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Provider 1518918101

NPI: 1518918101Share
Active Billing Period:2018-04→2024-12(75 months)

Total Paid

$13.1M

$13,056,896

Total Claims

143K

Beneficiaries

56K

2.6 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$41K
+2220%
2019
$940K
+189%
2020
$2.7M
-4%
2021
$2.6M
-8%
2022
$2.4M
+1%
2023
$2.4M
-21%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (G0397) accounts for 29% of total spending.

G0397Normal range

$3.7M

25K claims · 28.5%

Your Cost: $149.13/claim|Median: $142.31
1.0× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$3.5M

59K claims · 26.6%

Your Cost: $58.40/claim|Median: $47.35
1.2× median
G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$1.6M

14K claims · 12.1%

Your Cost: $109.28/claim|Median: $40.58
2.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$1.2M

17K claims · 8.9%

Your Cost: $68.03/claim|Median: $55.04
1.2× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$1.0M

9,137 claims · 7.8%

Your Cost: $111.57/claim|Median: $135.70
0.8× median
H0002Top 5%

Behavioral health screening

$511K

2,693 claims · 3.9%

Your Cost: $189.78/claim|Median: $38.77
4.9× median
99214Top 5%

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

$491K

3,503 claims · 3.8%

Your Cost: $140.06/claim|Median: $53.41
2.6× median
99213Top 5%

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

$281K

2,054 claims · 2.2%

Your Cost: $136.88/claim|Median: $37.81
3.6× median
H0001Top 25%

Alcohol and/or drug assessment

$252K

1,497 claims · 1.9%

Your Cost: $168.01/claim|Median: $94.22
1.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$140K

2,880 claims · 1.1%

Your Cost: $48.74/claim|Median: $74.63
0.7× median
S9485Top 10%

Crisis intervention mental health services, per diem

$115K

98 claims · 0.9%

Your Cost: $1,171.31/claim|Median: $501.33
2.3× median
H0049Top 5%

$97K

1,847 claims · 0.7%

Your Cost: $52.28/claim|Median: $9.27
5.6× median
H0050Normal range

$67K

1,437 claims · 0.5%

Your Cost: $46.70/claim|Median: $46.71
1.0× median
99204Top 25%

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

$34K

256 claims · 0.3%

Your Cost: $134.41/claim|Median: $84.03
1.6× median
90834Top 5%

Psychotherapy, 45 minutes

$34K

212 claims · 0.3%

Your Cost: $159.45/claim|Median: $63.65
2.5× median
99203Top 5%

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

$33K

275 claims · 0.3%

Your Cost: $120.34/claim|Median: $57.85
2.1× median
90833Top 25%

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

$15K

251 claims · 0.1%

Your Cost: $57.99/claim|Median: $38.83
1.5× median
90853Top 10%

Group psychotherapy

$9K

138 claims · 0.1%

Your Cost: $68.78/claim|Median: $25.02
2.7× median
H0033Normal range

Oral medication administration, direct observation

$7K

312 claims · 0.1%

Your Cost: $22.82/claim|Median: $31.37
0.7× median
90832Top 5%

Psychotherapy, 30 minutes

$6K

46 claims · 0.0%

Your Cost: $128.51/claim|Median: $41.28
3.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$4K

26 claims · 0.0%

Your Cost: $141.78/claim|Median: $111.09
1.3× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$2K

13 claims · 0.0%

Your Cost: $181.75/claim|Median: $108.91
1.7× median
99406Top 1%

$2K

34 claims · 0.0%

Your Cost: $47.00/claim|Median: $6.53
7.2× median
90882Normal range

Environmental intervention

$857

21 claims · 0.0%

Your Cost: $40.80/claim|Median: $45.05
0.9× median
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