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Provider 1760542278

NPI: 1760542278Share
Active Billing Period:2018-01→2024-12(80 months)

Total Paid

$9.7M

$9,724,178

Total Claims

97K

Beneficiaries

31K

3.2 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+15%
2019
$1.3M
-34%
2020
$834K
+50%
2021
$1.2M
+8%
2022
$1.3M
+21%
2023
$1.6M
+41%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 47% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$4.5M

37K claims · 46.7%

Your Cost: $123.95/claim|Median: $321.53
0.4× median
90832Top 10%

Psychotherapy, 30 minutes

$1.8M

17K claims · 18.2%

Your Cost: $104.59/claim|Median: $41.28
2.5× median
H2021Normal range

Community-based wrap-around services, per 15 min

$1.6M

16K claims · 16.7%

Your Cost: $103.48/claim|Median: $169.11
0.6× median
90863Top 10%

$558K

5,651 claims · 5.7%

Your Cost: $98.66/claim|Median: $29.71
3.3× median
H0015Normal range

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

$414K

6,670 claims · 4.3%

Your Cost: $62.06/claim|Median: $129.75
0.5× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$268K

4,377 claims · 2.8%

Your Cost: $61.27/claim|Median: $47.35
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$230K

1,984 claims · 2.4%

Your Cost: $116.16/claim|Median: $99.21
1.2× median
99214Normal range

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

$84K

5,159 claims · 0.9%

Your Cost: $16.24/claim|Median: $53.41
0.3× median
W0037Top 5%

$64K

955 claims · 0.7%

Your Cost: $66.85/claim|Median: $3.00
22.3× median
Q3014Normal range

Telehealth originating site facility fee

$56K

2,578 claims · 0.6%

Your Cost: $21.73/claim|Median: $15.37
1.4× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$46K

424 claims · 0.5%

Your Cost: $108.09/claim|Median: $74.63
1.4× median
H0019Top 25%

Behavioral health; residential, per diem

$44K

27 claims · 0.5%

Your Cost: $1,631.11/claim|Median: $357.16
4.6× median
H0001Normal range

Alcohol and/or drug assessment

$12K

213 claims · 0.1%

Your Cost: $57.86/claim|Median: $94.22
0.6× median
T1012Normal range

Alcohol/drug services, skills development

$8K

141 claims · 0.1%

Your Cost: $60.21/claim|Median: $40.78
1.5× median
99443Normal range

Telephone E/M by physician, 21-30 min

$1K

24 claims · 0.0%

Your Cost: $47.52/claim|Median: $32.55
1.5× median
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