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Provider 1730310533

NPI: 1730310533Share
Active Billing Period:2018-01→2024-01(73 months)
Billing appears to have stoppedLast active: 2024-01

Total Paid

$8.0M

$8,047,939

Total Claims

46K

Beneficiaries

11K

4.2 claims/patient

Avg Cost/Claim

$176

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-13%
2019
$1.2M
+30%
2020
$1.5M
+9%
2021
$1.6M
-10%
2022
$1.5M
-39%
2023
$907K
-99%
2024
$8K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 78% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$6.2M

29K claims · 77.6%

Your Cost: $214.46/claim|Median: $336.31
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$835K

5,455 claims · 10.4%

Your Cost: $153.15/claim|Median: $96.24
1.6× median
99213Top 25%

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

$292K

4,904 claims · 3.6%

Your Cost: $59.57/claim|Median: $37.81
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$261K

2,377 claims · 3.2%

Your Cost: $109.93/claim|Median: $74.09
1.5× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$147K

651 claims · 1.8%

Your Cost: $225.81/claim|Median: $106.70
2.1× median
90837Normal range

Psychotherapy, 60 minutes

$136K

1,772 claims · 1.7%

Your Cost: $76.64/claim|Median: $85.66
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$47K

767 claims · 0.6%

Your Cost: $60.74/claim|Median: $63.65
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$26K

330 claims · 0.3%

Your Cost: $78.94/claim|Median: $77.33
1.0× median
99203Top 10%

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

$22K

213 claims · 0.3%

Your Cost: $102.33/claim|Median: $57.85
1.8× median
99204Top 10%

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

$14K

93 claims · 0.2%

Your Cost: $148.19/claim|Median: $84.03
1.8× median
H2022GTTop 1%

$13K

48 claims · 0.2%

Your Cost: $271.11/claim|Median: $258.20
1.1× median
H2015HTTop 10%

$7K

30 claims · 0.1%

Your Cost: $224.49/claim|Median: $173.43
1.3× median
99215GTTop 1%

$2K

15 claims · 0.0%

Your Cost: $149.08/claim|Median: $141.54
1.1× median
99213GTNormal range

$1K

14 claims · 0.0%

Your Cost: $73.15/claim|Median: $73.15
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$800

18 claims · 0.0%

Your Cost: $44.47/claim|Median: $41.28
1.1× median
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