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Provider 1649209990

NPI: 1649209990Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.9M

$9,856,118

Total Claims

70K

Beneficiaries

37K

1.9 claims/patient

Avg Cost/Claim

$141

Monthly Spending Trend

Yearly Spending

2018
$988K
+18%
2019
$1.2M
-2%
2020
$1.1M
+18%
2021
$1.3M
+20%
2022
$1.6M
+14%
2023
$1.8M
-1%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 57% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$5.6M

17K claims · 56.8%

Your Cost: $322.04/claim|Median: $53.97
6.0× median
97150Top 10%

Therapeutic procedure, group (2+ patients)

$1.5M

16K claims · 14.9%

Your Cost: $90.03/claim|Median: $12.12
7.4× median
T1017Top 5%

Targeted case management, per 15 min

$620K

1,895 claims · 6.3%

Your Cost: $327.27/claim|Median: $69.56
4.7× median
H0006Top 5%

Alcohol and/or drug services, case management

$544K

2,592 claims · 5.5%

Your Cost: $209.90/claim|Median: $43.10
4.9× median
T2023Normal range

Community transition, waiver; per service

$456K

1,231 claims · 4.6%

Your Cost: $370.25/claim|Median: $300.13
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$257K

2,680 claims · 2.6%

Your Cost: $95.92/claim|Median: $85.66
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$212K

2,312 claims · 2.2%

Your Cost: $91.86/claim|Median: $99.21
0.9× median
99213Normal range

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

$204K

4,920 claims · 2.1%

Your Cost: $41.46/claim|Median: $37.81
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$105K

1,873 claims · 1.1%

Your Cost: $56.32/claim|Median: $91.63
0.6× median
99214Normal range

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

$90K

1,492 claims · 0.9%

Your Cost: $60.56/claim|Median: $53.41
1.1× median
T2003Normal range

Non-emergency transport; encounter/trip

$51K

11K claims · 0.5%

Your Cost: $4.81/claim|Median: $21.70
0.2× median
T1012Normal range

Alcohol/drug services, skills development

$46K

1,088 claims · 0.5%

Your Cost: $42.26/claim|Median: $40.78
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$46K

506 claims · 0.5%

Your Cost: $90.55/claim|Median: $85.02
1.1× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$44K

70 claims · 0.4%

Your Cost: $631.20/claim|Median: $215.80
2.9× median
90832Normal range

Psychotherapy, 30 minutes

$41K

1,246 claims · 0.4%

Your Cost: $33.06/claim|Median: $41.28
0.8× median
80305Top 25%

$25K

2,386 claims · 0.3%

Your Cost: $10.46/claim|Median: $7.44
1.4× median
H0024Top 25%

$23K

510 claims · 0.2%

Your Cost: $44.28/claim|Median: $27.14
1.6× median
Q3014Normal range

Telehealth originating site facility fee

$11K

563 claims · 0.1%

Your Cost: $19.93/claim|Median: $15.37
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$10K

172 claims · 0.1%

Your Cost: $58.08/claim|Median: $63.65
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$952

53 claims · 0.0%

Your Cost: $17.96/claim|Median: $25.06
0.7× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$856

13 claims · 0.0%

Your Cost: $65.85/claim|Median: $76.05
0.9× median
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