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Provider 1548212640

NPI: 1548212640Share
Active Billing Period:2018-012024-10(82 months)

Total Paid

$7.8M

$7,763,511

Total Claims

94K

Beneficiaries

27K

3.4 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$791K
+72%
2019
$1.4M
+38%
2020
$1.9M
-23%
2021
$1.4M
-46%
2022
$782K
-11%
2023
$698K
+18%
2024
$824K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (90853 (Group psychotherapy)) accounts for 35% of total spending.

90853Top 10%

Group psychotherapy

$2.7M

34K claims · 34.9%

Your Cost: $79.41/claim|Median: $25.02
3.2× median
90837Top 10%

Psychotherapy, 60 minutes

$1.4M

10K claims · 18.5%

Your Cost: $139.51/claim|Median: $85.66
1.6× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$929K

18K claims · 12.0%

Your Cost: $52.37/claim|Median: $84.12
0.6× median
H2036Normal range

Alcohol/drug treatment, per hour

$826K

8,025 claims · 10.6%

Your Cost: $102.87/claim|Median: $253.79
0.4× median
90791Top 5%

Psychiatric diagnostic evaluation

$733K

2,333 claims · 9.4%

Your Cost: $314.34/claim|Median: $99.21
3.2× median
90834Top 25%

Psychotherapy, 45 minutes

$378K

3,568 claims · 4.9%

Your Cost: $105.85/claim|Median: $63.65
1.7× median
H0006Normal range

Alcohol and/or drug services, case management

$304K

6,537 claims · 3.9%

Your Cost: $46.44/claim|Median: $43.10
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$195K

7,024 claims · 2.5%

Your Cost: $27.79/claim|Median: $91.63
0.3× median
90832Top 25%

Psychotherapy, 30 minutes

$156K

2,773 claims · 2.0%

Your Cost: $56.34/claim|Median: $41.28
1.4× median
90849Normal range

Multiple-family group psychotherapy

$80K

1,496 claims · 1.0%

Your Cost: $53.43/claim|Median: $40.78
1.3× median
99213Top 5%

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

$14K

139 claims · 0.2%

Your Cost: $97.74/claim|Median: $37.81
2.6× median
H0031Top 5%

Mental health assessment by non-physician

$7K

19 claims · 0.1%

Your Cost: $374.53/claim|Median: $96.18
3.9× median