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Provider 1588993091

NPI: 1588993091Share
Active Billing Period:2018-01→2024-12(80 months)

Total Paid

$18.4M

$18,440,429

Total Claims

205K

Beneficiaries

35K

5.8 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$32K
+266%
2019
$117K
+1750%
2020
$2.2M
+209%
2021
$6.7M
-28%
2022
$4.8M
-51%
2023
$2.4M
-4%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 70% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$12.9M

129K claims · 70.2%

Your Cost: $100.65/claim|Median: $167.38
0.6× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.9M

37K claims · 15.5%

Your Cost: $77.89/claim|Median: $146.45
0.5× median
H0032Normal range

Mental health service plan development

$801K

13K claims · 4.3%

Your Cost: $61.20/claim|Median: $80.64
0.8× median
96131Normal range

Psychological testing evaluation, each additional hour

$416K

5,118 claims · 2.3%

Your Cost: $81.26/claim|Median: $133.38
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$383K

4,498 claims · 2.1%

Your Cost: $85.18/claim|Median: $99.21
0.9× median
96130Normal range

Psychological testing evaluation by professional, first hour

$320K

4,441 claims · 1.7%

Your Cost: $72.16/claim|Median: $79.21
0.9× median
96139Normal range

$245K

1,477 claims · 1.3%

Your Cost: $166.07/claim|Median: $97.14
1.7× median
97156Normal range

$167K

3,565 claims · 0.9%

Your Cost: $46.79/claim|Median: $88.65
0.5× median
97151Normal range

Behavior identification assessment

$82K

571 claims · 0.4%

Your Cost: $143.74/claim|Median: $161.10
0.9× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$70K

2,333 claims · 0.4%

Your Cost: $29.89/claim|Median: $30.49
1.0× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$50K

1,479 claims · 0.3%

Your Cost: $34.11/claim|Median: $92.96
0.4× median
96138Normal range

$31K

1,370 claims · 0.2%

Your Cost: $22.71/claim|Median: $19.87
1.1× median
96101Normal range

$16K

298 claims · 0.1%

Your Cost: $54.67/claim|Median: $196.08
0.3× median
T2037Normal range

$14K

128 claims · 0.1%

Your Cost: $108.72/claim|Median: $304.73
0.4× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$12K

208 claims · 0.1%

Your Cost: $56.91/claim|Median: $137.32
0.4× median
G0176Normal range

Activity therapy (group), per session

$10K

123 claims · 0.1%

Your Cost: $78.16/claim|Median: $85.09
0.9× median
H0046Normal range

Mental health services, not otherwise specified

$9K

914 claims · 0.0%

Your Cost: $9.73/claim|Median: $85.02
0.1× median
96113Normal range

Developmental test admin, each additional 30 min

$9K

64 claims · 0.0%

Your Cost: $134.69/claim|Median: $77.06
1.7× median
96112Normal range

Developmental test administration

$3K

47 claims · 0.0%

Your Cost: $73.72/claim|Median: $102.95
0.7× median
90785Normal range

$782

88 claims · 0.0%

Your Cost: $8.89/claim|Median: $6.43
1.4× median
96103Top 25%

$219

16 claims · 0.0%

Your Cost: $13.68/claim|Median: $5.95
2.3× median
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