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

⚖️ Compare🖨️ Print Report

Provider 1558798934

NPI: 1558798934Share
Active Billing Period:2018-10→2024-09(72 months)

Total Paid

$13.2M

$13,156,373

Total Claims

137K

Beneficiaries

126K

1.1 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$38K
+533%
2019
$239K
+456%
2020
$1.3M
+68%
2021
$2.2M
+29%
2022
$2.9M
+13%
2023
$3.2M
-1%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (H0002 (Behavioral health screening)) accounts for 58% of total spending.

H0002Normal range

Behavioral health screening

$7.7M

126K claims · 58.4%

Your Cost: $61.11/claim|Median: $38.77
1.6× median
H0031Top 5%

Mental health assessment by non-physician

$5.3M

9,861 claims · 40.2%

Your Cost: $536.84/claim|Median: $96.18
5.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$148K

609 claims · 1.1%

Your Cost: $242.45/claim|Median: $215.80
1.1× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$19K

176 claims · 0.1%

Your Cost: $108.47/claim|Median: $55.04
2.0× median
T1017Top 25%

Targeted case management, per 15 min

$5K

18 claims · 0.0%

Your Cost: $259.39/claim|Median: $69.56
3.7× median
S9484Normal range

Crisis intervention mental health services, per hour

$4K

80 claims · 0.0%

Your Cost: $48.22/claim|Median: $249.51
0.2× median
← All providersHow we detect fraud →