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Provider 1740366749

NPI: 1740366749Share
Active Billing Period:2019-01→2024-12(67 months)

Total Paid

$12.4M

$12,388,216

Total Claims

107K

Beneficiaries

38K

2.8 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2019
$420K
+425%
2020
$2.2M
+20%
2021
$2.6M
+12%
2022
$3.0M
-11%
2023
$2.6M
-43%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (G0396 (Alcohol/substance abuse structured assessment, 15-30 minutes)) accounts for 49% of total spending.

G0396Top 10%

Alcohol/substance abuse structured assessment, 15-30 minutes

$6.1M

53K claims · 49.3%

Your Cost: $114.80/claim|Median: $40.58
2.8× median
90832Top 10%

Psychotherapy, 30 minutes

$1.6M

14K claims · 13.1%

Your Cost: $116.55/claim|Median: $41.28
2.8× median
G0397Normal range

$1.5M

9,399 claims · 11.9%

Your Cost: $156.66/claim|Median: $142.31
1.1× median
90834Top 5%

Psychotherapy, 45 minutes

$698K

4,633 claims · 5.6%

Your Cost: $150.66/claim|Median: $63.65
2.4× median
H0001Top 25%

Alcohol and/or drug assessment

$698K

4,236 claims · 5.6%

Your Cost: $164.71/claim|Median: $94.22
1.7× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$528K

8,768 claims · 4.3%

Your Cost: $60.17/claim|Median: $47.35
1.3× median
99213Top 5%

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

$373K

2,527 claims · 3.0%

Your Cost: $147.59/claim|Median: $37.81
3.9× median
H0002Top 5%

Behavioral health screening

$262K

1,364 claims · 2.1%

Your Cost: $192.38/claim|Median: $38.77
5.0× median
99203Top 5%

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

$154K

1,035 claims · 1.2%

Your Cost: $148.90/claim|Median: $57.85
2.6× median
90833Top 10%

Psychotherapy, 30 min, add-on to E/M service

$151K

2,088 claims · 1.2%

Your Cost: $72.19/claim|Median: $38.83
1.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$125K

3,032 claims · 1.0%

Your Cost: $41.30/claim|Median: $55.04
0.8× median
90853Top 25%

Group psychotherapy

$88K

1,517 claims · 0.7%

Your Cost: $58.06/claim|Median: $25.02
2.3× median
T1006Normal range

Alcohol/drug services, family/couple counseling

$36K

300 claims · 0.3%

Your Cost: $119.76/claim|Median: $109.04
1.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$34K

619 claims · 0.3%

Your Cost: $55.72/claim|Median: $74.63
0.7× median
H0049Top 5%

$24K

340 claims · 0.2%

Your Cost: $70.73/claim|Median: $9.27
7.6× median
90882Normal range

Environmental intervention

$14K

306 claims · 0.1%

Your Cost: $44.82/claim|Median: $45.05
1.0× median
99214Top 5%

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

$4K

27 claims · 0.0%

Your Cost: $134.14/claim|Median: $53.41
2.5× median
90791Top 5%

Psychiatric diagnostic evaluation

$3K

16 claims · 0.0%

Your Cost: $209.11/claim|Median: $99.21
2.1× median
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