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Provider 1821068818

NPI: 1821068818Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.4M

$12,363,088

Total Claims

230K

Beneficiaries

82K

2.8 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+6%
2019
$2.4M
-26%
2020
$1.7M
+0%
2021
$1.7M
-7%
2022
$1.6M
-1%
2023
$1.6M
-34%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 38% of total spending.

90834Normal range

Psychotherapy, 45 minutes

$4.7M

66K claims · 38.3%

Your Cost: $71.23/claim|Median: $63.65
1.1× median
99213Top 25%

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

$2.6M

40K claims · 20.7%

Your Cost: $63.46/claim|Median: $37.81
1.7× median
H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$1.7M

5,988 claims · 13.8%

Your Cost: $285.51/claim|Median: $148.53
1.9× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.2M

78K claims · 9.3%

Your Cost: $14.81/claim|Median: $321.53
0.0× median
H0015Normal range

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

$613K

6,674 claims · 5.0%

Your Cost: $91.84/claim|Median: $129.75
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$280K

2,611 claims · 2.3%

Your Cost: $107.12/claim|Median: $99.21
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$232K

6,315 claims · 1.9%

Your Cost: $36.75/claim|Median: $41.28
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$227K

2,134 claims · 1.8%

Your Cost: $106.15/claim|Median: $108.91
1.0× median
G0410Normal range

$214K

5,891 claims · 1.7%

Your Cost: $36.25/claim|Median: $24.14
1.5× median
90870Top 5%

$192K

374 claims · 1.6%

Your Cost: $512.50/claim|Median: $68.07
7.5× median
99404Top 5%

$148K

801 claims · 1.2%

Your Cost: $185.21/claim|Median: $104.92
1.8× median
90853Normal range

Group psychotherapy

$140K

5,080 claims · 1.1%

Your Cost: $27.51/claim|Median: $25.02
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$113K

2,348 claims · 0.9%

Your Cost: $48.29/claim|Median: $96.24
0.5× median
90882Normal range

Environmental intervention

$21K

836 claims · 0.2%

Your Cost: $24.88/claim|Median: $45.05
0.6× median
99214Top 25%

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

$8K

94 claims · 0.1%

Your Cost: $79.93/claim|Median: $53.41
1.5× median
G0177Normal range

Training and educational services, per session

$7K

5,819 claims · 0.1%

Your Cost: $1.23/claim|Median: $8.90
0.1× median
90887Normal range

Interpretation/explanation of results

$5K

131 claims · 0.0%

Your Cost: $41.02/claim|Median: $47.55
0.9× median
H0046Normal range

Mental health services, not otherwise specified

$3K

108 claims · 0.0%

Your Cost: $23.75/claim|Median: $85.02
0.3× median