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Unknown Provider 1639113020

NPI: 1639113020SharePrint ReportML Risk: 84%

Total Paid

$224K

$223,575

Total Claims

2,795

Beneficiaries

1,253

2.2 claims/patient

Avg Cost/Claim

$80

🔍 Analysis

Provider Overview

is a Medicaid provider based in Unknown location. From the 2018–2024 period, this provider received $224K in Medicaid payments across 3K claims serving 1K beneficiaries.

5022% growthsince first billing year

Yearly Spending

2019
$3K
+3110%
2021
$85K
+60%
2022
$136K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (H0037 (Community psychiatric supportive treatment program, per diem)) accounts for 97% of total spending.

H0037Normal range

Community psychiatric supportive treatment program, per diem

$216K

593 claims · 96.7%

Your Cost: $364.75/claim|Median: $225.50
1.6× median
T1016Normal range

Case management, each 15 min

$5K

1,548 claims · 2.1%

Your Cost: $2.99/claim|Median: $49.62
0.1× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$3K

14 claims · 1.2%

Your Cost: $189.40/claim|Median: $108.91
1.7× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$0

640 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.05