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Provider 1831227263

NPI: 1831227263Share
Active Billing Period:2018-01→2024-10(67 months)

Total Paid

$9.7M

$9,720,088

Total Claims

214K

Beneficiaries

26K

8.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+17%
2019
$1.9M
-54%
2020
$901K
+52%
2021
$1.4M
+10%
2022
$1.5M
-20%
2023
$1.2M
-6%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 43% of total spending.

H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$4.1M

37K claims · 42.7%

Your Cost: $112.57/claim|Median: $74.63
1.5× median
96152Top 25%

Health behavior intervention, individual

$2.9M

65K claims · 29.8%

Your Cost: $44.72/claim|Median: $20.02
2.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$497K

12K claims · 5.1%

Your Cost: $40.85/claim|Median: $47.35
0.9× median
H2014Normal range

Skills training & development, per 15 min

$496K

8,705 claims · 5.1%

Your Cost: $56.98/claim|Median: $83.88
0.7× median
99412Normal range

$428K

11K claims · 4.4%

Your Cost: $38.16/claim|Median: $34.41
1.1× median
92507Normal range

Speech/hearing/language treatment

$324K

20K claims · 3.3%

Your Cost: $15.91/claim|Median: $49.45
0.3× median
96153Top 25%

Health/behavior intervention, group

$303K

16K claims · 3.1%

Your Cost: $18.82/claim|Median: $6.67
2.8× median
T1019Normal range

Personal care services, per 15 min

$187K

6,180 claims · 1.9%

Your Cost: $30.28/claim|Median: $82.47
0.4× median
92508Normal range

Treatment of speech/language disorder, group, 2+ patients

$165K

32K claims · 1.7%

Your Cost: $5.19/claim|Median: $13.22
0.4× median
97110Normal range

Therapeutic exercises, each 15 min

$84K

2,287 claims · 0.9%

Your Cost: $36.87/claim|Median: $24.49
1.5× median
97530Normal range

Therapeutic activities, each 15 min

$84K

2,822 claims · 0.9%

Your Cost: $29.62/claim|Median: $33.11
0.9× median
92523Normal range

Evaluation of speech sound production with language comprehension

$23K

181 claims · 0.2%

Your Cost: $125.00/claim|Median: $110.87
1.1× median
96130Normal range

Psychological testing evaluation by professional, first hour

$21K

204 claims · 0.2%

Your Cost: $103.44/claim|Median: $79.21
1.3× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$21K

124 claims · 0.2%

Your Cost: $167.40/claim|Median: $92.96
1.8× median
96131Normal range

Psychological testing evaluation, each additional hour

$20K

110 claims · 0.2%

Your Cost: $184.06/claim|Median: $133.38
1.4× median
96101Normal range

$7K

31 claims · 0.1%

Your Cost: $225.87/claim|Median: $196.08
1.2× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$7K

173 claims · 0.1%

Your Cost: $39.92/claim|Median: $30.49
1.3× median
T1001Normal range

Nursing assessment/evaluation, per visit

$3K

53 claims · 0.0%

Your Cost: $50.95/claim|Median: $49.05
1.0× median
96150Top 25%

Health behavior assessment, initial

$499

12 claims · 0.0%

Your Cost: $41.62/claim|Median: $17.83
2.3× median
97150Normal range

Therapeutic procedure, group (2+ patients)

$113

20 claims · 0.0%

Your Cost: $5.64/claim|Median: $12.12
0.5× median
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