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Provider 1568593481

NPI: 1568593481Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,422,610

Total Claims

243K

Beneficiaries

227K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+7%
2019
$1.9M
+11%
2020
$2.1M
+8%
2021
$2.2M
+1%
2022
$2.3M
-2%
2023
$2.2M
-6%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 72% of total spending.

T2022Normal range

Case management, per month

$10.4M

195K claims · 72.4%

Your Cost: $53.60/claim|Median: $202.77
0.3× median
99456Normal range

$1.7M

11K claims · 11.5%

Your Cost: $150.49/claim|Median: $151.24
1.0× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$1.1M

9,661 claims · 7.6%

Your Cost: $114.04/claim|Median: $106.70
1.1× median
G9001Normal range

$744K

10K claims · 5.2%

Your Cost: $73.21/claim|Median: $53.98
1.4× median
H0046Normal range

Mental health services, not otherwise specified

$249K

12K claims · 1.7%

Your Cost: $21.45/claim|Median: $85.02
0.3× median
96160Top 1%

Patient-focused health risk assessment

$105K

2,548 claims · 0.7%

Your Cost: $41.27/claim|Median: $2.10
19.7× median
S0280Normal range

Medical home program, comprehensive care management

$97K

726 claims · 0.7%

Your Cost: $134.29/claim|Median: $48.38
2.8× median
H2014Normal range

Skills training & development, per 15 min

$15K

801 claims · 0.1%

Your Cost: $18.94/claim|Median: $83.88
0.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$9K

1,260 claims · 0.1%

Your Cost: $6.98/claim|Median: $55.04
0.1× median
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