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Provider 1518383785

NPI: 1518383785Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,978,935

Total Claims

191K

Beneficiaries

99K

1.9 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-23%
2019
$1.1M
-19%
2020
$862K
+39%
2021
$1.2M
-2%
2022
$1.2M
-2%
2023
$1.2M
-2%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2020 (Day habilitation, waiver, per 15 minutes)) accounts for 63% of total spending.

H2020Normal range

Day habilitation, waiver, per 15 minutes

$5.0M

73K claims · 62.8%

Your Cost: $69.05/claim|Median: $144.05
0.5× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$3.0M

36K claims · 37.1%

Your Cost: $83.25/claim|Median: $121.16
0.7× median
99214Normal range

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

$4K

30K claims · 0.0%

Your Cost: $0.12/claim|Median: $53.41
0.0× median
99406Normal range

$186

8,402 claims · 0.0%

Your Cost: $0.02/claim|Median: $6.53
0.0× median
99213Normal range

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

$149

22K claims · 0.0%

Your Cost: $0.01/claim|Median: $37.81
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$67

2,417 claims · 0.0%

Your Cost: $0.03/claim|Median: $63.65
0.0× median
3078FNormal range

$15

82 claims · 0.0%

Your Cost: $0.18/claim|Median: $0.08
2.3× median
3074FNormal range

$15

145 claims · 0.0%

Your Cost: $0.10/claim|Median: $0.11
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$0

1,472 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21
0.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$0

104 claims · 0.0%

Your Cost: $0.00/claim|Median: $111.09
3048FNormal range

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
82306Normal range

Vitamin D, 25 hydroxy

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.18
84443Normal range

Thyroid stimulating hormone (TSH)

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.87
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
82962Normal range

Blood glucose test by monitoring device

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.40
3008FNormal range

$0

712 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
90847Normal range

Family psychotherapy with patient, 50 min

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33
80053Normal range

Comprehensive metabolic panel

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.24
99212Normal range

Office/outpatient visit, low complexity

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

318 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
J2426Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $625.59
99204Normal range

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

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03
80061Normal range

Lipid panel

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.41
90853Normal range

Group psychotherapy

$0

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02
90472Normal range

Immunization administration, each additional vaccine

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
99215Normal range

Office/outpatient visit, high complexity

$0

1,643 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
90658Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.96
3044FNormal range

$0

99 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
4060F

$0

156 claims · 0.0%

99203Normal range

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

$0

62 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85
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