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Provider 1689776718

NPI: 1689776718Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.1M

$15,085,542

Total Claims

117K

Beneficiaries

18K

6.6 claims/patient

Avg Cost/Claim

$129

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+22%
2019
$2.5M
-35%
2020
$1.6M
+21%
2021
$1.9M
+20%
2022
$2.3M
+41%
2023
$3.2M
-52%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 61% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$9.1M

34K claims · 60.6%

Your Cost: $266.75/claim|Median: $167.38
1.6× median
96152Top 5%

Health behavior intervention, individual

$2.1M

11K claims · 14.3%

Your Cost: $202.16/claim|Median: $20.02
10.1× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$1.5M

28K claims · 10.1%

Your Cost: $54.52/claim|Median: $55.95
1.0× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$618K

12K claims · 4.1%

Your Cost: $52.94/claim|Median: $146.45
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$538K

12K claims · 3.6%

Your Cost: $45.55/claim|Median: $63.65
0.7× median
96151Top 10%

Health behavior reassessment

$299K

6,607 claims · 2.0%

Your Cost: $45.29/claim|Median: $15.43
2.9× median
92507Normal range

Speech/hearing/language treatment

$210K

4,358 claims · 1.4%

Your Cost: $48.20/claim|Median: $49.45
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$154K

1,925 claims · 1.0%

Your Cost: $80.15/claim|Median: $85.66
0.9× median
97151Normal range

Behavior identification assessment

$153K

3,042 claims · 1.0%

Your Cost: $50.43/claim|Median: $161.10
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$119K

1,459 claims · 0.8%

Your Cost: $81.49/claim|Median: $99.21
0.8× median
96139Normal range

$51K

497 claims · 0.3%

Your Cost: $102.27/claim|Median: $97.14
1.1× median
97156Normal range

$35K

652 claims · 0.2%

Your Cost: $54.12/claim|Median: $88.65
0.6× median
96133Normal range

$33K

209 claims · 0.2%

Your Cost: $160.04/claim|Median: $185.94
0.9× median
96132Normal range

$21K

207 claims · 0.1%

Your Cost: $101.91/claim|Median: $70.53
1.4× median
96138Normal range

$12K

495 claims · 0.1%

Your Cost: $24.80/claim|Median: $19.87
1.2× median
96155Normal range

$9K

190 claims · 0.1%

Your Cost: $45.23/claim|Median: $34.72
1.3× median
90785Normal range

$6K

911 claims · 0.0%

Your Cost: $6.04/claim|Median: $6.43
0.9× median
90853Normal range

Group psychotherapy

$3K

269 claims · 0.0%

Your Cost: $10.41/claim|Median: $25.02
0.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$925

15 claims · 0.0%

Your Cost: $61.65/claim|Median: $77.33
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$776

30 claims · 0.0%

Your Cost: $25.87/claim|Median: $41.28
0.6× median
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