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Provider 1770085722

NPI: 1770085722Share
Active Billing Period:2018-102024-12(75 months)

Total Paid

$18.0M

$17,984,724

Total Claims

205K

Beneficiaries

116K

1.8 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$659K
+365%
2019
$3.1M
+2%
2020
$3.1M
-7%
2021
$2.9M
-1%
2022
$2.9M
-8%
2023
$2.7M
+1%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 36% of total spending.

T2023Normal range

Community transition, waiver; per service

$6.6M

20K claims · 36.4%

Your Cost: $329.68/claim|Median: $300.13
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$4.7M

63K claims · 26.2%

Your Cost: $75.16/claim|Median: $85.66
0.9× median
H0032Normal range

Mental health service plan development

$2.4M

38K claims · 13.3%

Your Cost: $63.20/claim|Median: $80.64
0.8× median
90887Normal range

Interpretation/explanation of results

$947K

21K claims · 5.3%

Your Cost: $45.89/claim|Median: $47.55
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$929K

24K claims · 5.2%

Your Cost: $38.32/claim|Median: $41.28
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$739K

15K claims · 4.1%

Your Cost: $49.59/claim|Median: $63.65
0.8× median
99354Normal range

$514K

7,805 claims · 2.9%

Your Cost: $65.89/claim|Median: $54.96
1.2× median
H0031Normal range

Mental health assessment by non-physician

$413K

6,532 claims · 2.3%

Your Cost: $63.15/claim|Median: $96.18
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$280K

3,810 claims · 1.6%

Your Cost: $73.48/claim|Median: $96.24
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$268K

3,325 claims · 1.5%

Your Cost: $80.65/claim|Median: $74.63
1.1× median
99355Normal range

$124K

1,764 claims · 0.7%

Your Cost: $70.08/claim|Median: $55.81
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$109K

1,425 claims · 0.6%

Your Cost: $76.29/claim|Median: $99.21
0.8× median
90785Normal range

$4K

408 claims · 0.0%

Your Cost: $8.74/claim|Median: $6.43
1.4× median