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Provider 1578640298

NPI: 1578640298Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.7M

$14,679,357

Total Claims

78K

Beneficiaries

38K

2.0 claims/patient

Avg Cost/Claim

$188

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+9%
2019
$2.6M
+47%
2020
$3.8M
-19%
2021
$3.1M
-47%
2022
$1.6M
-37%
2023
$1.0M
-75%
2024
$250K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (96150 (Health behavior assessment, initial)) accounts for 59% of total spending.

96150Top 1%

Health behavior assessment, initial

$8.6M

16K claims · 58.9%

Your Cost: $539.07/claim|Median: $17.83
30.2× median
90834Top 10%

Psychotherapy, 45 minutes

$1.7M

14K claims · 11.5%

Your Cost: $120.58/claim|Median: $63.65
1.9× median
90832Top 10%

Psychotherapy, 30 minutes

$1.6M

17K claims · 10.8%

Your Cost: $93.06/claim|Median: $41.28
2.3× median
99214Top 25%

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

$777K

7,912 claims · 5.3%

Your Cost: $98.21/claim|Median: $53.41
1.8× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$512K

4,902 claims · 3.5%

Your Cost: $104.50/claim|Median: $74.63
1.4× median
90791Top 25%

Psychiatric diagnostic evaluation

$483K

3,376 claims · 3.3%

Your Cost: $143.13/claim|Median: $99.21
1.4× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$182K

1,881 claims · 1.2%

Your Cost: $96.63/claim|Median: $40.58
2.4× median
S5145Normal range

Foster care, therapeutic, child, per diem

$120K

2,443 claims · 0.8%

Your Cost: $49.18/claim|Median: $216.31
0.2× median
G0397Normal range

$119K

964 claims · 0.8%

Your Cost: $123.55/claim|Median: $142.31
0.9× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$108K

2,134 claims · 0.7%

Your Cost: $50.63/claim|Median: $38.83
1.3× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$93K

1,869 claims · 0.6%

Your Cost: $49.72/claim|Median: $91.63
0.5× median
99213Top 5%

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

$81K

814 claims · 0.6%

Your Cost: $99.41/claim|Median: $37.81
2.6× median
99215Normal range

Office/outpatient visit, high complexity

$60K

631 claims · 0.4%

Your Cost: $95.08/claim|Median: $74.09
1.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$53K

1,011 claims · 0.4%

Your Cost: $52.73/claim|Median: $47.35
1.1× median
90837Top 10%

Psychotherapy, 60 minutes

$46K

340 claims · 0.3%

Your Cost: $136.53/claim|Median: $85.66
1.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$37K

640 claims · 0.3%

Your Cost: $58.47/claim|Median: $55.04
1.1× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$28K

362 claims · 0.2%

Your Cost: $75.99/claim|Median: $56.18
1.4× median
99212Top 10%

Office/outpatient visit, low complexity

$23K

248 claims · 0.2%

Your Cost: $91.71/claim|Median: $25.06
3.7× median
90853Top 25%

Group psychotherapy

$22K

471 claims · 0.1%

Your Cost: $46.13/claim|Median: $25.02
1.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$10K

800 claims · 0.1%

Your Cost: $13.05/claim|Median: $9.56
1.4× median
99402Normal range

$5K

106 claims · 0.0%

Your Cost: $45.46/claim|Median: $31.79
1.4× median
H0001Normal range

Alcohol and/or drug assessment

$5K

40 claims · 0.0%

Your Cost: $112.91/claim|Median: $94.22
1.2× median
90846Top 25%

Family psychotherapy without patient, 50 min

$3K

26 claims · 0.0%

Your Cost: $107.78/claim|Median: $76.61
1.4× median
99051Normal range

$2K

186 claims · 0.0%

Your Cost: $10.54/claim|Median: $7.89
1.3× median
99204Normal range

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

$1K

12 claims · 0.0%

Your Cost: $96.53/claim|Median: $84.03
1.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$763

37 claims · 0.0%

Your Cost: $20.63/claim|Median: $12.93
1.6× median
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