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Provider 1588300131

NPI: 1588300131Share
Active Billing Period:2022-10→2024-12(27 months)

Total Paid

$8.0M

$8,022,884

Total Claims

26K

Beneficiaries

2,517

10.3 claims/patient

Avg Cost/Claim

$310

Monthly Spending Trend

Yearly Spending

2022
$77K
+3169%
2023
$2.5M
+117%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 33% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$2.6M

10K claims · 32.7%

Your Cost: $256.54/claim|Median: $167.38
1.5× median
97156Top 1%

$1.8M

3,899 claims · 22.0%

Your Cost: $453.25/claim|Median: $88.65
5.1× median
H2012Normal range

Behavioral health day treatment, per hour

$1.3M

8,714 claims · 15.7%

Your Cost: $144.36/claim|Median: $137.86
1.0× median
H2011Top 10%

Crisis intervention service, per 15 minutes

$905K

563 claims · 11.3%

Your Cost: $1,607.87/claim|Median: $215.80
7.5× median
97155Top 1%

Adaptive behavior treatment with protocol modification, per 15 minutes

$889K

1,924 claims · 11.1%

Your Cost: $461.89/claim|Median: $146.45
3.2× median
S9482Top 25%

Family stabilization services, per 15 minutes

$521K

358 claims · 6.5%

Your Cost: $1,454.65/claim|Median: $625.59
2.3× median
H0046Top 25%

Mental health services, not otherwise specified

$29K

141 claims · 0.4%

Your Cost: $206.87/claim|Median: $85.02
2.4× median
0362TTop 1%

$26K

22 claims · 0.3%

Your Cost: $1,170.20/claim|Median: $40.36
29.0× median
H0031Normal range

Mental health assessment by non-physician

$945

16 claims · 0.0%

Your Cost: $59.06/claim|Median: $96.18
0.6× median
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