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Provider 1801964952

NPI: 1801964952Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$10.1M

$10,086,334

Total Claims

125K

Beneficiaries

41K

3.1 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$993K
+35%
2019
$1.3M
-29%
2020
$956K
+43%
2021
$1.4M
+20%
2022
$1.6M
+2%
2023
$1.7M
+26%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H2021 (Community-based wrap-around services, per 15 min)) accounts for 48% of total spending.

H2021Normal range

Community-based wrap-around services, per 15 min

$4.9M

54K claims · 48.2%

Your Cost: $89.81/claim|Median: $169.11
0.5× median
H2016Normal range

Comprehensive community support services, per 15 min

$2.2M

29K claims · 21.3%

Your Cost: $73.72/claim|Median: $321.53
0.2× median
90832Top 10%

Psychotherapy, 30 minutes

$1.2M

13K claims · 12.1%

Your Cost: $94.79/claim|Median: $41.28
2.3× median
H0039Normal range

Assertive community treatment, per diem

$757K

10K claims · 7.5%

Your Cost: $73.21/claim|Median: $132.62
0.6× median
H0005Normal range

Alcohol and/or drug services, group counseling

$382K

7,248 claims · 3.8%

Your Cost: $52.73/claim|Median: $47.35
1.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$263K

3,110 claims · 2.6%

Your Cost: $84.54/claim|Median: $74.63
1.1× median
90863Top 10%

$238K

2,621 claims · 2.4%

Your Cost: $90.88/claim|Median: $29.71
3.1× median
99214Normal range

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

$47K

1,888 claims · 0.5%

Your Cost: $25.15/claim|Median: $53.41
0.5× median
90853Top 10%

Group psychotherapy

$42K

537 claims · 0.4%

Your Cost: $79.14/claim|Median: $25.02
3.2× median
H0001Normal range

Alcohol and/or drug assessment

$41K

307 claims · 0.4%

Your Cost: $134.55/claim|Median: $94.22
1.4× median
99213Normal range

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

$27K

1,565 claims · 0.3%

Your Cost: $17.23/claim|Median: $37.81
0.5× median
W0037Top 5%

$23K

344 claims · 0.2%

Your Cost: $66.63/claim|Median: $3.00
22.2× median
H2012Top 25%

Behavioral health day treatment, per hour

$19K

99 claims · 0.2%

Your Cost: $192.27/claim|Median: $137.86
1.4× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$13K

155 claims · 0.1%

Your Cost: $86.35/claim|Median: $22.44
3.8× median
90837Normal range

Psychotherapy, 60 minutes

$6K

307 claims · 0.1%

Your Cost: $20.14/claim|Median: $85.66
0.2× median
99412Normal range

$2K

41 claims · 0.0%

Your Cost: $58.13/claim|Median: $34.41
1.7× median
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