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Provider 1689184913

NPI: 1689184913Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.7M

$9,666,931

Total Claims

104K

Beneficiaries

36K

2.9 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+48%
2019
$1.8M
-27%
2020
$1.3M
-3%
2021
$1.3M
+10%
2022
$1.4M
+1%
2023
$1.4M
-6%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 39% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$3.7M

54K claims · 38.5%

Your Cost: $69.31/claim|Median: $85.66
0.8× median
T2023Normal range

Community transition, waiver; per service

$3.5M

11K claims · 36.2%

Your Cost: $321.45/claim|Median: $300.13
1.1× median
99354Normal range

$1.3M

24K claims · 13.8%

Your Cost: $55.80/claim|Median: $54.96
1.0× median
H2020Top 25%

Day habilitation, waiver, per 15 minutes

$577K

2,435 claims · 6.0%

Your Cost: $237.05/claim|Median: $144.05
1.6× median
99355Normal range

$199K

4,273 claims · 2.1%

Your Cost: $46.49/claim|Median: $55.81
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$144K

2,272 claims · 1.5%

Your Cost: $63.22/claim|Median: $74.63
0.8× median
90887Normal range

Interpretation/explanation of results

$98K

2,250 claims · 1.0%

Your Cost: $43.33/claim|Median: $47.55
0.9× median
90853Normal range

Group psychotherapy

$43K

3,381 claims · 0.4%

Your Cost: $12.63/claim|Median: $25.02
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$30K

433 claims · 0.3%

Your Cost: $68.23/claim|Median: $99.21
0.7× median
H0032Normal range

Mental health service plan development

$19K

353 claims · 0.2%

Your Cost: $54.17/claim|Median: $80.64
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$5K

183 claims · 0.1%

Your Cost: $28.10/claim|Median: $41.28
0.7× median
H0031Normal range

Mental health assessment by non-physician

$904

17 claims · 0.0%

Your Cost: $53.19/claim|Median: $96.18
0.6× median
90785Normal range

$626

86 claims · 0.0%

Your Cost: $7.27/claim|Median: $6.43
1.1× median
99417Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.90
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