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Provider 1609002005

NPI: 1609002005Share
Active Billing Period:2018-01→2018-09(9 months)
Billing appears to have stoppedLast active: 2018-09

Total Paid

$8.1M

$8,094,681

Total Claims

109K

Beneficiaries

57K

1.9 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 36% of total spending.

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.9M

30K claims · 35.7%

Your Cost: $95.35/claim|Median: $74.63
1.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.1M

29K claims · 26.4%

Your Cost: $75.02/claim|Median: $96.24
0.8× median
90853Top 25%

Group psychotherapy

$779K

15K claims · 9.6%

Your Cost: $50.67/claim|Median: $25.02
2.0× median
90885Normal range

$358K

6,452 claims · 4.4%

Your Cost: $55.53/claim|Median: $59.45
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$340K

3,487 claims · 4.2%

Your Cost: $97.52/claim|Median: $77.33
1.3× median
90887Normal range

Interpretation/explanation of results

$303K

6,019 claims · 3.7%

Your Cost: $50.28/claim|Median: $47.55
1.1× median
90791Top 10%

Psychiatric diagnostic evaluation

$263K

1,292 claims · 3.2%

Your Cost: $203.33/claim|Median: $99.21
2.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$251K

2,707 claims · 3.1%

Your Cost: $92.65/claim|Median: $76.61
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$216K

2,346 claims · 2.7%

Your Cost: $92.10/claim|Median: $108.91
0.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$167K

2,550 claims · 2.1%

Your Cost: $65.55/claim|Median: $84.12
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$113K

1,893 claims · 1.4%

Your Cost: $59.57/claim|Median: $85.66
0.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$96K

2,830 claims · 1.2%

Your Cost: $33.99/claim|Median: $91.63
0.4× median
99213Normal range

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

$66K

2,486 claims · 0.8%

Your Cost: $26.60/claim|Median: $37.81
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$47K

1,055 claims · 0.6%

Your Cost: $44.67/claim|Median: $63.65
0.7× median
S0220Normal range

$23K

370 claims · 0.3%

Your Cost: $61.17/claim|Median: $62.26
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$16K

342 claims · 0.2%

Your Cost: $46.76/claim|Median: $215.80
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$12K

370 claims · 0.2%

Your Cost: $33.66/claim|Median: $41.28
0.8× median
99214Normal range

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

$9K

356 claims · 0.1%

Your Cost: $24.08/claim|Median: $53.41
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$4K

287 claims · 0.0%

Your Cost: $14.06/claim|Median: $25.06
0.6× median
H2027Normal range

Psychoeducational service, per 15 minutes

$2K

25 claims · 0.0%

Your Cost: $86.15/claim|Median: $82.72
1.0× median
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