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Provider 1548566201

NPI: 1548566201Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.7M

$14,683,803

Total Claims

134K

Beneficiaries

39K

3.4 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-7%
2019
$2.0M
-30%
2020
$1.4M
+33%
2021
$1.8M
+21%
2022
$2.2M
+20%
2023
$2.7M
-5%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 42% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$6.1M

20K claims · 41.5%

Your Cost: $312.63/claim|Median: $167.38
1.9× median
97530Top 25%

Therapeutic activities, each 15 min

$2.5M

35K claims · 17.3%

Your Cost: $72.96/claim|Median: $33.11
2.2× median
92507Normal range

Speech/hearing/language treatment

$1.9M

39K claims · 13.3%

Your Cost: $50.50/claim|Median: $49.45
1.0× median
96152Top 5%

Health behavior intervention, individual

$1.9M

10K claims · 13.0%

Your Cost: $188.72/claim|Median: $20.02
9.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$870K

14K claims · 5.9%

Your Cost: $63.40/claim|Median: $24.49
2.6× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$639K

6,524 claims · 4.4%

Your Cost: $97.96/claim|Median: $146.45
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$390K

5,264 claims · 2.7%

Your Cost: $73.99/claim|Median: $85.66
0.9× median
96151Top 10%

Health behavior reassessment

$211K

3,772 claims · 1.4%

Your Cost: $55.91/claim|Median: $15.43
3.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$49K

986 claims · 0.3%

Your Cost: $49.89/claim|Median: $77.33
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$13K

304 claims · 0.1%

Your Cost: $42.14/claim|Median: $41.28
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$8K

112 claims · 0.1%

Your Cost: $70.87/claim|Median: $99.21
0.7× median
97156Normal range

$5K

76 claims · 0.0%

Your Cost: $61.74/claim|Median: $88.65
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$4K

87 claims · 0.0%

Your Cost: $48.02/claim|Median: $63.65
0.8× median
92526Normal range

Treatment of swallowing dysfunction and/or oral function

$4K

73 claims · 0.0%

Your Cost: $50.58/claim|Median: $49.74
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$2K

42 claims · 0.0%

Your Cost: $51.40/claim|Median: $76.61
0.7× median
92523Top 25%

Evaluation of speech sound production with language comprehension

$2K

13 claims · 0.0%

Your Cost: $159.63/claim|Median: $110.87
1.4× median
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