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Provider 1689877862

NPI: 1689877862Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.2M

$13,221,713

Total Claims

176K

Beneficiaries

95K

1.8 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-15%
2019
$3.1M
-49%
2020
$1.6M
-23%
2021
$1.2M
-19%
2022
$995K
+26%
2023
$1.3M
+7%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 46% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$6.0M

71K claims · 45.7%

Your Cost: $85.23/claim|Median: $85.66
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$3.0M

38K claims · 23.0%

Your Cost: $80.12/claim|Median: $84.12
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$972K

10K claims · 7.4%

Your Cost: $93.89/claim|Median: $74.63
1.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$773K

11K claims · 5.8%

Your Cost: $72.72/claim|Median: $96.24
0.8× median
90853Top 25%

Group psychotherapy

$557K

12K claims · 4.2%

Your Cost: $44.57/claim|Median: $25.02
1.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$515K

5,141 claims · 3.9%

Your Cost: $100.25/claim|Median: $108.91
0.9× median
99213Normal range

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

$379K

11K claims · 2.9%

Your Cost: $33.91/claim|Median: $37.81
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$159K

1,256 claims · 1.2%

Your Cost: $126.48/claim|Median: $99.21
1.3× median
90885Normal range

$155K

2,676 claims · 1.2%

Your Cost: $58.00/claim|Median: $59.45
1.0× median
99214Normal range

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

$150K

3,223 claims · 1.1%

Your Cost: $46.48/claim|Median: $53.41
0.9× median
90887Normal range

Interpretation/explanation of results

$98K

2,452 claims · 0.7%

Your Cost: $39.80/claim|Median: $47.55
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$86K

1,966 claims · 0.6%

Your Cost: $43.57/claim|Median: $41.28
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$80K

965 claims · 0.6%

Your Cost: $82.62/claim|Median: $77.33
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$63K

1,151 claims · 0.5%

Your Cost: $54.34/claim|Median: $63.65
0.9× median
S0220Normal range

$44K

821 claims · 0.3%

Your Cost: $53.59/claim|Median: $62.26
0.9× median
90846Normal range

Family psychotherapy without patient, 50 min

$36K

479 claims · 0.3%

Your Cost: $74.40/claim|Median: $76.61
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$32K

784 claims · 0.2%

Your Cost: $40.30/claim|Median: $91.63
0.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$18K

179 claims · 0.1%

Your Cost: $102.80/claim|Median: $215.80
0.5× median
T2020Normal range

Day habilitation, waiver; per diem

$16K

862 claims · 0.1%

Your Cost: $18.41/claim|Median: $87.34
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$1K

69 claims · 0.0%

Your Cost: $20.63/claim|Median: $25.06
0.8× median
Q3014Normal range

Telehealth originating site facility fee

$231

95 claims · 0.0%

Your Cost: $2.43/claim|Median: $15.37
0.2× median