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Provider 1669645073

NPI: 1669645073Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.9M

$7,931,045

Total Claims

282K

Beneficiaries

95K

3.0 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$782K
+171%
2020
$2.1M
-46%
2021
$1.1M
-5%
2022
$1.1M
+12%
2023
$1.2M
+32%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (96165 (Health behavior intervention, family, each additional fifteen minutes)) accounts for 49% of total spending.

96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$3.9M

84K claims · 49.1%

Your Cost: $46.15/claim|Median: $15.54
3.0× median
96164Top 25%

$1.5M

85K claims · 18.7%

Your Cost: $17.43/claim|Median: $9.87
1.8× median
H0001Normal range

Alcohol and/or drug assessment

$754K

11K claims · 9.5%

Your Cost: $71.83/claim|Median: $94.22
0.8× median
96153Normal range

Health/behavior intervention, group

$605K

65K claims · 7.6%

Your Cost: $9.34/claim|Median: $6.67
1.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$569K

10K claims · 7.2%

Your Cost: $56.60/claim|Median: $35.43
1.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$436K

14K claims · 5.5%

Your Cost: $30.89/claim|Median: $74.63
0.4× median
H0046Normal range

Mental health services, not otherwise specified

$168K

9,749 claims · 2.1%

Your Cost: $17.21/claim|Median: $85.02
0.2× median
99213Top 25%

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

$16K

236 claims · 0.2%

Your Cost: $68.01/claim|Median: $37.81
1.8× median
99214Top 25%

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

$6K

65 claims · 0.1%

Your Cost: $94.03/claim|Median: $53.41
1.8× median
80306Top 25%

$6K

336 claims · 0.1%

Your Cost: $17.74/claim|Median: $10.29
1.7× median
T1016Normal range

Case management, each 15 min

$0

640 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
96154Normal range

$0

2,161 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.72