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Provider 1760830137

NPI: 1760830137Share
Active Billing Period:2019-10→2024-12(40 months)

Total Paid

$12.7M

$12,698,305

Total Claims

131K

Beneficiaries

67K

2.0 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2019
$4K
-84%
2020
$716
+435143%
2022
$3.1M
+38%
2023
$4.3M
+22%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 25% of total spending.

T1016Normal range

Case management, each 15 min

$3.2M

62K claims · 25.1%

Your Cost: $51.67/claim|Median: $49.62
1.0× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$2.5M

22K claims · 19.4%

Your Cost: $111.72/claim|Median: $74.63
1.5× median
H0018Normal range

Behavioral health; short-term residential, per diem

$2.2M

6,981 claims · 17.5%

Your Cost: $317.82/claim|Median: $467.51
0.7× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$2.0M

16K claims · 15.7%

Your Cost: $126.45/claim|Median: $84.12
1.5× median
H0031Top 10%

Mental health assessment by non-physician

$1.2M

5,507 claims · 9.8%

Your Cost: $225.46/claim|Median: $96.18
2.3× median
99214Top 25%

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

$642K

6,809 claims · 5.1%

Your Cost: $94.31/claim|Median: $53.41
1.8× median
90837Top 5%

Psychotherapy, 60 minutes

$178K

895 claims · 1.4%

Your Cost: $199.00/claim|Median: $85.66
2.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$133K

2,268 claims · 1.0%

Your Cost: $58.65/claim|Median: $55.04
1.1× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$131K

498 claims · 1.0%

Your Cost: $262.56/claim|Median: $108.91
2.4× median
99215Top 25%

Office/outpatient visit, high complexity

$124K

935 claims · 1.0%

Your Cost: $132.39/claim|Median: $74.09
1.8× median
99213Top 25%

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

$85K

1,231 claims · 0.7%

Your Cost: $68.76/claim|Median: $37.81
1.8× median
H0015Top 25%

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

$72K

345 claims · 0.6%

Your Cost: $209.80/claim|Median: $129.75
1.6× median
T1002Normal range

RN services, per 15 minutes

$51K

1,541 claims · 0.4%

Your Cost: $33.30/claim|Median: $37.42
0.9× median
90834Top 10%

Psychotherapy, 45 minutes

$50K

383 claims · 0.4%

Your Cost: $131.59/claim|Median: $63.65
2.1× median
H2027Normal range

Psychoeducational service, per 15 minutes

$41K

626 claims · 0.3%

Your Cost: $65.28/claim|Median: $82.72
0.8× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$35K

1,141 claims · 0.3%

Your Cost: $30.64/claim|Median: $53.97
0.6× median
H2014Normal range

Skills training & development, per 15 min

$29K

1,073 claims · 0.2%

Your Cost: $26.78/claim|Median: $83.88
0.3× median
99204Top 10%

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

$12K

79 claims · 0.1%

Your Cost: $150.69/claim|Median: $84.03
1.8× median
S5110Normal range

Home care training, family; per 15 min

$7K

108 claims · 0.1%

Your Cost: $61.47/claim|Median: $74.36
0.8× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$5K

879 claims · 0.0%

Your Cost: $5.24/claim|Median: $17.67
0.3× median
H2012Normal range

Behavioral health day treatment, per hour

$2K

42 claims · 0.0%

Your Cost: $37.58/claim|Median: $137.86
0.3× median
90832Top 10%

Psychotherapy, 30 minutes

$1K

14 claims · 0.0%

Your Cost: $96.65/claim|Median: $41.28
2.3× median
83037Top 10%

$302

28 claims · 0.0%

Your Cost: $10.79/claim|Median: $4.07
2.7× median
36415Top 25%

Collection of venous blood by venipuncture

$51

17 claims · 0.0%

Your Cost: $3.01/claim|Median: $1.57
1.9× median
G9919Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.66
G9920Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.56
G9921Normal range

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.60
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