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Provider 1588869093

NPI: 1588869093Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,537,877

Total Claims

294K

Beneficiaries

81K

3.6 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$2.0M
+11%
2020
$2.2M
-8%
2021
$2.0M
-10%
2022
$1.8M
+21%
2023
$2.2M
+1%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (96165 (Health behavior intervention, family, each additional fifteen minutes)) accounts for 50% of total spending.

96165Top 25%

Health behavior intervention, family, each additional fifteen minutes

$6.3M

87K claims · 50.4%

Your Cost: $72.33/claim|Median: $15.54
4.7× median
96164Top 25%

$1.7M

87K claims · 13.4%

Your Cost: $19.29/claim|Median: $9.87
2.0× median
96153Top 25%

Health/behavior intervention, group

$1.5M

54K claims · 11.7%

Your Cost: $27.30/claim|Median: $6.67
4.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.3M

17K claims · 10.5%

Your Cost: $76.21/claim|Median: $74.63
1.0× median
H0001Top 10%

Alcohol and/or drug assessment

$764K

3,831 claims · 6.1%

Your Cost: $199.39/claim|Median: $94.22
2.1× median
H0003Normal range

$343K

24K claims · 2.7%

Your Cost: $14.11/claim|Median: $13.38
1.1× median
90837Top 10%

Psychotherapy, 60 minutes

$275K

2,122 claims · 2.2%

Your Cost: $129.76/claim|Median: $85.66
1.5× median
90853Top 10%

Group psychotherapy

$145K

2,060 claims · 1.2%

Your Cost: $70.41/claim|Median: $25.02
2.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$117K

8,254 claims · 0.9%

Your Cost: $14.20/claim|Median: $35.43
0.4× median
80305Top 5%

$70K

4,960 claims · 0.6%

Your Cost: $14.11/claim|Median: $7.44
1.9× median
90791Normal range

Psychiatric diagnostic evaluation

$13K

137 claims · 0.1%

Your Cost: $97.14/claim|Median: $99.21
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$10K

390 claims · 0.1%

Your Cost: $24.61/claim|Median: $41.28
0.6× median
T1016Normal range

Case management, each 15 min

$4K

413 claims · 0.0%

Your Cost: $10.36/claim|Median: $49.62
0.2× median
81000Top 25%

Urinalysis with microscopy, non-automated

$2K

648 claims · 0.0%

Your Cost: $3.25/claim|Median: $2.51
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$1K

16 claims · 0.0%

Your Cost: $81.52/claim|Median: $63.65
1.3× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.37
H0046Normal range

Mental health services, not otherwise specified

$0

396 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.02
H0025Normal range

Behavioral health prevention education, per session

$0

505 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.25
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