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Provider 1821272972

NPI: 1821272972Share
Active Billing Period:2019-072024-11(65 months)

Total Paid

$17.7M

$17,708,760

Total Claims

161K

Beneficiaries

43K

3.7 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2019
$359K
+270%
2020
$1.3M
+117%
2021
$2.9M
+40%
2022
$4.1M
+34%
2023
$5.4M
-33%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 27% of total spending.

S5145Top 25%

Foster care, therapeutic, child, per diem

$4.7M

4,150 claims · 26.6%

Your Cost: $1,134.99/claim|Median: $216.31
5.2× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$4.4M

32K claims · 24.9%

Your Cost: $138.92/claim|Median: $74.63
1.9× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$2.9M

34K claims · 16.4%

Your Cost: $86.68/claim|Median: $76.05
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.8M

33K claims · 10.3%

Your Cost: $56.32/claim|Median: $91.63
0.6× median
S5141Normal range

$1.3M

21K claims · 7.2%

Your Cost: $60.20/claim|Median: $431.95
0.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$1.2M

24K claims · 6.5%

Your Cost: $47.34/claim|Median: $84.12
0.6× median
90791Top 10%

Psychiatric diagnostic evaluation

$688K

3,640 claims · 3.9%

Your Cost: $189.06/claim|Median: $99.21
1.9× median
H0041Top 25%

$421K

1,012 claims · 2.4%

Your Cost: $415.98/claim|Median: $192.56
2.2× median
T1017Normal range

Targeted case management, per 15 min

$138K

3,167 claims · 0.8%

Your Cost: $43.44/claim|Median: $69.56
0.6× median
H0032Normal range

Mental health service plan development

$61K

1,492 claims · 0.3%

Your Cost: $41.14/claim|Median: $80.64
0.5× median
H0031Normal range

Mental health assessment by non-physician

$46K

2,896 claims · 0.3%

Your Cost: $15.97/claim|Median: $96.18
0.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$27K

869 claims · 0.1%

Your Cost: $30.51/claim|Median: $55.04
0.6× median
99214Top 5%

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

$26K

206 claims · 0.1%

Your Cost: $126.64/claim|Median: $53.41
2.4× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$10K

269 claims · 0.1%

Your Cost: $37.62/claim|Median: $121.16
0.3× median
H2010Normal range

Comprehensive medication services, per 15 min

$317

36 claims · 0.0%

Your Cost: $8.82/claim|Median: $62.69
0.1× median