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Provider 1780712851

NPI: 1780712851Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,862,539

Total Claims

254K

Beneficiaries

80K

3.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-12%
2019
$2.0M
+5%
2020
$2.1M
-10%
2021
$1.9M
-34%
2022
$1.3M
+9%
2023
$1.4M
+23%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 39% of total spending.

H0015Normal range

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

$5.0M

56K claims · 38.7%

Your Cost: $88.40/claim|Median: $129.75
0.7× median
H0005Normal range

Alcohol and/or drug services, group counseling

$2.3M

54K claims · 17.9%

Your Cost: $42.44/claim|Median: $47.35
0.9× median
H0048Top 10%

$1.6M

99K claims · 12.5%

Your Cost: $16.30/claim|Median: $13.25
1.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.6M

20K claims · 12.3%

Your Cost: $79.34/claim|Median: $74.63
1.1× median
90837Top 10%

Psychotherapy, 60 minutes

$1.1M

8,721 claims · 8.8%

Your Cost: $129.83/claim|Median: $85.66
1.5× median
90834Top 25%

Psychotherapy, 45 minutes

$752K

8,153 claims · 5.8%

Your Cost: $92.27/claim|Median: $63.65
1.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$150K

3,250 claims · 1.2%

Your Cost: $46.19/claim|Median: $55.04
0.8× median
99214Top 25%

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

$144K

1,706 claims · 1.1%

Your Cost: $84.68/claim|Median: $53.41
1.6× median
90853Top 25%

Group psychotherapy

$73K

1,245 claims · 0.6%

Your Cost: $58.62/claim|Median: $25.02
2.3× median
T1016Normal range

Case management, each 15 min

$62K

843 claims · 0.5%

Your Cost: $73.36/claim|Median: $49.62
1.5× median
H0001Top 25%

Alcohol and/or drug assessment

$41K

264 claims · 0.3%

Your Cost: $157.19/claim|Median: $94.22
1.7× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$22K

105 claims · 0.2%

Your Cost: $211.16/claim|Median: $108.91
1.9× median
H0032Normal range

Mental health service plan development

$7K

64 claims · 0.1%

Your Cost: $104.14/claim|Median: $80.64
1.3× median
H0031Normal range

Mental health assessment by non-physician

$7K

61 claims · 0.1%

Your Cost: $106.73/claim|Median: $96.18
1.1× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$5K

56 claims · 0.0%

Your Cost: $84.61/claim|Median: $106.70
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

31 claims · 0.0%

Your Cost: $101.43/claim|Median: $99.21
1.0× median
H0006Normal range

Alcohol and/or drug services, case management

$3K

66 claims · 0.0%

Your Cost: $43.19/claim|Median: $43.10
1.0× median
90832Top 25%

Psychotherapy, 30 minutes

$3K

34 claims · 0.0%

Your Cost: $81.05/claim|Median: $41.28
2.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$2K

94 claims · 0.0%

Your Cost: $20.41/claim|Median: $12.93
1.6× median
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