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Shirley Labrecque

Nurse Practitioner, Psych/Mental Health·Lowell, MA·NPI: 1629123526SharePrint ReportML Risk: 86%

Compared to Nurse Practitioner, Psych/Mental Health Peers

Total spending distribution among 7 providers in this specialty

P25MedianP75P90

This provider's total spending of $641K is at the 99th percentile among 7 Nurse Practitioner, Psych/Mental Health providers.

Above 99th percentile for this specialty — higher spending than 6 of 7 peers

Total Paid

$641K

$640,578

Total Claims

9,108

Beneficiaries

2,835

3.2 claims/patient

Avg Cost/Claim

$70

🔍 Analysis

Provider Overview

Shirley Labrecque is a Nurse Practitioner, Psych/Mental Health provider based in Lowell, MA. From 2019-05 through 2021-05, this provider received $641K in Medicaid payments across 9K claims serving 3K beneficiaries, billing 10 distinct procedure codes.

Key Findings

  • 📊Spending grew 1554% from $18K in 2019 to $298K in 2021.
  • 📊Saw a 18.0× spike in 2020 ($18K → $324K), a sharp year-over-year increase.
  • 📊Billing stopped in 2021-05, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2019
$18K
+1697%
2020
$324K
-8%
2021
$298K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 52% of total spending.

90834Normal range

Psychotherapy, 45 minutes

$332K

4,131 claims · 51.9%

Your Cost: $80.45/claim|Median: $63.65
1.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$135K

1,783 claims · 21.0%

Your Cost: $75.44/claim|Median: $84.12
0.9× median
T1027Normal range

Family training and counseling, per 15 minutes

$102K

2,045 claims · 15.8%

Your Cost: $49.63/claim|Median: $53.00
0.9× median
90882Normal range

Environmental intervention

$23K

396 claims · 3.5%

Your Cost: $56.85/claim|Median: $45.05
1.3× median
90887Normal range

Interpretation/explanation of results

$13K

198 claims · 2.0%

Your Cost: $63.14/claim|Median: $47.55
1.3× median
99214Top 25%

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

$12K

123 claims · 1.9%

Your Cost: $96.85/claim|Median: $53.41
1.8× median
90832Normal range

Psychotherapy, 30 minutes

$12K

301 claims · 1.9%

Your Cost: $39.53/claim|Median: $41.28
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$11K

88 claims · 1.7%

Your Cost: $121.93/claim|Median: $99.21
1.2× median
99213Normal range

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

$1K

29 claims · 0.2%

Your Cost: $49.17/claim|Median: $37.81
1.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$1K

14 claims · 0.2%

Your Cost: $88.68/claim|Median: $77.33
1.1× median