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Provider 1730247016

NPI: 1730247016Share
Active Billing Period:2018-01→2020-09(33 months)
Billing appears to have stoppedLast active: 2020-09

Total Paid

$9.9M

$9,911,351

Total Claims

67K

Beneficiaries

16K

4.3 claims/patient

Avg Cost/Claim

$148

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+4%
2019
$3.7M
-30%
2020
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 56% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$5.5M

22K claims · 55.6%

Your Cost: $246.29/claim|Median: $336.31
0.7× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$887K

4,695 claims · 9.0%

Your Cost: $188.99/claim|Median: $167.38
1.1× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$838K

6,194 claims · 8.5%

Your Cost: $135.31/claim|Median: $106.05
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$775K

11K claims · 7.8%

Your Cost: $73.78/claim|Median: $85.66
0.9× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$392K

1,726 claims · 4.0%

Your Cost: $227.31/claim|Median: $146.45
1.6× median
S5145Normal range

Foster care, therapeutic, child, per diem

$345K

2,606 claims · 3.5%

Your Cost: $132.47/claim|Median: $216.31
0.6× median
0369TTop 25%

$305K

1,939 claims · 3.1%

Your Cost: $157.23/claim|Median: $102.36
1.5× median
0364TNormal range

$152K

6,266 claims · 1.5%

Your Cost: $24.20/claim|Median: $21.31
1.1× median
99214Top 25%

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

$131K

1,563 claims · 1.3%

Your Cost: $83.52/claim|Median: $53.41
1.6× median
0370TNormal range

$128K

1,104 claims · 1.3%

Your Cost: $116.02/claim|Median: $88.49
1.3× median
97156Normal range

$121K

1,138 claims · 1.2%

Your Cost: $106.04/claim|Median: $88.65
1.2× median
0368TNormal range

$104K

1,946 claims · 1.1%

Your Cost: $53.59/claim|Median: $44.63
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$59K

1,168 claims · 0.6%

Your Cost: $50.65/claim|Median: $63.65
0.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$40K

593 claims · 0.4%

Your Cost: $66.82/claim|Median: $77.33
0.9× median
Q3014Normal range

Telehealth originating site facility fee

$36K

1,672 claims · 0.4%

Your Cost: $21.25/claim|Median: $15.37
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$24K

614 claims · 0.2%

Your Cost: $39.13/claim|Median: $41.28
0.9× median
97152Normal range

$15K

139 claims · 0.2%

Your Cost: $107.90/claim|Median: $155.16
0.7× median
97151Normal range

Behavior identification assessment

$11K

83 claims · 0.1%

Your Cost: $135.27/claim|Median: $161.10
0.8× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$9K

71 claims · 0.1%

Your Cost: $127.99/claim|Median: $84.03
1.5× median
0361TNormal range

$8K

197 claims · 0.1%

Your Cost: $40.12/claim|Median: $89.95
0.4× median
99213Top 25%

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

$8K

140 claims · 0.1%

Your Cost: $54.91/claim|Median: $37.81
1.5× median
0360TNormal range

$7K

279 claims · 0.1%

Your Cost: $24.74/claim|Median: $46.02
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

31 claims · 0.0%

Your Cost: $91.97/claim|Median: $99.21
0.9× median
98968Normal range

$356

14 claims · 0.0%

Your Cost: $25.46/claim|Median: $28.39
0.9× median
98967Normal range

$295

17 claims · 0.0%

Your Cost: $17.37/claim|Median: $18.97
0.9× median
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