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Provider 1790153682

NPI: 1790153682Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.6M

$8,618,159

Total Claims

156K

Beneficiaries

57K

2.8 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$990K
+48%
2020
$1.5M
-18%
2021
$1.2M
-16%
2022
$1.0M
+89%
2023
$1.9M
+7%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (96165 (Health behavior intervention, family, each additional fifteen minutes)) accounts for 38% of total spending.

96165Top 25%

Health behavior intervention, family, each additional fifteen minutes

$3.3M

43K claims · 37.7%

Your Cost: $76.01/claim|Median: $15.54
4.9× median
H0043Normal range

Supported housing, per diem

$1.7M

15K claims · 19.7%

Your Cost: $110.21/claim|Median: $164.87
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.2M

16K claims · 14.1%

Your Cost: $75.50/claim|Median: $74.63
1.0× median
96153Top 25%

Health/behavior intervention, group

$906K

21K claims · 10.5%

Your Cost: $43.77/claim|Median: $6.67
6.6× median
96164Top 25%

$785K

43K claims · 9.1%

Your Cost: $18.15/claim|Median: $9.87
1.8× median
H2023Normal range

Supported employment, per 15 min

$370K

2,540 claims · 4.3%

Your Cost: $145.53/claim|Median: $103.94
1.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$201K

7,744 claims · 2.3%

Your Cost: $25.98/claim|Median: $55.04
0.5× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$95K

630 claims · 1.1%

Your Cost: $151.16/claim|Median: $100.49
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$38K

582 claims · 0.4%

Your Cost: $66.06/claim|Median: $85.66
0.8× median
H0001Normal range

Alcohol and/or drug assessment

$35K

770 claims · 0.4%

Your Cost: $45.98/claim|Median: $94.22
0.5× median
T1016Normal range

Case management, each 15 min

$25K

2,252 claims · 0.3%

Your Cost: $10.95/claim|Median: $49.62
0.2× median
T1017Normal range

Targeted case management, per 15 min

$291

23 claims · 0.0%

Your Cost: $12.65/claim|Median: $69.56
0.2× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$0

1,561 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.37
H0025Normal range

Behavioral health prevention education, per session

$0

1,655 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.25
H0046Normal range

Mental health services, not otherwise specified

$0

562 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.02
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