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Provider 1528058864

NPI: 1528058864Share
Active Billing Period:2018-10→2024-12(58 months)

Total Paid

$12.4M

$12,363,835

Total Claims

134K

Beneficiaries

80K

1.7 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$2K
+27359%
2020
$555K
+391%
2021
$2.7M
+5%
2022
$2.9M
+23%
2023
$3.5M
-24%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 66% of total spending.

90834Top 25%

Psychotherapy, 45 minutes

$8.1M

85K claims · 65.9%

Your Cost: $95.35/claim|Median: $63.65
1.5× median
H0034Normal range

Medication training and management, per 15 min

$1.4M

18K claims · 11.7%

Your Cost: $82.61/claim|Median: $56.90
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$839K

5,448 claims · 6.8%

Your Cost: $153.92/claim|Median: $108.91
1.4× median
99241Top 25%

Office consultation, straightforward

$545K

6,292 claims · 4.4%

Your Cost: $86.62/claim|Median: $36.49
2.4× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$488K

4,630 claims · 3.9%

Your Cost: $105.45/claim|Median: $27.38
3.9× median
99211Top 10%

Office/outpatient visit, minimal complexity

$283K

4,978 claims · 2.3%

Your Cost: $56.91/claim|Median: $12.93
4.4× median
90832Normal range

Psychotherapy, 30 minutes

$268K

5,612 claims · 2.2%

Your Cost: $47.84/claim|Median: $41.28
1.2× median
H0046Normal range

Mental health services, not otherwise specified

$188K

1,752 claims · 1.5%

Your Cost: $107.20/claim|Median: $85.02
1.3× median
90837Top 25%

Psychotherapy, 60 minutes

$49K

452 claims · 0.4%

Your Cost: $108.76/claim|Median: $85.66
1.3× median
99213Top 10%

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

$48K

558 claims · 0.4%

Your Cost: $85.83/claim|Median: $37.81
2.3× median
90853Normal range

Group psychotherapy

$23K

659 claims · 0.2%

Your Cost: $34.98/claim|Median: $25.02
1.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$17K

248 claims · 0.1%

Your Cost: $66.66/claim|Median: $77.33
0.9× median
H2010Normal range

Comprehensive medication services, per 15 min

$12K

347 claims · 0.1%

Your Cost: $35.64/claim|Median: $62.69
0.6× median
90791Top 10%

Psychiatric diagnostic evaluation

$11K

57 claims · 0.1%

Your Cost: $194.61/claim|Median: $99.21
2.0× median
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