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Provider 1609979640

NPI: 1609979640Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.2M

$15,243,293

Total Claims

124K

Beneficiaries

102K

1.2 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+9%
2019
$2.5M
+3%
2020
$2.6M
-19%
2021
$2.1M
-3%
2022
$2.1M
-1%
2023
$2.0M
-22%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 26% of total spending.

99214Top 1%

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

$4.0M

20K claims · 26.1%

Your Cost: $202.37/claim|Median: $53.41
3.8× median
90834Top 5%

Psychotherapy, 45 minutes

$2.7M

19K claims · 18.0%

Your Cost: $146.78/claim|Median: $63.65
2.3× median
H0031Normal range

Mental health assessment by non-physician

$2.3M

18K claims · 15.0%

Your Cost: $125.60/claim|Median: $96.18
1.3× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$1.5M

2,689 claims · 9.8%

Your Cost: $555.05/claim|Median: $108.91
5.1× median
90837Top 5%

Psychotherapy, 60 minutes

$1.1M

5,398 claims · 7.2%

Your Cost: $202.98/claim|Median: $85.66
2.4× median
90847Top 5%

Family psychotherapy with patient, 50 min

$1.0M

4,458 claims · 6.9%

Your Cost: $234.58/claim|Median: $77.33
3.0× median
T1002Normal range

RN services, per 15 minutes

$779K

17K claims · 5.1%

Your Cost: $46.16/claim|Median: $37.42
1.2× median
90832Top 25%

Psychotherapy, 30 minutes

$743K

10K claims · 4.9%

Your Cost: $73.43/claim|Median: $41.28
1.8× median
99213Top 5%

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

$267K

2,954 claims · 1.8%

Your Cost: $90.53/claim|Median: $37.81
2.4× median
99215Top 10%

Office/outpatient visit, high complexity

$164K

1,051 claims · 1.1%

Your Cost: $156.22/claim|Median: $74.09
2.1× median
90846Top 5%

Family psychotherapy without patient, 50 min

$132K

555 claims · 0.9%

Your Cost: $238.34/claim|Median: $76.61
3.1× median
J1631Top 25%

$123K

3,338 claims · 0.8%

Your Cost: $36.80/claim|Median: $15.34
2.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$98K

1,626 claims · 0.6%

Your Cost: $60.46/claim|Median: $55.04
1.1× median
90853Top 10%

Group psychotherapy

$78K

1,083 claims · 0.5%

Your Cost: $72.33/claim|Median: $25.02
2.9× median
99366Top 25%

$74K

945 claims · 0.5%

Your Cost: $78.18/claim|Median: $37.02
2.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$54K

1,552 claims · 0.4%

Your Cost: $34.69/claim|Median: $91.63
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$42K

12K claims · 0.3%

Your Cost: $3.43/claim|Median: $9.56
0.4× median
J2680Normal range

$34K

1,847 claims · 0.2%

Your Cost: $18.32/claim|Median: $13.86
1.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$5K

44 claims · 0.0%

Your Cost: $122.94/claim|Median: $215.80
0.6× median
J2426Normal range

$7

747 claims · 0.0%

Your Cost: $0.01/claim|Median: $625.59
0.0× median
J0401Normal range

$1

153 claims · 0.0%

Your Cost: $0.01/claim|Median: $714.38
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93
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