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Provider 1619980927

NPI: 1619980927Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.6M

$15,582,917

Total Claims

133K

Beneficiaries

66K

2.0 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+6%
2019
$2.5M
-12%
2020
$2.2M
-1%
2021
$2.2M
+6%
2022
$2.3M
-2%
2023
$2.3M
-31%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (H0036 (Community psychiatric supportive treatment, per 15 min)) accounts for 33% of total spending.

H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$5.1M

30K claims · 32.9%

Your Cost: $172.65/claim|Median: $76.05
2.3× median
H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$2.2M

11K claims · 13.9%

Your Cost: $198.47/claim|Median: $74.63
2.7× median
90837Normal range

Psychotherapy, 60 minutes

$1.5M

19K claims · 9.7%

Your Cost: $79.02/claim|Median: $85.66
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$1.5M

25K claims · 9.7%

Your Cost: $61.00/claim|Median: $63.65
1.0× median
T1017Normal range

Targeted case management, per 15 min

$1.4M

11K claims · 8.7%

Your Cost: $123.99/claim|Median: $69.56
1.8× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$1.1M

8,987 claims · 7.0%

Your Cost: $121.48/claim|Median: $55.04
2.2× median
H0006Top 10%

Alcohol and/or drug services, case management

$940K

5,767 claims · 6.0%

Your Cost: $162.93/claim|Median: $43.10
3.8× median
S5111Normal range

Home care training, family member, per session

$383K

4,665 claims · 2.5%

Your Cost: $82.14/claim|Median: $87.13
0.9× median
H0001Top 25%

Alcohol and/or drug assessment

$353K

1,939 claims · 2.3%

Your Cost: $182.03/claim|Median: $94.22
1.9× median
90791Normal range

Psychiatric diagnostic evaluation

$248K

2,532 claims · 1.6%

Your Cost: $98.12/claim|Median: $99.21
1.0× median
H0050Top 25%

$207K

1,968 claims · 1.3%

Your Cost: $105.23/claim|Median: $46.71
2.3× median
90832Normal range

Psychotherapy, 30 minutes

$186K

4,204 claims · 1.2%

Your Cost: $44.25/claim|Median: $41.28
1.1× median
99213Top 10%

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

$121K

1,615 claims · 0.8%

Your Cost: $74.74/claim|Median: $37.81
2.0× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$105K

1,512 claims · 0.7%

Your Cost: $69.57/claim|Median: $47.35
1.5× median
T1005Normal range

Respite care services, per 15 minutes

$62K

900 claims · 0.4%

Your Cost: $68.49/claim|Median: $71.40
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$47K

344 claims · 0.3%

Your Cost: $135.87/claim|Median: $108.91
1.2× median
T2024Normal range

Supported employment, waiver, per diem

$41K

809 claims · 0.3%

Your Cost: $51.00/claim|Median: $259.38
0.2× median
99214Normal range

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

$40K

677 claims · 0.3%

Your Cost: $59.71/claim|Median: $53.41
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$19K

363 claims · 0.1%

Your Cost: $51.59/claim|Median: $25.06
2.1× median
H0002Top 25%

Behavioral health screening

$18K

154 claims · 0.1%

Your Cost: $116.24/claim|Median: $38.77
3.0× median
99215Normal range

Office/outpatient visit, high complexity

$16K

228 claims · 0.1%

Your Cost: $71.43/claim|Median: $74.09
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$15K

293 claims · 0.1%

Your Cost: $51.62/claim|Median: $96.24
0.5× median
90853Normal range

Group psychotherapy

$11K

379 claims · 0.1%

Your Cost: $30.02/claim|Median: $25.02
1.2× median
H0031Normal range

Mental health assessment by non-physician

$10K

107 claims · 0.1%

Your Cost: $95.73/claim|Median: $96.18
1.0× median
90847Top 25%

Family psychotherapy with patient, 50 min

$6K

58 claims · 0.0%

Your Cost: $106.74/claim|Median: $77.33
1.4× median
T1012Normal range

Alcohol/drug services, skills development

$2K

45 claims · 0.0%

Your Cost: $47.00/claim|Median: $40.78
1.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$510

16 claims · 0.0%

Your Cost: $31.86/claim|Median: $12.93
2.5× median
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