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STATE OF MISSOURI

Psychologist, Rehabilitation·JEFFERSON CITY, MO·NPI: 1578199238Share
Active Billing Period:2018-01→2022-12(60 months)
Billing appears to have stoppedLast active: 2022-12

Total Paid

$91.4M

$91,421,860

Total Claims

523K

Beneficiaries

167K

3.1 claims/patient

Avg Cost/Claim

$175

Monthly Spending Trend

Yearly Spending

2018
$22.0M
+8%
2019
$23.8M
-14%
2020
$20.5M
-2%
2021
$20.2M
-75%
2022
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H0036 (Community psychiatric supportive treatment, per 15 min)) accounts for 46% of total spending.

H0036Normal range

Community psychiatric supportive treatment, per 15 min

$42.2M

316K claims · 46.1%

Your Cost: $133.63/claim|Median: $76.05
1.8× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$20.5M

72K claims · 22.4%

Your Cost: $286.07/claim|Median: $225.50
1.3× median
H2012Top 10%

Behavioral health day treatment, per hour

$12.6M

34K claims · 13.8%

Your Cost: $366.82/claim|Median: $137.86
2.7× median
H0031Top 1%

Mental health assessment by non-physician

$6.6M

9,281 claims · 7.2%

Your Cost: $710.39/claim|Median: $96.18
7.4× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$2.7M

14K claims · 3.0%

Your Cost: $192.29/claim|Median: $266.41
0.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.9M

23K claims · 2.1%

Your Cost: $81.91/claim|Median: $91.63
0.9× median
99214Top 10%

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

$1.7M

17K claims · 1.9%

Your Cost: $101.49/claim|Median: $53.41
1.9× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$1.7M

13K claims · 1.8%

Your Cost: $130.25/claim|Median: $55.04
2.4× median
H2010Normal range

Comprehensive medication services, per 15 min

$501K

15K claims · 0.5%

Your Cost: $34.33/claim|Median: $62.69
0.5× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$435K

1,522 claims · 0.5%

Your Cost: $285.97/claim|Median: $108.91
2.6× median
99213Top 25%

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

$209K

3,506 claims · 0.2%

Your Cost: $59.69/claim|Median: $37.81
1.6× median
H0002Normal range

Behavioral health screening

$175K

2,941 claims · 0.2%

Your Cost: $59.64/claim|Median: $38.77
1.5× median
99241Top 25%

Office consultation, straightforward

$81K

1,045 claims · 0.1%

Your Cost: $77.35/claim|Median: $36.49
2.1× median
H0032Normal range

Mental health service plan development

$45K

864 claims · 0.0%

Your Cost: $52.36/claim|Median: $80.64
0.6× median
99204Top 5%

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

$32K

183 claims · 0.0%

Your Cost: $174.37/claim|Median: $84.03
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$12K

81 claims · 0.0%

Your Cost: $143.56/claim|Median: $74.09
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$1K

32 claims · 0.0%

Your Cost: $39.23/claim|Median: $25.06
1.6× median

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State of Missouri

Psychologist, Rehabilitation

$493.6M

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