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Provider 1609862622

NPI: 1609862622Share
Active Billing Period:2018-012024-11(72 months)

Total Paid

$10.8M

$10,786,672

Total Claims

114K

Beneficiaries

82K

1.4 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$11K
+44%
2019
$16K
+3246%
2020
$542K
+308%
2021
$2.2M
+11%
2022
$2.5M
+19%
2023
$2.9M
-11%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 35% of total spending.

90834Top 25%

Psychotherapy, 45 minutes

$3.8M

39K claims · 35.2%

Your Cost: $97.26/claim|Median: $63.65
1.5× median
90837Top 25%

Psychotherapy, 60 minutes

$2.9M

23K claims · 26.4%

Your Cost: $122.01/claim|Median: $85.66
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$1.1M

22K claims · 10.4%

Your Cost: $50.28/claim|Median: $41.28
1.2× median
H0034Normal range

Medication training and management, per 15 min

$906K

7,911 claims · 8.4%

Your Cost: $114.52/claim|Median: $56.90
2.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$616K

4,333 claims · 5.7%

Your Cost: $142.26/claim|Median: $108.91
1.3× median
99211Top 5%

Office/outpatient visit, minimal complexity

$433K

5,270 claims · 4.0%

Your Cost: $82.13/claim|Median: $12.93
6.4× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$253K

2,589 claims · 2.3%

Your Cost: $97.64/claim|Median: $27.38
3.6× median
99241Top 25%

Office consultation, straightforward

$251K

2,561 claims · 2.3%

Your Cost: $98.03/claim|Median: $36.49
2.7× median
99214Top 10%

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

$238K

2,306 claims · 2.2%

Your Cost: $103.39/claim|Median: $53.41
1.9× median
90853Top 25%

Group psychotherapy

$141K

2,930 claims · 1.3%

Your Cost: $48.23/claim|Median: $25.02
1.9× median
H0046Normal range

Mental health services, not otherwise specified

$100K

635 claims · 0.9%

Your Cost: $158.20/claim|Median: $85.02
1.9× median
99213Top 10%

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

$38K

470 claims · 0.4%

Your Cost: $81.23/claim|Median: $37.81
2.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$26K

359 claims · 0.2%

Your Cost: $71.07/claim|Median: $77.33
0.9× median
96131Normal range

Psychological testing evaluation, each additional hour

$5K

37 claims · 0.0%

Your Cost: $139.60/claim|Median: $133.38
1.0× median
96130Normal range

Psychological testing evaluation by professional, first hour

$4K

61 claims · 0.0%

Your Cost: $72.31/claim|Median: $79.21
0.9× median