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Provider 1619553963

NPI: 1619553963Share
Active Billing Period:2021-09→2024-12(40 months)

Total Paid

$9.1M

$9,114,954

Total Claims

42K

Beneficiaries

35K

1.2 claims/patient

Avg Cost/Claim

$217

Monthly Spending Trend

Yearly Spending

2021
$66K
+2003%
2022
$1.4M
+161%
2023
$3.6M
+12%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (90791 (Psychiatric diagnostic evaluation)) accounts for 22% of total spending.

90791Top 5%

Psychiatric diagnostic evaluation

$2.0M

6,389 claims · 22.5%

Your Cost: $320.74/claim|Median: $99.21
3.2× median
96131Top 10%

Psychological testing evaluation, each additional hour

$2.0M

6,505 claims · 22.0%

Your Cost: $307.82/claim|Median: $133.38
2.3× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$1.5M

6,656 claims · 16.8%

Your Cost: $230.50/claim|Median: $79.21
2.9× median
96139Top 25%

$1.4M

7,160 claims · 15.7%

Your Cost: $200.00/claim|Median: $97.14
2.1× median
97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$1.3M

5,132 claims · 14.5%

Your Cost: $256.80/claim|Median: $167.38
1.5× median
96138Top 5%

$474K

7,208 claims · 5.2%

Your Cost: $65.80/claim|Median: $19.87
3.3× median
96156Top 10%

$246K

2,168 claims · 2.7%

Your Cost: $113.47/claim|Median: $22.36
5.1× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$43K

511 claims · 0.5%

Your Cost: $84.01/claim|Median: $146.45
0.6× median
97151Normal range

Behavior identification assessment

$10K

44 claims · 0.1%

Your Cost: $233.16/claim|Median: $161.10
1.4× median
T1016Normal range

Case management, each 15 min

$4K

116 claims · 0.0%

Your Cost: $30.68/claim|Median: $49.62
0.6× median
97156Normal range

$1K

17 claims · 0.0%

Your Cost: $67.18/claim|Median: $88.65
0.8× median
96167Top 25%

$1K

13 claims · 0.0%

Your Cost: $82.46/claim|Median: $43.84
1.9× median
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