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

⚖️ Compare🖨️ Print Report

Provider 1700433885

NPI: 1700433885Share
Active Billing Period:2020-05→2024-12(56 months)

Total Paid

$16.7M

$16,733,730

Total Claims

140K

Beneficiaries

71K

2.0 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2020
$63K
+1409%
2021
$957K
+229%
2022
$3.2M
+215%
2023
$9.9M
-74%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 44% of total spending.

H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$7.4M

11K claims · 44.2%

Your Cost: $653.13/claim|Median: $91.63
7.1× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$5.9M

48K claims · 35.2%

Your Cost: $123.19/claim|Median: $74.63
1.7× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$573K

16K claims · 3.4%

Your Cost: $36.01/claim|Median: $14.00
2.6× median
99310Top 25%

$457K

9,459 claims · 2.7%

Your Cost: $48.27/claim|Median: $21.82
2.2× median
90836Normal range

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

$442K

12K claims · 2.6%

Your Cost: $37.43/claim|Median: $56.18
0.7× median
99306Top 25%

$393K

6,416 claims · 2.4%

Your Cost: $61.32/claim|Median: $29.97
2.0× median
90833Normal range

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

$361K

13K claims · 2.2%

Your Cost: $28.03/claim|Median: $38.83
0.7× median
H0031Normal range

Mental health assessment by non-physician

$186K

1,302 claims · 1.1%

Your Cost: $142.57/claim|Median: $96.18
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$148K

3,704 claims · 0.9%

Your Cost: $40.01/claim|Median: $85.66
0.5× median
99497Top 25%

$107K

3,596 claims · 0.6%

Your Cost: $29.67/claim|Median: $10.99
2.7× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$105K

4,144 claims · 0.6%

Your Cost: $25.35/claim|Median: $9.79
2.6× median
90838Normal range

Psychotherapy, 60 min, add-on to E/M

$102K

1,627 claims · 0.6%

Your Cost: $62.81/claim|Median: $67.05
0.9× median
99337Top 10%

$93K

876 claims · 0.6%

Your Cost: $106.34/claim|Median: $29.39
3.6× median
H2026Top 25%

$83K

401 claims · 0.5%

Your Cost: $208.22/claim|Median: $76.18
2.7× median
99336Top 25%

$58K

1,117 claims · 0.3%

Your Cost: $51.87/claim|Median: $20.35
2.5× median
99349Normal range

$57K

2,030 claims · 0.3%

Your Cost: $27.93/claim|Median: $24.29
1.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$43K

708 claims · 0.3%

Your Cost: $61.43/claim|Median: $35.30
1.7× median
99350Normal range

$43K

880 claims · 0.3%

Your Cost: $48.95/claim|Median: $35.62
1.4× median
99328Top 25%

$42K

330 claims · 0.3%

Your Cost: $127.70/claim|Median: $42.88
3.0× median
90791Normal range

Psychiatric diagnostic evaluation

$29K

411 claims · 0.2%

Your Cost: $69.88/claim|Median: $99.21
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$22K

230 claims · 0.1%

Your Cost: $94.20/claim|Median: $67.32
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$20K

414 claims · 0.1%

Your Cost: $47.23/claim|Median: $74.09
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$18K

499 claims · 0.1%

Your Cost: $35.10/claim|Median: $23.99
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$13K

157 claims · 0.1%

Your Cost: $81.95/claim|Median: $108.91
0.8× median
99214Normal range

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

$10K

248 claims · 0.1%

Your Cost: $42.11/claim|Median: $53.41
0.8× median
99305Top 10%

$9K

150 claims · 0.1%

Your Cost: $62.33/claim|Median: $19.28
3.2× median
96132Normal range

$5K

161 claims · 0.0%

Your Cost: $32.70/claim|Median: $70.53
0.5× median
T1016Normal range

Case management, each 15 min

$5K

278 claims · 0.0%

Your Cost: $18.27/claim|Median: $49.62
0.4× median
99491Normal range

$5K

642 claims · 0.0%

Your Cost: $7.24/claim|Median: $9.86
0.7× median
99335Normal range

$2K

123 claims · 0.0%

Your Cost: $19.33/claim|Median: $14.90
1.3× median
← All providersHow we detect fraud →