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Provider 1558366492

NPI: 1558366492Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.7M

$9,740,959

Total Claims

327K

Beneficiaries

195K

1.7 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$564K
+69%
2019
$954K
+127%
2020
$2.2M
-10%
2021
$1.9M
+6%
2022
$2.1M
-14%
2023
$1.8M
-83%
2024
$300K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 20% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$1.9M

66K claims · 19.8%

Your Cost: $29.45/claim|Median: $85.66
0.3× median
T1040Normal range

Medicaid certified CCBHC services

$1.6M

8,340 claims · 16.7%

Your Cost: $194.57/claim|Median: $130.29
1.5× median
H2014Normal range

Skills training & development, per 15 min

$1.5M

62K claims · 15.2%

Your Cost: $23.75/claim|Median: $83.88
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$1.1M

29K claims · 11.7%

Your Cost: $39.84/claim|Median: $63.65
0.6× median
H2013Normal range

Psychiatric health facility service, per diem

$1.1M

6,860 claims · 11.0%

Your Cost: $156.50/claim|Median: $841.93
0.2× median
99214Normal range

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

$500K

15K claims · 5.1%

Your Cost: $32.28/claim|Median: $53.41
0.6× median
H0032Normal range

Mental health service plan development

$319K

9,384 claims · 3.3%

Your Cost: $33.99/claim|Median: $80.64
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$296K

8,649 claims · 3.0%

Your Cost: $34.25/claim|Median: $99.21
0.3× median
99213Normal range

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

$260K

13K claims · 2.7%

Your Cost: $20.42/claim|Median: $37.81
0.5× median
T1016Normal range

Case management, each 15 min

$250K

9,644 claims · 2.6%

Your Cost: $25.94/claim|Median: $49.62
0.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$216K

10K claims · 2.2%

Your Cost: $20.62/claim|Median: $77.33
0.3× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$169K

6,237 claims · 1.7%

Your Cost: $27.12/claim|Median: $106.70
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$141K

9,954 claims · 1.4%

Your Cost: $14.17/claim|Median: $41.28
0.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$85K

1,434 claims · 0.9%

Your Cost: $59.10/claim|Median: $108.91
0.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$49K

1,897 claims · 0.5%

Your Cost: $25.66/claim|Median: $55.04
0.5× median
99336Normal range

$37K

1,091 claims · 0.4%

Your Cost: $33.83/claim|Median: $20.35
1.7× median
90853Normal range

Group psychotherapy

$30K

4,198 claims · 0.3%

Your Cost: $7.15/claim|Median: $25.02
0.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$23K

2,240 claims · 0.2%

Your Cost: $10.35/claim|Median: $215.80
0.0× median
H2021Normal range

Community-based wrap-around services, per 15 min

$21K

2,845 claims · 0.2%

Your Cost: $7.47/claim|Median: $169.11
0.0× median
H2010Normal range

Comprehensive medication services, per 15 min

$18K

1,276 claims · 0.2%

Your Cost: $14.32/claim|Median: $62.69
0.2× median
H2023Normal range

Supported employment, per 15 min

$13K

15K claims · 0.1%

Your Cost: $0.87/claim|Median: $103.94
0.0× median
90882Normal range

Environmental intervention

$10K

1,105 claims · 0.1%

Your Cost: $8.61/claim|Median: $45.05
0.2× median
H0039Normal range

Assertive community treatment, per diem

$9K

31K claims · 0.1%

Your Cost: $0.28/claim|Median: $132.62
0.0× median
99337Normal range

$7K

223 claims · 0.1%

Your Cost: $33.51/claim|Median: $29.39
1.1× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$6K

131 claims · 0.1%

Your Cost: $46.12/claim|Median: $114.71
0.4× median
99215Top 10%

Office/outpatient visit, high complexity

$6K

37 claims · 0.1%

Your Cost: $159.93/claim|Median: $74.09
2.2× median
90887Normal range

Interpretation/explanation of results

$4K

1,617 claims · 0.0%

Your Cost: $2.57/claim|Median: $47.55
0.1× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$3K

136 claims · 0.0%

Your Cost: $25.72/claim|Median: $167.38
0.2× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$3K

327 claims · 0.0%

Your Cost: $8.93/claim|Median: $146.45
0.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

1,225 claims · 0.0%

Your Cost: $2.25/claim|Median: $12.93
0.2× median
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