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Provider 1528154556

NPI: 1528154556Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,310,022

Total Claims

99K

Beneficiaries

12K

8.6 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-17%
2019
$2.1M
-75%
2020
$522K
-13%
2021
$453K
+82%
2022
$826K
+133%
2023
$1.9M
+5%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H0035 (Mental health partial hospitalization, treatment, per hour)) accounts for 47% of total spending.

H0035Normal range

Mental health partial hospitalization, treatment, per hour

$4.8M

50K claims · 46.6%

Your Cost: $95.74/claim|Median: $148.53
0.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$4.4M

39K claims · 42.3%

Your Cost: $113.04/claim|Median: $321.53
0.4× median
H2012Normal range

Behavioral health day treatment, per hour

$597K

5,398 claims · 5.8%

Your Cost: $110.60/claim|Median: $137.86
0.8× median
90837Top 25%

Psychotherapy, 60 minutes

$262K

2,552 claims · 2.5%

Your Cost: $102.62/claim|Median: $85.66
1.2× median
T1016Top 10%

Case management, each 15 min

$189K

612 claims · 1.8%

Your Cost: $308.36/claim|Median: $49.62
6.2× median
90889Top 25%

$48K

267 claims · 0.5%

Your Cost: $180.60/claim|Median: $56.63
3.2× median
H0032Normal range

Mental health service plan development

$46K

1,229 claims · 0.4%

Your Cost: $37.42/claim|Median: $80.64
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$3K

45 claims · 0.0%

Your Cost: $75.07/claim|Median: $63.65
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$1K

13 claims · 0.0%

Your Cost: $108.25/claim|Median: $99.21
1.1× median
H0031Normal range

Mental health assessment by non-physician

$878

14 claims · 0.0%

Your Cost: $62.68/claim|Median: $96.18
0.7× median
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