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Provider 1710039540

NPI: 1710039540Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$18,048,895

Total Claims

153K

Beneficiaries

31K

4.9 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-17%
2019
$3.9M
-34%
2020
$2.5M
-15%
2021
$2.2M
-20%
2022
$1.7M
+7%
2023
$1.8M
-30%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H2033 (Multisystemic therapy for juveniles, per 15 minutes)) accounts for 53% of total spending.

H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$9.5M

64K claims · 52.9%

Your Cost: $149.35/claim|Median: $227.82
0.7× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$2.0M

19K claims · 11.2%

Your Cost: $105.04/claim|Median: $148.53
0.7× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.7M

20K claims · 9.3%

Your Cost: $84.79/claim|Median: $321.53
0.3× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$1.5M

9,488 claims · 8.6%

Your Cost: $163.00/claim|Median: $167.38
1.0× median
H2012Normal range

Behavioral health day treatment, per hour

$1.2M

12K claims · 6.8%

Your Cost: $98.12/claim|Median: $137.86
0.7× median
G9012Normal range

Other specified case management service, per 15 minutes

$555K

2,544 claims · 3.1%

Your Cost: $218.31/claim|Median: $137.85
1.6× median
90837Normal range

Psychotherapy, 60 minutes

$343K

3,912 claims · 1.9%

Your Cost: $87.60/claim|Median: $85.66
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$289K

4,549 claims · 1.6%

Your Cost: $63.58/claim|Median: $74.63
0.9× median
99213Normal range

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

$232K

5,331 claims · 1.3%

Your Cost: $43.45/claim|Median: $37.81
1.1× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$146K

620 claims · 0.8%

Your Cost: $235.08/claim|Median: $135.70
1.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$105K

760 claims · 0.6%

Your Cost: $138.44/claim|Median: $146.45
0.9× median
80305Top 25%

$75K

7,200 claims · 0.4%

Your Cost: $10.41/claim|Median: $7.44
1.4× median
H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$64K

303 claims · 0.4%

Your Cost: $211.01/claim|Median: $129.75
1.6× median
90791Normal range

Psychiatric diagnostic evaluation

$62K

612 claims · 0.3%

Your Cost: $100.70/claim|Median: $99.21
1.0× median
97154Top 25%

Group adaptive behavior treatment, per 15 min

$57K

397 claims · 0.3%

Your Cost: $142.43/claim|Median: $55.95
2.5× median
97151Top 10%

Behavior identification assessment

$35K

99 claims · 0.2%

Your Cost: $357.60/claim|Median: $161.10
2.2× median
H0032Normal range

Mental health service plan development

$16K

422 claims · 0.1%

Your Cost: $37.23/claim|Median: $80.64
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$15K

429 claims · 0.1%

Your Cost: $34.08/claim|Median: $41.28
0.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$13K

459 claims · 0.1%

Your Cost: $27.38/claim|Median: $47.35
0.6× median
99214Normal range

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

$12K

200 claims · 0.1%

Your Cost: $61.07/claim|Median: $53.41
1.1× median
H0006Top 5%

Alcohol and/or drug services, case management

$9K

39 claims · 0.0%

Your Cost: $231.32/claim|Median: $43.10
5.4× median
97156Normal range

$4K

60 claims · 0.0%

Your Cost: $63.31/claim|Median: $88.65
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$3K

35 claims · 0.0%

Your Cost: $90.62/claim|Median: $74.09
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$2K

36 claims · 0.0%

Your Cost: $69.42/claim|Median: $63.65
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$1K

39 claims · 0.0%

Your Cost: $31.86/claim|Median: $25.06
1.3× median
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