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Provider 1528147782

NPI: 1528147782Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.0M

$12,045,446

Total Claims

489K

Beneficiaries

182K

2.7 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$508K
+26%
2019
$642K
+399%
2020
$3.2M
-32%
2021
$2.2M
-19%
2022
$1.8M
+7%
2023
$1.9M
-5%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 18% of total spending.

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.2M

23K claims · 18.5%

Your Cost: $95.05/claim|Median: $74.63
1.3× median
H2018Top 25%

Psychosocial rehabilitation services, per diem

$2.1M

1,180 claims · 17.7%

Your Cost: $1,807.39/claim|Median: $392.63
4.6× median
H0020Normal range

Alcohol/drug services; methadone administration

$2.0M

216K claims · 16.6%

Your Cost: $9.28/claim|Median: $18.95
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$1.4M

16K claims · 11.2%

Your Cost: $85.84/claim|Median: $85.66
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$727K

13K claims · 6.0%

Your Cost: $55.08/claim|Median: $47.35
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$712K

12K claims · 5.9%

Your Cost: $59.61/claim|Median: $77.33
0.8× median
99214Normal range

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

$487K

14K claims · 4.0%

Your Cost: $34.07/claim|Median: $53.41
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$435K

5,954 claims · 3.6%

Your Cost: $73.08/claim|Median: $63.65
1.1× median
T1016Normal range

Case management, each 15 min

$196K

34K claims · 1.6%

Your Cost: $5.72/claim|Median: $49.62
0.1× median
90839Normal range

Psychotherapy for crisis, first 60 min

$158K

1,478 claims · 1.3%

Your Cost: $107.03/claim|Median: $83.98
1.3× median
H0048Normal range

$146K

11K claims · 1.2%

Your Cost: $13.48/claim|Median: $13.25
1.0× median
H2014Normal range

Skills training & development, per 15 min

$144K

20K claims · 1.2%

Your Cost: $7.37/claim|Median: $83.88
0.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$120K

17K claims · 1.0%

Your Cost: $7.13/claim|Median: $55.04
0.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$109K

4,206 claims · 0.9%

Your Cost: $26.01/claim|Median: $32.55
0.8× median
H0039Normal range

Assertive community treatment, per diem

$105K

13K claims · 0.9%

Your Cost: $8.26/claim|Median: $132.62
0.1× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$102K

857 claims · 0.8%

Your Cost: $118.67/claim|Median: $114.71
1.0× median
99213Normal range

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

$90K

4,099 claims · 0.7%

Your Cost: $22.00/claim|Median: $37.81
0.6× median
H0032Normal range

Mental health service plan development

$86K

1,128 claims · 0.7%

Your Cost: $76.50/claim|Median: $80.64
0.9× median
J0574Normal range

$80K

9,109 claims · 0.7%

Your Cost: $8.78/claim|Median: $15.76
0.6× median
H2021Normal range

Community-based wrap-around services, per 15 min

$73K

11K claims · 0.6%

Your Cost: $6.78/claim|Median: $169.11
0.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$66K

3,875 claims · 0.5%

Your Cost: $17.05/claim|Median: $22.44
0.8× median
H0031Normal range

Mental health assessment by non-physician

$65K

2,760 claims · 0.5%

Your Cost: $23.45/claim|Median: $96.18
0.2× median
H2010Normal range

Comprehensive medication services, per 15 min

$56K

26K claims · 0.5%

Your Cost: $2.13/claim|Median: $62.69
0.0× median
90846Top 10%

Family psychotherapy without patient, 50 min

$51K

393 claims · 0.4%

Your Cost: $130.11/claim|Median: $76.61
1.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$51K

414 claims · 0.4%

Your Cost: $122.87/claim|Median: $108.91
1.1× median
H2023Normal range

Supported employment, per 15 min

$38K

6,853 claims · 0.3%

Your Cost: $5.60/claim|Median: $103.94
0.1× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$38K

463 claims · 0.3%

Your Cost: $82.35/claim|Median: $182.66
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$36K

998 claims · 0.3%

Your Cost: $36.19/claim|Median: $41.28
0.9× median
J0572Normal range

$24K

4,598 claims · 0.2%

Your Cost: $5.20/claim|Median: $8.49
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$23K

535 claims · 0.2%

Your Cost: $42.57/claim|Median: $74.09
0.6× median
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