Your Cost: $27.88/claim|Median: $9.87
2.8× median
96153Top 25%

Health/behavior intervention, group

$1.1M

19K claims · 10.9%

Your Cost: $58.69/claim|Median: $6.67
8.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$683K

15K claims · 6.5%

Your Cost: $45.79/claim|Median: $74.63
0.6× median
H0001Top 5%

Alcohol and/or drug assessment

$436K

1,803 claims · 4.2%

Your Cost: $241.65/claim|Median: $94.22
2.6× median
90837Top 25%

Psychotherapy, 60 minutes

$373K

3,549 claims · 3.6%

Your Cost: $105.08/claim|Median: $85.66
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$213K

2,645 claims · 2.0%

Your Cost: $80.69/claim|Median: $63.65
1.3× median
99213Normal range

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

$206K

3,862 claims · 2.0%

Your Cost: $53.40/claim|Median: $37.81
1.4× median
90832Top 25%

Psychotherapy, 30 minutes

$95K

1,586 claims · 0.9%

Your Cost: $59.73/claim|Median: $41.28
1.4× median
99214Top 25%

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

$72K

905 claims · 0.7%

Your Cost: $79.25/claim|Median: $53.41
1.5× median
90791Top 25%

Psychiatric diagnostic evaluation

$29K

221 claims · 0.3%

Your Cost: $129.01/claim|Median: $99.21
1.3× median
T1016Normal range

Case management, each 15 min

$22K

1,829 claims · 0.2%

Your Cost: $12.06/claim|Median: $49.62
0.2× median
H0046Normal range

Mental health services, not otherwise specified

$22K

3,463 claims · 0.2%

Your Cost: $6.26/claim|Median: $85.02
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$11K

338 claims · 0.1%

Your Cost: $32.58/claim|Median: $25.06
1.3× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$9K

2,588 claims · 0.1%

Your Cost: $3.49/claim|Median: $53.97
0.1× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$6K

1,615 claims · 0.1%

Your Cost: $3.86/claim|Median: $81.37
0.0× median
T1017Normal range

Targeted case management, per 15 min

$4K

1,540 claims · 0.0%

Your Cost: $2.83/claim|Median: $69.56
0.0× median
H0018Normal range

Behavioral health; short-term residential, per diem

$1K

12K claims · 0.0%

Your Cost: $0.11/claim|Median: $467.51
0.0× median
90785Normal range

$207

543 claims · 0.0%

Your Cost: $0.38/claim|Median: $6.43
0.1× median
H0019Normal range

Behavioral health; residential, per diem

$0

4,414 claims · 0.0%

Your Cost: $0.00/claim|Median: $357.16
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