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

Provider 1730112483

NPI: 1730112483Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$14.8M

$14,788,155

Total Claims

110K

Beneficiaries

37K

3.0 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+24%
2019
$1.6M
+30%
2020
$2.1M
+32%
2021
$2.8M
-4%
2022
$2.7M
-7%
2023
$2.5M
-23%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H0039 (Assertive community treatment, per diem)) accounts for 46% of total spending.

H0039Normal range

Assertive community treatment, per diem

$6.9M

45K claims · 46.5%

Your Cost: $153.15/claim|Median: $132.62
1.2× median
G9001Top 10%

$3.9M

10K claims · 26.4%

Your Cost: $384.99/claim|Median: $53.98
7.1× median
90837Top 25%

Psychotherapy, 60 minutes

$2.0M

18K claims · 13.4%

Your Cost: $107.47/claim|Median: $85.66
1.3× median
H0015Normal range

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

$886K

6,314 claims · 6.0%

Your Cost: $140.32/claim|Median: $129.75
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$856K

13K claims · 5.8%

Your Cost: $65.25/claim|Median: $96.24
0.7× median
90853Normal range

Group psychotherapy

$92K

3,404 claims · 0.6%

Your Cost: $26.94/claim|Median: $25.02
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$86K

2,144 claims · 0.6%

Your Cost: $40.14/claim|Median: $91.63
0.4× median
90832Top 25%

Psychotherapy, 30 minutes

$40K

694 claims · 0.3%

Your Cost: $57.77/claim|Median: $41.28
1.4× median
99213Top 25%

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

$33K

596 claims · 0.2%

Your Cost: $56.20/claim|Median: $37.81
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$11K

133 claims · 0.1%

Your Cost: $79.63/claim|Median: $63.65
1.3× median
H0031Normal range

Mental health assessment by non-physician

$9K

71 claims · 0.1%

Your Cost: $126.34/claim|Median: $96.18
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$9K

86 claims · 0.1%

Your Cost: $101.93/claim|Median: $99.21
1.0× median
Q3014Top 25%

Telehealth originating site facility fee

$4K

149 claims · 0.0%

Your Cost: $24.28/claim|Median: $15.37
1.6× median
99214Top 25%

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

$2K

26 claims · 0.0%

Your Cost: $83.43/claim|Median: $53.41
1.6× median
T1016Normal range

Case management, each 15 min

$1

8,607 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
0.0× median
S0280Normal range

Medical home program, comprehensive care management

$0

915 claims · 0.0%

Your Cost: $0.00/claim|Median: $48.38
0.0× median
S5145Normal range

Foster care, therapeutic, child, per diem

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $216.31