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Provider 1649697657

NPI: 1649697657Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,053,042

Total Claims

209K

Beneficiaries

158K

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$325K
+62%
2019
$526K
+76%
2020
$925K
+62%
2021
$1.5M
-7%
2022
$1.4M
+22%
2023
$1.7M
-1%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 42% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$3.4M

28K claims · 42.2%

Your Cost: $119.88/claim|Median: $96.24
1.2× median
99214Top 25%

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

$1.3M

13K claims · 15.6%

Your Cost: $94.14/claim|Median: $53.41
1.8× median
99215Top 25%

Office/outpatient visit, high complexity

$601K

4,551 claims · 7.5%

Your Cost: $131.99/claim|Median: $74.09
1.8× median
99213Top 10%

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

$512K

6,144 claims · 6.4%

Your Cost: $83.40/claim|Median: $37.81
2.2× median
90832Top 25%

Psychotherapy, 30 minutes

$502K

8,326 claims · 6.2%

Your Cost: $60.28/claim|Median: $41.28
1.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$313K

3,004 claims · 3.9%

Your Cost: $104.32/claim|Median: $55.04
1.9× median
H0031Top 25%

Mental health assessment by non-physician

$228K

1,373 claims · 2.8%

Your Cost: $166.29/claim|Median: $96.18
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$221K

2,818 claims · 2.7%

Your Cost: $78.33/claim|Median: $63.65
1.2× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$125K

1,223 claims · 1.6%

Your Cost: $102.11/claim|Median: $22.44
4.6× median
G0175Top 5%

$106K

391 claims · 1.3%

Your Cost: $270.25/claim|Median: $51.98
5.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$100K

690 claims · 1.2%

Your Cost: $145.31/claim|Median: $108.91
1.3× median
90833Normal range

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

$99K

1,919 claims · 1.2%

Your Cost: $51.50/claim|Median: $38.83
1.3× median
90889Normal range

$75K

1,689 claims · 0.9%

Your Cost: $44.31/claim|Median: $56.63
0.8× median
90837Top 25%

Psychotherapy, 60 minutes

$67K

653 claims · 0.8%

Your Cost: $103.12/claim|Median: $85.66
1.2× median
80305Top 10%

$52K

4,100 claims · 0.6%

Your Cost: $12.66/claim|Median: $7.44
1.7× median
90847Normal range

Family psychotherapy with patient, 50 min

$48K

529 claims · 0.6%

Your Cost: $91.10/claim|Median: $77.33
1.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$48K

244 claims · 0.6%

Your Cost: $194.94/claim|Median: $111.09
1.8× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$45K

5,521 claims · 0.6%

Your Cost: $8.12/claim|Median: $3.67
2.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$43K

3,755 claims · 0.5%

Your Cost: $11.58/claim|Median: $12.93
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$36K

301 claims · 0.5%

Your Cost: $120.92/claim|Median: $99.21
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$33K

724 claims · 0.4%

Your Cost: $46.10/claim|Median: $25.06
1.8× median
90838Normal range

Psychotherapy, 60 min, add-on to E/M

$31K

348 claims · 0.4%

Your Cost: $87.66/claim|Median: $67.05
1.3× median
H2010Normal range

Comprehensive medication services, per 15 min

$19K

369 claims · 0.2%

Your Cost: $52.37/claim|Median: $62.69
0.8× median
90846Normal range

Family psychotherapy without patient, 50 min

$10K

155 claims · 0.1%

Your Cost: $63.59/claim|Median: $76.61
0.8× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$10K

139 claims · 0.1%

Your Cost: $69.12/claim|Median: $56.18
1.2× median
99449Top 10%

$9K

120 claims · 0.1%

Your Cost: $71.50/claim|Median: $10.83
6.6× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$7K

51 claims · 0.1%

Your Cost: $139.85/claim|Median: $84.03
1.7× median
36415Top 10%

Collection of venous blood by venipuncture

$6K

1,065 claims · 0.1%

Your Cost: $5.60/claim|Median: $1.57
3.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$5K

318 claims · 0.1%

Your Cost: $16.80/claim|Median: $9.56
1.8× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$5K

36 claims · 0.1%

Your Cost: $145.29/claim|Median: $32.55
4.5× median
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