Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1699890673

NPI: 1699890673Share
Active Billing Period:2020-102024-10(49 months)

Total Paid

$15.2M

$15,225,665

Total Claims

374K

Beneficiaries

18K

21.0 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2020
$19K
+15934%
2021
$3.0M
+76%
2022
$5.4M
-28%
2023
$3.9M
-24%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 64% of total spending.

S5145Normal range

Foster care, therapeutic, child, per diem

$9.7M

83K claims · 64.0%

Your Cost: $117.23/claim|Median: $216.31
0.5× median
H0041Normal range

$4.6M

287K claims · 30.5%

Your Cost: $16.20/claim|Median: $192.56
0.1× median
H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$573K

3,347 claims · 3.8%

Your Cost: $171.06/claim|Median: $74.63
2.3× median
90791Top 5%

Psychiatric diagnostic evaluation

$265K

1,074 claims · 1.7%

Your Cost: $246.73/claim|Median: $99.21
2.5× median
99214Top 5%

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

$3K

27 claims · 0.0%

Your Cost: $127.34/claim|Median: $53.41
2.4× median