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Provider 1821494584

NPI: 1821494584Share
Active Billing Period:2018-01→2022-04(52 months)
Billing appears to have stoppedLast active: 2022-04

Total Paid

$15.1M

$15,054,364

Total Claims

184K

Beneficiaries

21K

8.7 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+3%
2019
$3.3M
-18%
2020
$2.7M
+83%
2021
$4.9M
-79%
2022
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 48% of total spending.

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$7.2M

52K claims · 47.8%

Your Cost: $137.90/claim|Median: $167.38
0.8× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$2.7M

32K claims · 18.2%

Your Cost: $86.24/claim|Median: $106.05
0.8× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.2M

18K claims · 14.7%

Your Cost: $125.13/claim|Median: $146.45
0.9× median
0369TNormal range

$764K

8,778 claims · 5.1%

Your Cost: $87.03/claim|Median: $102.36
0.9× median
0364TNormal range

$501K

33K claims · 3.3%

Your Cost: $15.36/claim|Median: $21.31
0.7× median
0363TNormal range

$483K

10K claims · 3.2%

Your Cost: $47.73/claim|Median: $51.38
0.9× median
0361TNormal range

$476K

3,276 claims · 3.2%

Your Cost: $145.23/claim|Median: $89.95
1.6× median
0368TNormal range

$359K

12K claims · 2.4%

Your Cost: $28.89/claim|Median: $44.63
0.6× median
97156Top 25%

$113K

891 claims · 0.8%

Your Cost: $126.96/claim|Median: $88.65
1.4× median
0362TNormal range

$89K

10K claims · 0.6%

Your Cost: $8.63/claim|Median: $40.36
0.2× median
0360TNormal range

$62K

3,334 claims · 0.4%

Your Cost: $18.47/claim|Median: $46.02
0.4× median
97151Normal range

Behavior identification assessment

$41K

325 claims · 0.3%

Your Cost: $126.26/claim|Median: $161.10
0.8× median
0359TNormal range

$19K

177 claims · 0.1%

Your Cost: $105.46/claim|Median: $444.44
0.2× median
0370TNormal range

$10K

184 claims · 0.1%

Your Cost: $53.93/claim|Median: $88.49
0.6× median
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