Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1639127822

NPI: 1639127822Share
Active Billing Period:2018-01→2022-06(54 months)
Billing appears to have stoppedLast active: 2022-06

Total Paid

$13.0M

$12,952,463

Total Claims

193K

Beneficiaries

80K

2.4 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$3.9M
-7%
2019
$3.6M
-38%
2020
$2.2M
-12%
2021
$2.0M
-38%
2022
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2020 (Day habilitation, waiver, per 15 minutes)) accounts for 41% of total spending.

H2020Normal range

Day habilitation, waiver, per 15 minutes

$5.3M

38K claims · 41.0%

Your Cost: $141.36/claim|Median: $144.05
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$2.7M

27K claims · 20.9%

Your Cost: $101.55/claim|Median: $85.66
1.2× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$2.2M

40K claims · 17.3%

Your Cost: $55.95/claim|Median: $76.05
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$724K

11K claims · 5.6%

Your Cost: $68.80/claim|Median: $63.65
1.1× median
90785Top 25%

$681K

58K claims · 5.3%

Your Cost: $11.65/claim|Median: $6.43
1.8× median
99214Top 5%

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

$464K

3,931 claims · 3.6%

Your Cost: $118.03/claim|Median: $53.41
2.2× median
90832Normal range

Psychotherapy, 30 minutes

$393K

7,479 claims · 3.0%

Your Cost: $52.60/claim|Median: $41.28
1.3× median
99213Top 10%

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

$206K

2,571 claims · 1.6%

Your Cost: $80.19/claim|Median: $37.81
2.1× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$77K

1,207 claims · 0.6%

Your Cost: $63.72/claim|Median: $38.83
1.6× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$51K

2,548 claims · 0.4%

Your Cost: $20.04/claim|Median: $91.63
0.2× median
99212Top 25%

Office/outpatient visit, low complexity

$24K

495 claims · 0.2%

Your Cost: $48.51/claim|Median: $25.06
1.9× median
99354Normal range

$20K

339 claims · 0.2%

Your Cost: $59.72/claim|Median: $54.96
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$20K

178 claims · 0.2%

Your Cost: $110.05/claim|Median: $99.21
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$19K

608 claims · 0.1%

Your Cost: $30.57/claim|Median: $84.12
0.4× median
99215Top 10%

Office/outpatient visit, high complexity

$10K

60 claims · 0.1%

Your Cost: $162.40/claim|Median: $74.09
2.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$8K

371 claims · 0.1%

Your Cost: $20.57/claim|Median: $12.93
1.6× median
H2012Normal range

Behavioral health day treatment, per hour

$2K

53 claims · 0.0%

Your Cost: $39.87/claim|Median: $137.86
0.3× median
90853Normal range

Group psychotherapy

$1K

43 claims · 0.0%

Your Cost: $28.12/claim|Median: $25.02
1.1× median
← All providersHow we detect fraud →