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

Provider 1710994835

NPI: 1710994835Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$15.9M

$15,861,043

Total Claims

26K

Beneficiaries

24K

1.1 claims/patient

Avg Cost/Claim

$611

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-73%
2019
$551K
+254%
2020
$1.9M
+26%
2021
$2.5M
+39%
2022
$3.4M
+7%
2023
$3.6M
-50%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 97% of total spending.

T1041Top 25%

Medicaid CCBHC services, per diem

$15.3M

14K claims · 96.7%

Your Cost: $1,067.10/claim|Median: $913.47
1.2× median
G9010Top 1%

$252K

250 claims · 1.6%

Your Cost: $1,009.60/claim|Median: $1,009.60
1.0× median
G9009Top 5%

$169K

489 claims · 1.1%

Your Cost: $345.34/claim|Median: $345.34
1.0× median
G9002Normal range

Coordinated care fee, maintenance period

$101K

697 claims · 0.6%

Your Cost: $145.27/claim|Median: $108.80
1.3× median
T1016Normal range

Case management, each 15 min

$0

350 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
99213Normal range

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

$0

113 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
S5110Normal range

Home care training, family; per 15 min

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.36
H2015Normal range

Comprehensive community support services, per 15 min

$0

288 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24
G8431Normal range

$0

57 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37
H2019Normal range

Therapeutic behavioral services, per 15 min

$0

782 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.12
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$0

7,813 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$0

474 claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63
H0031Normal range

Mental health assessment by non-physician

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.18
H0034Normal range

Medication training and management, per 15 min

$0

137 claims · 0.0%

Your Cost: $0.00/claim|Median: $56.90
H0032Normal range

Mental health service plan development

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64