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Provider 1649333485

NPI: 1649333485Share
Active Billing Period:2018-122024-11(72 months)

Total Paid

$13.8M

$13,797,921

Total Claims

16K

Beneficiaries

7,725

2.0 claims/patient

Avg Cost/Claim

$872

Monthly Spending Trend

Yearly Spending

2018
$155K
+1269%
2019
$2.1M
+10%
2020
$2.3M
+16%
2021
$2.7M
+23%
2022
$3.3M
-26%
2023
$2.5M
-74%
2024
$656K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H2018 (Psychosocial rehabilitation services, per diem)) accounts for 88% of total spending.

H2018Top 10%

Psychosocial rehabilitation services, per diem

$12.2M

3,914 claims · 88.2%

Your Cost: $3,108.54/claim|Median: $392.63
7.9× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$996K

1,532 claims · 7.2%

Your Cost: $650.42/claim|Median: $84.12
7.7× median
H2014Normal range

Skills training & development, per 15 min

$220K

3,813 claims · 1.6%

Your Cost: $57.78/claim|Median: $83.88
0.7× median
97530Normal range

Therapeutic activities, each 15 min

$167K

2,921 claims · 1.2%

Your Cost: $57.20/claim|Median: $33.11
1.7× median
92507Normal range

Speech/hearing/language treatment

$143K

2,609 claims · 1.0%

Your Cost: $54.76/claim|Median: $49.45
1.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$55K

896 claims · 0.4%

Your Cost: $61.74/claim|Median: $24.49
2.5× median
H0039Top 5%

Assertive community treatment, per diem

$22K

12 claims · 0.2%

Your Cost: $1,801.40/claim|Median: $132.62
13.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$22K

62 claims · 0.2%

Your Cost: $347.19/claim|Median: $321.53
1.1× median
H0002Top 5%

Behavioral health screening

$3K

14 claims · 0.0%

Your Cost: $184.69/claim|Median: $38.77
4.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$2K

23 claims · 0.0%

Your Cost: $75.57/claim|Median: $77.33
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$1K

17 claims · 0.0%

Your Cost: $84.53/claim|Median: $55.04
1.5× median
A0160Normal range

$151

17 claims · 0.0%

Your Cost: $8.87/claim|Median: $12.60
0.7× median