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Provider 1649744228

NPI: 1649744228Share
Active Billing Period:2019-042024-12(69 months)

Total Paid

$14.9M

$14,872,323

Total Claims

95K

Beneficiaries

28K

3.4 claims/patient

Avg Cost/Claim

$157

Monthly Spending Trend

Yearly Spending

2019
$422K
+143%
2020
$1.0M
+55%
2021
$1.6M
+155%
2022
$4.1M
+12%
2023
$4.5M
-29%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H2020 (Day habilitation, waiver, per 15 minutes)) accounts for 86% of total spending.

H2020Top 25%

Day habilitation, waiver, per 15 minutes

$12.8M

62K claims · 86.1%

Your Cost: $208.18/claim|Median: $144.05
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$901K

13K claims · 6.1%

Your Cost: $69.12/claim|Median: $85.66
0.8× median
99213Normal range

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

$243K

5,970 claims · 1.6%

Your Cost: $40.65/claim|Median: $37.81
1.1× median
T2023Normal range

Community transition, waiver; per service

$231K

824 claims · 1.6%

Your Cost: $280.54/claim|Median: $300.13
0.9× median
H0032Normal range

Mental health service plan development

$220K

3,528 claims · 1.5%

Your Cost: $62.44/claim|Median: $80.64
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$114K

3,106 claims · 0.8%

Your Cost: $36.73/claim|Median: $41.28
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$87K

1,161 claims · 0.6%

Your Cost: $74.96/claim|Median: $99.21
0.8× median
90833Normal range

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

$77K

2,272 claims · 0.5%

Your Cost: $33.91/claim|Median: $38.83
0.9× median
H0002Normal range

Behavioral health screening

$59K

948 claims · 0.4%

Your Cost: $62.76/claim|Median: $38.77
1.6× median
99214Normal range

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

$58K

1,293 claims · 0.4%

Your Cost: $45.14/claim|Median: $53.41
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$36K

381 claims · 0.2%

Your Cost: $94.54/claim|Median: $108.91
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$30K

474 claims · 0.2%

Your Cost: $63.05/claim|Median: $84.12
0.7× median
99354Normal range

$1K

22 claims · 0.0%

Your Cost: $60.06/claim|Median: $54.96
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

14 claims · 0.0%

Your Cost: $92.04/claim|Median: $111.09
0.8× median
90853Normal range

Group psychotherapy

$457

37 claims · 0.0%

Your Cost: $12.35/claim|Median: $25.02
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$6

60 claims · 0.0%

Your Cost: $0.09/claim|Median: $3.67
0.0× median