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Provider 1700129491

NPI: 1700129491Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,375,891

Total Claims

136K

Beneficiaries

52K

2.6 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+17%
2019
$1.7M
+13%
2020
$1.9M
-60%
2021
$753K
-31%
2022
$520K
+267%
2023
$1.9M
-35%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0038 (Self-help/peer services, per 15 minutes)) accounts for 33% of total spending.

H0038Normal range

Self-help/peer services, per 15 minutes

$3.1M

29K claims · 32.9%

Your Cost: $105.19/claim|Median: $55.04
1.9× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.9M

17K claims · 19.8%

Your Cost: $111.29/claim|Median: $91.63
1.2× median
T1017Normal range

Targeted case management, per 15 min

$1.8M

31K claims · 19.4%

Your Cost: $58.99/claim|Median: $69.56
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$779K

16K claims · 8.3%

Your Cost: $49.96/claim|Median: $63.65
0.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$642K

11K claims · 6.8%

Your Cost: $57.59/claim|Median: $47.35
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$281K

4,338 claims · 3.0%

Your Cost: $64.81/claim|Median: $85.66
0.8× median
99214Normal range

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

$250K

5,656 claims · 2.7%

Your Cost: $44.25/claim|Median: $53.41
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$104K

1,211 claims · 1.1%

Your Cost: $86.29/claim|Median: $99.21
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$90K

995 claims · 1.0%

Your Cost: $90.79/claim|Median: $74.09
1.2× median
T1014Normal range

$65K

4,036 claims · 0.7%

Your Cost: $16.00/claim|Median: $12.88
1.2× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$62K

1,536 claims · 0.7%

Your Cost: $40.28/claim|Median: $14.00
2.9× median
T1016Normal range

Case management, each 15 min

$61K

895 claims · 0.6%

Your Cost: $67.75/claim|Median: $49.62
1.4× median
99213Normal range

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

$57K

2,202 claims · 0.6%

Your Cost: $25.91/claim|Median: $37.81
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$34K

666 claims · 0.4%

Your Cost: $51.62/claim|Median: $74.63
0.7× median
H0003Normal range

$27K

2,042 claims · 0.3%

Your Cost: $13.40/claim|Median: $13.38
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$23K

586 claims · 0.2%

Your Cost: $39.50/claim|Median: $41.28
1.0× median
H0001Top 5%

Alcohol and/or drug assessment

$23K

100 claims · 0.2%

Your Cost: $226.67/claim|Median: $94.22
2.4× median
H1011Normal range

$20K

744 claims · 0.2%

Your Cost: $26.60/claim|Median: $47.19
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$16K

1,688 claims · 0.2%

Your Cost: $9.74/claim|Median: $9.56
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

179 claims · 0.2%

Your Cost: $79.28/claim|Median: $108.91
0.7× median
80305Top 10%

$12K

1,048 claims · 0.1%

Your Cost: $11.90/claim|Median: $7.44
1.6× median
99310Top 25%

$12K

271 claims · 0.1%

Your Cost: $43.54/claim|Median: $21.82
2.0× median
H0032Normal range

Mental health service plan development

$12K

207 claims · 0.1%

Your Cost: $56.70/claim|Median: $80.64
0.7× median
90833Normal range

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

$9K

622 claims · 0.1%

Your Cost: $15.20/claim|Median: $38.83
0.4× median
90853Normal range

Group psychotherapy

$6K

326 claims · 0.1%

Your Cost: $19.55/claim|Median: $25.02
0.8× median
T2002Normal range

Non-emergency transport; per trip

$5K

1,338 claims · 0.1%

Your Cost: $4.08/claim|Median: $19.35
0.2× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$3K

130 claims · 0.0%

Your Cost: $23.54/claim|Median: $9.79
2.4× median
H0006Normal range

Alcohol and/or drug services, case management

$3K

53 claims · 0.0%

Your Cost: $47.47/claim|Median: $43.10
1.1× median
H0031Normal range

Mental health assessment by non-physician

$2K

15 claims · 0.0%

Your Cost: $117.10/claim|Median: $96.18
1.2× median
99305Normal range

$290

12 claims · 0.0%

Your Cost: $24.16/claim|Median: $19.28
1.3× median
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