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Provider 1740670454

NPI: 1740670454Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$15.9M

$15,923,972

Total Claims

109K

Beneficiaries

16K

6.7 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+19%
2019
$3.6M
-42%
2020
$2.1M
+13%
2021
$2.4M
-38%
2022
$1.5M
+27%
2023
$1.9M
-25%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 55% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$8.8M

52K claims · 55.4%

Your Cost: $168.80/claim|Median: $167.38
1.0× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.3M

17K claims · 20.6%

Your Cost: $196.87/claim|Median: $146.45
1.3× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$1.8M

13K claims · 11.3%

Your Cost: $140.87/claim|Median: $106.05
1.3× median
97156Normal range

$468K

5,554 claims · 2.9%

Your Cost: $84.20/claim|Median: $88.65
0.9× median
0369TNormal range

$411K

2,944 claims · 2.6%

Your Cost: $139.46/claim|Median: $102.36
1.4× median
0364TTop 25%

$368K

13K claims · 2.3%

Your Cost: $27.78/claim|Median: $21.31
1.3× median
97151Top 25%

Behavior identification assessment

$252K

1,008 claims · 1.6%

Your Cost: $249.94/claim|Median: $161.10
1.6× median
0368TTop 25%

$192K

3,193 claims · 1.2%

Your Cost: $60.04/claim|Median: $44.63
1.3× median
H0031Top 5%

Mental health assessment by non-physician

$114K

267 claims · 0.7%

Your Cost: $425.97/claim|Median: $96.18
4.4× median
0370TTop 25%

$107K

892 claims · 0.7%

Your Cost: $119.87/claim|Median: $88.49
1.4× median
0359TTop 25%

$93K

193 claims · 0.6%

Your Cost: $480.00/claim|Median: $444.44
1.1× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$12K

231 claims · 0.1%

Your Cost: $52.39/claim|Median: $55.95
0.9× median
96130Normal range

Psychological testing evaluation by professional, first hour

$3K

28 claims · 0.0%

Your Cost: $92.50/claim|Median: $79.21
1.2× median
96136Top 25%

Psychological/neuropsychological testing, first 30 min

$1K

27 claims · 0.0%

Your Cost: $46.25/claim|Median: $30.49
1.5× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$786

15 claims · 0.0%

Your Cost: $52.42/claim|Median: $92.96
0.6× median
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