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Provider 1669758751

NPI: 1669758751Share
Active Billing Period:2019-01→2024-12(67 months)

Total Paid

$9.3M

$9,340,477

Total Claims

79K

Beneficiaries

9,840

8.0 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2019
$360K
+339%
2020
$1.6M
-6%
2021
$1.5M
+40%
2022
$2.1M
+15%
2023
$2.4M
-39%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H0038 (Self-help/peer services, per 15 minutes)) accounts for 35% of total spending.

H0038Top 25%

Self-help/peer services, per 15 minutes

$3.3M

22K claims · 35.2%

Your Cost: $150.27/claim|Median: $55.04
2.7× median
G0397Normal range

$2.5M

16K claims · 26.5%

Your Cost: $152.38/claim|Median: $142.31
1.1× median
90834Top 5%

Psychotherapy, 45 minutes

$1.1M

6,874 claims · 11.4%

Your Cost: $154.73/claim|Median: $63.65
2.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.0M

19K claims · 11.0%

Your Cost: $54.45/claim|Median: $47.35
1.1× median
G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$844K

7,963 claims · 9.0%

Your Cost: $106.01/claim|Median: $40.58
2.6× median
99213Top 5%

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

$319K

2,324 claims · 3.4%

Your Cost: $137.06/claim|Median: $37.81
3.6× median
90853Top 25%

Group psychotherapy

$167K

3,140 claims · 1.8%

Your Cost: $53.10/claim|Median: $25.02
2.1× median
99212Top 5%

Office/outpatient visit, low complexity

$88K

690 claims · 0.9%

Your Cost: $127.23/claim|Median: $25.06
5.1× median
H0001Top 25%

Alcohol and/or drug assessment

$56K

361 claims · 0.6%

Your Cost: $155.01/claim|Median: $94.22
1.6× median
99203Top 5%

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

$8K

64 claims · 0.1%

Your Cost: $123.39/claim|Median: $57.85
2.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

479 claims · 0.1%

Your Cost: $13.09/claim|Median: $9.56
1.4× median
99204Normal range

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

$4K

37 claims · 0.0%

Your Cost: $104.25/claim|Median: $84.03
1.2× median
T1006Normal range

Alcohol/drug services, family/couple counseling

$3K

23 claims · 0.0%

Your Cost: $109.00/claim|Median: $109.04
1.0× median
J2315Normal range

$679

318 claims · 0.0%

Your Cost: $2.14/claim|Median: $1,045.36
0.0× median
H0033Normal range

Oral medication administration, direct observation

$594

22 claims · 0.0%

Your Cost: $26.99/claim|Median: $31.37
0.9× median
H0049Top 10%

$591

13 claims · 0.0%

Your Cost: $45.45/claim|Median: $9.27
4.9× median
99407Top 25%

$331

15 claims · 0.0%

Your Cost: $22.05/claim|Median: $13.29
1.7× median
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