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Provider 1659353670

NPI: 1659353670Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.4M

$17,440,821

Total Claims

222K

Beneficiaries

165K

1.3 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+47%
2019
$2.4M
+27%
2020
$3.1M
-2%
2021
$3.0M
-10%
2022
$2.7M
-10%
2023
$2.4M
-11%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (99490 (Chronic care management services, 20 minutes per month)) accounts for 39% of total spending.

99490Top 1%

Chronic care management services, 20 minutes per month

$6.8M

37K claims · 39.0%

Your Cost: $185.15/claim|Median: $6.31
29.3× median
90834Top 25%

Psychotherapy, 45 minutes

$3.6M

40K claims · 20.7%

Your Cost: $89.96/claim|Median: $63.65
1.4× median
99213Top 25%

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

$1.8M

28K claims · 10.5%

Your Cost: $64.74/claim|Median: $37.81
1.7× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$1.5M

27K claims · 8.8%

Your Cost: $56.82/claim|Median: $266.41
0.2× median
99214Top 25%

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

$759K

9,260 claims · 4.4%

Your Cost: $81.99/claim|Median: $53.41
1.5× median
90791Normal range

Psychiatric diagnostic evaluation

$716K

5,825 claims · 4.1%

Your Cost: $122.96/claim|Median: $99.21
1.2× median
S9485Normal range

Crisis intervention mental health services, per diem

$581K

1,842 claims · 3.3%

Your Cost: $315.48/claim|Median: $501.33
0.6× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$548K

2,611 claims · 3.1%

Your Cost: $209.94/claim|Median: $108.91
1.9× median
Q3014Normal range

Telehealth originating site facility fee

$417K

25K claims · 2.4%

Your Cost: $16.92/claim|Median: $15.37
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$210K

2,456 claims · 1.2%

Your Cost: $85.32/claim|Median: $85.66
1.0× median
S0201Normal range

Partial hospitalization services, per diem

$137K

426 claims · 0.8%

Your Cost: $321.58/claim|Median: $445.16
0.7× median
T1016Normal range

Case management, each 15 min

$88K

7,622 claims · 0.5%

Your Cost: $11.51/claim|Median: $49.62
0.2× median
H0003Normal range

$56K

2,686 claims · 0.3%

Your Cost: $20.84/claim|Median: $13.38
1.6× median
90853Top 25%

Group psychotherapy

$42K

775 claims · 0.2%

Your Cost: $53.84/claim|Median: $25.02
2.2× median
90832Normal range

Psychotherapy, 30 minutes

$37K

835 claims · 0.2%

Your Cost: $44.24/claim|Median: $41.28
1.1× median
H2016Normal range

Comprehensive community support services, per 15 min

$31K

342 claims · 0.2%

Your Cost: $91.12/claim|Median: $321.53
0.3× median
S9484Normal range

Crisis intervention mental health services, per hour

$23K

90 claims · 0.1%

Your Cost: $252.88/claim|Median: $249.51
1.0× median
99212Top 10%

Office/outpatient visit, low complexity

$14K

237 claims · 0.1%

Your Cost: $59.21/claim|Median: $25.06
2.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$1K

144 claims · 0.0%

Your Cost: $10.27/claim|Median: $22.44
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$491

817 claims · 0.0%

Your Cost: $0.60/claim|Median: $9.56
0.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$157

24 claims · 0.0%

Your Cost: $6.55/claim|Median: $13.30
0.5× median
G0506Normal range

Comprehensive assessment of chronic care management

$0

5,219 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.41
S0281Normal range

$0

971 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.97
G2058Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.40
G9008Normal range

Coordination of long-term care services, per month

$0

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $66.78
G2065Normal range

$0

89 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.39
H0038Normal range

Self-help/peer services, per 15 minutes

$0

9,403 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04
99439Normal range

$0

336 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.83
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