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Provider 1518366285

NPI: 1518366285Share
Active Billing Period:2018-01→2021-12(48 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$13.8M

$13,830,695

Total Claims

98K

Beneficiaries

13K

7.5 claims/patient

Avg Cost/Claim

$142

Monthly Spending Trend

Yearly Spending

2018
$3.9M
-13%
2019
$3.4M
-14%
2020
$2.9M
+27%
2021
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 52% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$7.2M

45K claims · 52.3%

Your Cost: $160.79/claim|Median: $167.38
1.0× median
0365TTop 25%

Adaptive behavior treatment, each additional thirty minutes

$2.5M

14K claims · 17.8%

Your Cost: $180.08/claim|Median: $106.05
1.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.2M

14K claims · 15.9%

Your Cost: $162.14/claim|Median: $146.45
1.1× median
0369TNormal range

$498K

3,520 claims · 3.6%

Your Cost: $141.42/claim|Median: $102.36
1.4× median
0364TTop 25%

$431K

13K claims · 3.1%

Your Cost: $33.17/claim|Median: $21.31
1.6× median
0368TTop 10%

$273K

3,664 claims · 2.0%

Your Cost: $74.54/claim|Median: $44.63
1.7× median
97156Normal range

$265K

2,623 claims · 1.9%

Your Cost: $100.90/claim|Median: $88.65
1.1× median
S5111Top 25%

Home care training, family member, per session

$155K

1,053 claims · 1.1%

Your Cost: $147.08/claim|Median: $87.13
1.7× median
97151Top 25%

Behavior identification assessment

$138K

524 claims · 1.0%

Your Cost: $263.18/claim|Median: $161.10
1.6× median
0370TNormal range

$77K

694 claims · 0.6%

Your Cost: $111.54/claim|Median: $88.49
1.3× median
0359TNormal range

$77K

175 claims · 0.6%

Your Cost: $438.77/claim|Median: $444.44
1.0× median
H0032Normal range

Mental health service plan development

$9K

113 claims · 0.1%

Your Cost: $83.53/claim|Median: $80.64
1.0× median
H0031Top 5%

Mental health assessment by non-physician

$6K

13 claims · 0.0%

Your Cost: $430.77/claim|Median: $96.18
4.5× median
96132Top 10%

$2K

14 claims · 0.0%

Your Cost: $132.50/claim|Median: $70.53
1.9× median
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