Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1558761981

NPI: 1558761981Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.2M

$9,171,456

Total Claims

55K

Beneficiaries

52K

1.1 claims/patient

Avg Cost/Claim

$167

Monthly Spending Trend

Yearly Spending

2018
$148K
+256%
2019
$527K
+101%
2020
$1.1M
+66%
2021
$1.8M
+14%
2022
$2.0M
+2%
2023
$2.0M
-20%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (S0281) accounts for 50% of total spending.

S0281Top 25%

$4.6M

20K claims · 49.6%

Your Cost: $225.55/claim|Median: $92.97
2.4× median
S0280Top 10%

Medical home program, comprehensive care management

$2.5M

9,303 claims · 27.1%

Your Cost: $267.62/claim|Median: $48.38
5.5× median
96130Normal range

Psychological testing evaluation by professional, first hour

$933K

11K claims · 10.2%

Your Cost: $88.59/claim|Median: $79.21
1.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$434K

3,235 claims · 4.7%

Your Cost: $134.22/claim|Median: $99.21
1.4× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$326K

2,686 claims · 3.6%

Your Cost: $121.32/claim|Median: $92.96
1.3× median
96131Normal range

Psychological testing evaluation, each additional hour

$210K

2,689 claims · 2.3%

Your Cost: $77.96/claim|Median: $133.38
0.6× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$109K

2,725 claims · 1.2%

Your Cost: $40.12/claim|Median: $30.49
1.3× median
99214Normal range

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

$60K

858 claims · 0.7%

Your Cost: $70.20/claim|Median: $53.41
1.3× median
90785Top 25%

$22K

1,998 claims · 0.2%

Your Cost: $10.81/claim|Median: $6.43
1.7× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$21K

507 claims · 0.2%

Your Cost: $40.58/claim|Median: $17.67
2.3× median
T2024Normal range

Supported employment, waiver, per diem

$15K

126 claims · 0.2%

Your Cost: $120.84/claim|Median: $259.38
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

12 claims · 0.0%

Your Cost: $146.29/claim|Median: $108.91
1.3× median
96101Normal range

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $196.08