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Provider 1699898635

NPI: 1699898635Share
Active Billing Period:2019-01→2024-12(71 months)

Total Paid

$7.9M

$7,863,863

Total Claims

135K

Beneficiaries

50K

2.7 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2019
$365K
+264%
2020
$1.3M
-1%
2021
$1.3M
+2%
2022
$1.4M
+58%
2023
$2.1M
-36%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 17% of total spending.

90834Top 5%

Psychotherapy, 45 minutes

$1.3M

8,607 claims · 16.7%

Your Cost: $152.82/claim|Median: $63.65
2.4× median
90832Top 10%

Psychotherapy, 30 minutes

$930K

8,618 claims · 11.8%

Your Cost: $107.88/claim|Median: $41.28
2.6× median
J0574Normal range

$636K

35K claims · 8.1%

Your Cost: $17.95/claim|Median: $15.76
1.1× median
99214Top 10%

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

$605K

5,272 claims · 7.7%

Your Cost: $114.77/claim|Median: $53.41
2.1× median
H0050Normal range

$545K

13K claims · 6.9%

Your Cost: $42.56/claim|Median: $46.71
0.9× median
H0020Normal range

Alcohol/drug services; methadone administration

$527K

21K claims · 6.7%

Your Cost: $24.54/claim|Median: $18.95
1.3× median
H0001Normal range

Alcohol and/or drug assessment

$489K

3,577 claims · 6.2%

Your Cost: $136.80/claim|Median: $94.22
1.5× median
99213Top 5%

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

$479K

4,099 claims · 6.1%

Your Cost: $116.89/claim|Median: $37.81
3.1× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$443K

4,457 claims · 5.6%

Your Cost: $99.42/claim|Median: $40.58
2.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$321K

6,523 claims · 4.1%

Your Cost: $49.17/claim|Median: $47.35
1.0× median
G0397Normal range

$278K

2,121 claims · 3.5%

Your Cost: $131.30/claim|Median: $142.31
0.9× median
90837Top 5%

Psychotherapy, 60 minutes

$268K

1,619 claims · 3.4%

Your Cost: $165.52/claim|Median: $85.66
1.9× median
H0033Normal range

Oral medication administration, direct observation

$204K

7,532 claims · 2.6%

Your Cost: $27.08/claim|Median: $31.37
0.9× median
90791Top 5%

Psychiatric diagnostic evaluation

$172K

817 claims · 2.2%

Your Cost: $211.02/claim|Median: $99.21
2.1× median
90833Top 10%

Psychotherapy, 30 min, add-on to E/M service

$168K

2,346 claims · 2.1%

Your Cost: $71.79/claim|Median: $38.83
1.8× median
90853Top 25%

Group psychotherapy

$163K

3,213 claims · 2.1%

Your Cost: $50.62/claim|Median: $25.02
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$101K

720 claims · 1.3%

Your Cost: $139.61/claim|Median: $25.06
5.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$69K

1,676 claims · 0.9%

Your Cost: $41.06/claim|Median: $55.04
0.7× median
G2068Normal range

$29K

1,122 claims · 0.4%

Your Cost: $25.94/claim|Median: $170.60
0.2× median
99215Top 25%

Office/outpatient visit, high complexity

$24K

199 claims · 0.3%

Your Cost: $120.97/claim|Median: $74.09
1.6× median
J0575Top 25%

$23K

1,052 claims · 0.3%

Your Cost: $21.81/claim|Median: $14.96
1.5× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$18K

231 claims · 0.2%

Your Cost: $79.90/claim|Median: $56.18
1.4× median
99401Top 5%

$13K

312 claims · 0.2%

Your Cost: $42.62/claim|Median: $16.53
2.6× median
G2079Normal range

$12K

385 claims · 0.2%

Your Cost: $31.46/claim|Median: $108.54
0.3× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$12K

46 claims · 0.2%

Your Cost: $257.59/claim|Median: $108.91
2.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$5K

403 claims · 0.1%

Your Cost: $12.90/claim|Median: $9.56
1.3× median
99402Top 25%

$5K

76 claims · 0.1%

Your Cost: $67.63/claim|Median: $31.79
2.1× median
99409Normal range

$3K

80 claims · 0.0%

Your Cost: $41.56/claim|Median: $34.77
1.2× median
99406Top 1%

$3K

54 claims · 0.0%

Your Cost: $57.57/claim|Median: $6.53
8.8× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$839

21 claims · 0.0%

Your Cost: $39.96/claim|Median: $106.70
0.4× median
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