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Provider 1619068624

NPI: 1619068624Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.2M

$14,191,260

Total Claims

245K

Beneficiaries

122K

2.0 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$705K
+38%
2019
$970K
+224%
2020
$3.1M
-37%
2021
$2.0M
-13%
2022
$1.7M
+17%
2023
$2.0M
+83%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T2025 (Waiver services, NOS; per 15 min)) accounts for 20% of total spending.

T2025Normal range

Waiver services, NOS; per 15 min

$2.9M

28K claims · 20.5%

Your Cost: $104.86/claim|Median: $124.39
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.6M

36K claims · 18.0%

Your Cost: $71.22/claim|Median: $74.63
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.8M

62K claims · 12.7%

Your Cost: $28.78/claim|Median: $96.24
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$1.7M

22K claims · 12.3%

Your Cost: $78.06/claim|Median: $85.66
0.9× median
H2023Normal range

Supported employment, per 15 min

$1.0M

8,502 claims · 7.3%

Your Cost: $122.28/claim|Median: $103.94
1.2× median
99214Normal range

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

$1.0M

14K claims · 7.2%

Your Cost: $71.46/claim|Median: $53.41
1.3× median
H2013Normal range

Psychiatric health facility service, per diem

$877K

893 claims · 6.2%

Your Cost: $981.68/claim|Median: $841.93
1.2× median
S9485Normal range

Crisis intervention mental health services, per diem

$441K

693 claims · 3.1%

Your Cost: $636.51/claim|Median: $501.33
1.3× median
H0031Normal range

Mental health assessment by non-physician

$336K

3,566 claims · 2.4%

Your Cost: $94.19/claim|Median: $96.18
1.0× median
96165Top 25%

Health behavior intervention, family, each additional fifteen minutes

$325K

5,085 claims · 2.3%

Your Cost: $64.00/claim|Median: $15.54
4.1× median
90834Normal range

Psychotherapy, 45 minutes

$252K

3,289 claims · 1.8%

Your Cost: $76.48/claim|Median: $63.65
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$174K

1,408 claims · 1.2%

Your Cost: $123.42/claim|Median: $108.91
1.1× median
99213Normal range

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

$140K

3,889 claims · 1.0%

Your Cost: $35.94/claim|Median: $37.81
1.0× median
96164Top 25%

$116K

6,518 claims · 0.8%

Your Cost: $17.73/claim|Median: $9.87
1.8× median
H0001Normal range

Alcohol and/or drug assessment

$98K

927 claims · 0.7%

Your Cost: $105.89/claim|Median: $94.22
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$70K

938 claims · 0.5%

Your Cost: $74.97/claim|Median: $74.09
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$47K

1,246 claims · 0.3%

Your Cost: $38.09/claim|Median: $77.33
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$42K

985 claims · 0.3%

Your Cost: $42.52/claim|Median: $99.21
0.4× median
H0046Normal range

Mental health services, not otherwise specified

$33K

5,029 claims · 0.2%

Your Cost: $6.52/claim|Median: $85.02
0.1× median
T1001Normal range

Nursing assessment/evaluation, per visit

$26K

2,452 claims · 0.2%

Your Cost: $10.69/claim|Median: $49.05
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$24K

960 claims · 0.2%

Your Cost: $25.31/claim|Median: $25.06
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$24K

1,051 claims · 0.2%

Your Cost: $23.07/claim|Median: $41.28
0.6× median
H0034Normal range

Medication training and management, per 15 min

$20K

493 claims · 0.1%

Your Cost: $41.44/claim|Median: $56.90
0.7× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$19K

363 claims · 0.1%

Your Cost: $52.68/claim|Median: $57.85
0.9× median
80305Top 25%

$9K

781 claims · 0.1%

Your Cost: $11.65/claim|Median: $7.44
1.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$8K

8,696 claims · 0.1%

Your Cost: $0.91/claim|Median: $55.04
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$8K

633 claims · 0.1%

Your Cost: $12.02/claim|Median: $9.56
1.3× median
H2021Normal range

Community-based wrap-around services, per 15 min

$6K

1,865 claims · 0.0%

Your Cost: $3.46/claim|Median: $169.11
0.0× median
H2027Normal range

Psychoeducational service, per 15 minutes

$6K

253 claims · 0.0%

Your Cost: $22.49/claim|Median: $82.72
0.3× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$6K

673 claims · 0.0%

Your Cost: $8.27/claim|Median: $53.97
0.2× median
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