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Provider 1538385489

NPI: 1538385489Share
Active Billing Period:2018-01→2024-09(79 months)

Total Paid

$11.7M

$11,679,803

Total Claims

47K

Beneficiaries

10K

4.6 claims/patient

Avg Cost/Claim

$248

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+44%
2019
$2.1M
-22%
2020
$1.6M
-19%
2021
$1.3M
+53%
2022
$2.0M
-24%
2023
$1.5M
+12%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0047 (Alcohol and/or drug abuse, not otherwise specified)) accounts for 83% of total spending.

H0047Top 10%

Alcohol and/or drug abuse, not otherwise specified

$9.8M

23K claims · 83.5%

Your Cost: $424.29/claim|Median: $81.37
5.2× median
90853Top 10%

Group psychotherapy

$731K

11K claims · 6.3%

Your Cost: $68.91/claim|Median: $25.02
2.8× median
90837Top 25%

Psychotherapy, 60 minutes

$399K

3,449 claims · 3.4%

Your Cost: $115.60/claim|Median: $85.66
1.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$326K

4,041 claims · 2.8%

Your Cost: $80.71/claim|Median: $84.12
1.0× median
T1016Normal range

Case management, each 15 min

$98K

1,406 claims · 0.8%

Your Cost: $69.60/claim|Median: $49.62
1.4× median
90834Top 25%

Psychotherapy, 45 minutes

$86K

932 claims · 0.7%

Your Cost: $92.61/claim|Median: $63.65
1.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$84K

759 claims · 0.7%

Your Cost: $110.48/claim|Median: $96.24
1.1× median
90832Top 25%

Psychotherapy, 30 minutes

$70K

1,216 claims · 0.6%

Your Cost: $57.57/claim|Median: $41.28
1.4× median
H0031Top 5%

Mental health assessment by non-physician

$58K

176 claims · 0.5%

Your Cost: $329.77/claim|Median: $96.18
3.4× median
H0046Normal range

Mental health services, not otherwise specified

$30K

759 claims · 0.3%

Your Cost: $39.75/claim|Median: $85.02
0.5× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$19K

190 claims · 0.2%

Your Cost: $100.03/claim|Median: $53.97
1.9× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$11K

318 claims · 0.1%

Your Cost: $35.48/claim|Median: $106.70
0.3× median
H0033Normal range

Oral medication administration, direct observation

$9K

128 claims · 0.1%

Your Cost: $67.40/claim|Median: $31.37
2.1× median
90847Top 25%

Family psychotherapy with patient, 50 min

$6K

57 claims · 0.0%

Your Cost: $99.15/claim|Median: $77.33
1.3× median
H2010Normal range

Comprehensive medication services, per 15 min

$2K

12 claims · 0.0%

Your Cost: $131.77/claim|Median: $62.69
2.1× median
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