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Provider 1831335744

NPI: 1831335744Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,230,039

Total Claims

178K

Beneficiaries

98K

1.8 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+1%
2019
$2.8M
-32%
2020
$1.9M
-19%
2021
$1.5M
-23%
2022
$1.2M
-7%
2023
$1.1M
-18%
2024
$904K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 38% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$4.6M

64K claims · 37.5%

Your Cost: $71.18/claim|Median: $85.66
0.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$2.4M

31K claims · 19.9%

Your Cost: $77.97/claim|Median: $84.12
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$813K

7,656 claims · 6.6%

Your Cost: $106.21/claim|Median: $108.91
1.0× median
99214Normal range

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

$652K

13K claims · 5.3%

Your Cost: $48.51/claim|Median: $53.41
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$618K

6,397 claims · 5.1%

Your Cost: $96.55/claim|Median: $74.63
1.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$570K

7,831 claims · 4.7%

Your Cost: $72.81/claim|Median: $96.24
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$487K

9,091 claims · 4.0%

Your Cost: $53.57/claim|Median: $63.65
0.8× median
T2020Normal range

Day habilitation, waiver; per diem

$370K

8,758 claims · 3.0%

Your Cost: $42.19/claim|Median: $87.34
0.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$327K

4,091 claims · 2.7%

Your Cost: $79.88/claim|Median: $77.33
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$309K

7,933 claims · 2.5%

Your Cost: $38.97/claim|Median: $41.28
0.9× median
90846Normal range

Family psychotherapy without patient, 50 min

$224K

3,035 claims · 1.8%

Your Cost: $73.95/claim|Median: $76.61
1.0× median
90885Normal range

$150K

2,326 claims · 1.2%

Your Cost: $64.42/claim|Median: $59.45
1.1× median
S0220Normal range

$122K

1,765 claims · 1.0%

Your Cost: $68.87/claim|Median: $62.26
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$113K

2,394 claims · 0.9%

Your Cost: $47.35/claim|Median: $91.63
0.5× median
90887Normal range

Interpretation/explanation of results

$108K

1,953 claims · 0.9%

Your Cost: $55.26/claim|Median: $47.55
1.2× median
99213Normal range

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

$95K

2,706 claims · 0.8%

Your Cost: $35.18/claim|Median: $37.81
0.9× median
H2027Normal range

Psychoeducational service, per 15 minutes

$93K

1,059 claims · 0.8%

Your Cost: $87.36/claim|Median: $82.72
1.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$87K

585 claims · 0.7%

Your Cost: $148.99/claim|Median: $99.21
1.5× median
90853Normal range

Group psychotherapy

$39K

1,021 claims · 0.3%

Your Cost: $38.12/claim|Median: $25.02
1.5× median
H2011Normal range

Crisis intervention service, per 15 minutes

$12K

291 claims · 0.1%

Your Cost: $39.89/claim|Median: $215.80
0.2× median
96101Normal range

$10K

82 claims · 0.1%

Your Cost: $121.87/claim|Median: $196.08
0.6× median
96131Normal range

Psychological testing evaluation, each additional hour

$4K

44 claims · 0.0%

Your Cost: $92.60/claim|Median: $133.38
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$1K

63 claims · 0.0%

Your Cost: $22.32/claim|Median: $74.09
0.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$578

120 claims · 0.0%

Your Cost: $4.81/claim|Median: $111.09
0.0× median
96130Normal range

Psychological testing evaluation by professional, first hour

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $79.21
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