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Provider 1689225351

NPI: 1689225351Share
Active Billing Period:2020-08→2024-12(53 months)

Total Paid

$16.8M

$16,801,192

Total Claims

29K

Beneficiaries

15K

1.9 claims/patient

Avg Cost/Claim

$580

Monthly Spending Trend

Yearly Spending

2020
$683K
+96%
2021
$1.3M
-20%
2022
$1.1M
+448%
2023
$5.9M
+34%
2024
$7.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 65% of total spending.

T1017Top 1%

Targeted case management, per 15 min

$10.9M

19K claims · 64.8%

Your Cost: $567.85/claim|Median: $69.56
8.2× median
99214Top 1%

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

$2.5M

3,900 claims · 14.9%

Your Cost: $642.78/claim|Median: $53.41
12.0× median
90853Top 1%

Group psychotherapy

$765K

1,133 claims · 4.6%

Your Cost: $675.21/claim|Median: $25.02
27.0× median
90837Top 1%

Psychotherapy, 60 minutes

$621K

983 claims · 3.7%

Your Cost: $631.27/claim|Median: $85.66
7.4× median
98962Top 10%

$587K

1,205 claims · 3.5%

Your Cost: $487.44/claim|Median: $12.43
39.2× median
98960Top 1%

$544K

831 claims · 3.2%

Your Cost: $654.80/claim|Median: $12.74
51.4× median
90834Top 1%

Psychotherapy, 45 minutes

$289K

437 claims · 1.7%

Your Cost: $660.63/claim|Median: $63.65
10.4× median
90791Top 1%

Psychiatric diagnostic evaluation

$266K

501 claims · 1.6%

Your Cost: $530.23/claim|Median: $99.21
5.3× median
98961Top 5%

$187K

491 claims · 1.1%

Your Cost: $380.44/claim|Median: $16.35
23.3× median
90832Top 1%

Psychotherapy, 30 minutes

$45K

70 claims · 0.3%

Your Cost: $638.30/claim|Median: $41.28
15.5× median
G0396Top 1%

Alcohol/substance abuse structured assessment, 15-30 minutes

$41K

121 claims · 0.2%

Your Cost: $341.02/claim|Median: $40.58
8.4× median
99213Top 1%

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

$40K

58 claims · 0.2%

Your Cost: $694.21/claim|Median: $37.81
18.4× median
99204Top 1%

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

$20K

45 claims · 0.1%

Your Cost: $450.53/claim|Median: $84.03
5.4× median
99215Top 1%

Office/outpatient visit, high complexity

$9K

16 claims · 0.1%

Your Cost: $572.25/claim|Median: $74.09
7.7× median
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