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Unknown Provider 1720390966

NPI: 1720390966SharePrint ReportML Risk: 82%
View on Risk Watchlist →

Total Paid

$905K

$904,642

Total Claims

8,933

Beneficiaries

1,958

4.6 claims/patient

Avg Cost/Claim

$101

🔍 Analysis

Provider Overview

is a Medicaid provider based in Unknown location. From 2018-01 through 2020-12, this provider received $905K in Medicaid payments across 9K claims serving 2K beneficiaries, billing 6 distinct procedure codes.

Key Findings

  • 📊81% of billing is concentrated in 90837 (90837), indicating significant specialization in this service.

Yearly Spending

2018
$332K
-5%
2019
$317K
-19%
2020
$256K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 81% of total spending.

90837Top 25%

Psychotherapy, 60 minutes

$731K

6,883 claims · 80.8%

Your Cost: $106.22/claim|Median: $85.66
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$146K

1,658 claims · 16.2%

Your Cost: $88.30/claim|Median: $77.33
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$12K

159 claims · 1.3%

Your Cost: $74.23/claim|Median: $63.65
1.2× median
98968Top 10%

$11K

173 claims · 1.2%

Your Cost: $65.36/claim|Median: $28.39
2.3× median
90846Normal range

Family psychotherapy without patient, 50 min

$3K

39 claims · 0.3%

Your Cost: $75.62/claim|Median: $76.61
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$1K

21 claims · 0.1%

Your Cost: $52.28/claim|Median: $41.28
1.3× median
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