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Provider 1548765258

NPI: 1548765258Share
Active Billing Period:2018-04→2024-12(81 months)

Total Paid

$11.4M

$11,426,155

Total Claims

308K

Beneficiaries

204K

1.5 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$150K
+550%
2019
$977K
+40%
2020
$1.4M
+31%
2021
$1.8M
+18%
2022
$2.1M
+11%
2023
$2.3M
+14%
2024
$2.7M

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 57% of total spending.

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$6.6M

70K claims · 57.3%

Your Cost: $93.15/claim|Median: $74.63
1.2× median
99309Normal range

Nursing facility care, subsequent, low complexity

$992K

69K claims · 8.7%

Your Cost: $14.42/claim|Median: $14.00
1.0× median
H0031Normal range

Mental health assessment by non-physician

$929K

6,347 claims · 8.1%

Your Cost: $146.32/claim|Median: $96.18
1.5× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$921K

38K claims · 8.1%

Your Cost: $24.02/claim|Median: $9.79
2.5× median
99214Normal range

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

$322K

4,997 claims · 2.8%

Your Cost: $64.44/claim|Median: $53.41
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$281K

4,504 claims · 2.5%

Your Cost: $62.32/claim|Median: $85.66
0.7× median
99358Normal range

$221K

11K claims · 1.9%

Your Cost: $19.27/claim|Median: $14.34
1.3× median
99484Normal range

$180K

25K claims · 1.6%

Your Cost: $7.29/claim|Median: $7.13
1.0× median
99451Normal range

$176K

27K claims · 1.5%

Your Cost: $6.59/claim|Median: $20.05
0.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$161K

4,689 claims · 1.4%

Your Cost: $34.44/claim|Median: $108.91
0.3× median
99310Normal range

$130K

10K claims · 1.1%

Your Cost: $12.39/claim|Median: $21.82
0.6× median
H0002Normal range

Behavioral health screening

$127K

4,569 claims · 1.1%

Your Cost: $27.83/claim|Median: $38.77
0.7× median
99452Normal range

$89K

17K claims · 0.8%

Your Cost: $5.26/claim|Median: $5.44
1.0× median
99213Normal range

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

$75K

2,069 claims · 0.7%

Your Cost: $36.23/claim|Median: $37.81
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$54K

792 claims · 0.5%

Your Cost: $68.72/claim|Median: $74.09
0.9× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$28K

922 claims · 0.2%

Your Cost: $30.60/claim|Median: $38.83
0.8× median
99305Top 25%

$28K

710 claims · 0.2%

Your Cost: $38.79/claim|Median: $19.28
2.0× median
99483Normal range

$27K

648 claims · 0.2%

Your Cost: $41.12/claim|Median: $34.89
1.2× median
G0317Normal range

$21K

3,294 claims · 0.2%

Your Cost: $6.25/claim|Median: $3.67
1.7× median
99424Normal range

$16K

572 claims · 0.1%

Your Cost: $27.98/claim|Median: $15.58
1.8× median
99223Normal range

Initial hospital care, per day, high complexity

$14K

181 claims · 0.1%

Your Cost: $74.84/claim|Median: $67.32
1.1× median
99306Normal range

$13K

352 claims · 0.1%

Your Cost: $37.56/claim|Median: $29.97
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$13K

558 claims · 0.1%

Your Cost: $23.00/claim|Median: $35.30
0.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$12K

189 claims · 0.1%

Your Cost: $61.11/claim|Median: $84.03
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$9K

300 claims · 0.1%

Your Cost: $31.30/claim|Median: $23.99
1.3× median
96132Normal range

$7K

287 claims · 0.1%

Your Cost: $26.00/claim|Median: $70.53
0.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$6K

326 claims · 0.0%

Your Cost: $17.00/claim|Median: $16.77
1.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$4K

29 claims · 0.0%

Your Cost: $154.02/claim|Median: $111.09
1.4× median
Q3014Normal range

Telehealth originating site facility fee

$4K

909 claims · 0.0%

Your Cost: $4.65/claim|Median: $15.37
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

82 claims · 0.0%

Your Cost: $30.09/claim|Median: $99.21
0.3× median
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