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Provider 1578516738

NPI: 1578516738Share
Active Billing Period:2019-06→2024-11(66 months)

Total Paid

$12.4M

$12,355,403

Total Claims

25K

Beneficiaries

24K

1.1 claims/patient

Avg Cost/Claim

$495

Monthly Spending Trend

Yearly Spending

2019
$869K
+180%
2020
$2.4M
+4%
2021
$2.5M
+18%
2022
$3.0M
-34%
2023
$2.0M
-17%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 45% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$5.5M

7,869 claims · 44.7%

Your Cost: $701.85/claim|Median: $321.53
2.2× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$4.9M

7,063 claims · 39.9%

Your Cost: $697.89/claim|Median: $84.12
8.3× median
T1015Top 10%

Clinic visit/encounter, all-inclusive

$1.0M

3,511 claims · 8.3%

Your Cost: $290.71/claim|Median: $121.16
2.4× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$755K

1,531 claims · 6.1%

Your Cost: $493.29/claim|Median: $392.63
1.3× median
H0046Normal range

Mental health services, not otherwise specified

$83K

2,278 claims · 0.7%

Your Cost: $36.49/claim|Median: $85.02
0.4× median
H2024Normal range

$24K

65 claims · 0.2%

Your Cost: $363.67/claim|Median: $363.67
1.0× median
A0160Normal range

$21K

2,654 claims · 0.2%

Your Cost: $7.78/claim|Median: $12.60
0.6× median
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