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Provider 1699803577

NPI: 1699803577Share
Active Billing Period:2018-01→2022-06(54 months)
Billing appears to have stoppedLast active: 2022-06

Total Paid

$16.0M

$16,017,863

Total Claims

233K

Beneficiaries

102K

2.3 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$4.7M
-18%
2019
$3.8M
-21%
2020
$3.0M
+7%
2021
$3.2M
-61%
2022
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 32% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$5.2M

67K claims · 32.3%

Your Cost: $77.31/claim|Median: $84.12
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$4.3M

54K claims · 26.6%

Your Cost: $79.06/claim|Median: $85.66
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$1.1M

19K claims · 7.0%

Your Cost: $59.11/claim|Median: $63.65
0.9× median
90853Top 25%

Group psychotherapy

$1.1M

25K claims · 7.0%

Your Cost: $45.38/claim|Median: $25.02
1.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$941K

10K claims · 5.9%

Your Cost: $91.27/claim|Median: $74.63
1.2× median
H2015Normal range

Comprehensive community support services, per 15 min

$839K

12K claims · 5.2%

Your Cost: $67.60/claim|Median: $96.24
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$508K

4,804 claims · 3.2%

Your Cost: $105.71/claim|Median: $108.91
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$294K

3,943 claims · 1.8%

Your Cost: $74.59/claim|Median: $77.33
1.0× median
T2020Normal range

Day habilitation, waiver; per diem

$252K

6,115 claims · 1.6%

Your Cost: $41.19/claim|Median: $87.34
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$229K

1,855 claims · 1.4%

Your Cost: $123.43/claim|Median: $99.21
1.2× median
99213Normal range

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

$222K

7,400 claims · 1.4%

Your Cost: $30.05/claim|Median: $37.81
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$209K

5,230 claims · 1.3%

Your Cost: $39.89/claim|Median: $41.28
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$189K

2,564 claims · 1.2%

Your Cost: $73.64/claim|Median: $76.61
1.0× median
90885Normal range

$165K

2,709 claims · 1.0%

Your Cost: $61.06/claim|Median: $59.45
1.0× median
99214Normal range

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

$145K

2,496 claims · 0.9%

Your Cost: $58.07/claim|Median: $53.41
1.1× median
90887Normal range

Interpretation/explanation of results

$127K

3,239 claims · 0.8%

Your Cost: $39.26/claim|Median: $47.55
0.8× median
S0220Normal range

$84K

1,402 claims · 0.5%

Your Cost: $59.90/claim|Median: $62.26
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$56K

3,316 claims · 0.4%

Your Cost: $17.00/claim|Median: $91.63
0.2× median
H2027Normal range

Psychoeducational service, per 15 minutes

$50K

603 claims · 0.3%

Your Cost: $82.19/claim|Median: $82.72
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$42K

567 claims · 0.3%

Your Cost: $74.28/claim|Median: $215.80
0.3× median
96131Normal range

Psychological testing evaluation, each additional hour

$3K

26 claims · 0.0%

Your Cost: $106.56/claim|Median: $133.38
0.8× median
96130Normal range

Psychological testing evaluation by professional, first hour

$1K

26 claims · 0.0%

Your Cost: $40.75/claim|Median: $79.21
0.5× median
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