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Provider 1841311289

NPI: 1841311289Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.3M

$17,276,484

Total Claims

212K

Beneficiaries

94K

2.2 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+6%
2019
$4.3M
-22%
2020
$3.4M
-41%
2021
$2.0M
-32%
2022
$1.4M
+0%
2023
$1.4M
-37%
2024
$858K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 56% of total spending.

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$9.6M

149K claims · 55.6%

Your Cost: $64.54/claim|Median: $74.63
0.9× median
G9009Normal range

$4.7M

16K claims · 27.4%

Your Cost: $297.41/claim|Median: $345.34
0.9× median
T1017Normal range

Targeted case management, per 15 min

$739K

21K claims · 4.3%

Your Cost: $35.66/claim|Median: $69.56
0.5× median
G9010Normal range

$613K

700 claims · 3.6%

Your Cost: $876.21/claim|Median: $1,009.60
0.9× median
G9002Normal range

Coordinated care fee, maintenance period

$554K

4,402 claims · 3.2%

Your Cost: $125.79/claim|Median: $108.80
1.2× median
99213Normal range

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

$359K

7,333 claims · 2.1%

Your Cost: $48.96/claim|Median: $37.81
1.3× median
H0032Normal range

Mental health service plan development

$178K

2,272 claims · 1.0%

Your Cost: $78.38/claim|Median: $80.64
1.0× median
H0031Normal range

Mental health assessment by non-physician

$150K

1,498 claims · 0.9%

Your Cost: $100.46/claim|Median: $96.18
1.0× median
H0034Normal range

Medication training and management, per 15 min

$118K

4,363 claims · 0.7%

Your Cost: $27.02/claim|Median: $56.90
0.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$95K

2,574 claims · 0.5%

Your Cost: $36.72/claim|Median: $84.12
0.4× median
99214Normal range

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

$57K

830 claims · 0.3%

Your Cost: $68.11/claim|Median: $53.41
1.3× median
H0002Normal range

Behavioral health screening

$36K

1,478 claims · 0.2%

Your Cost: $24.64/claim|Median: $38.77
0.6× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$19K

219 claims · 0.1%

Your Cost: $85.97/claim|Median: $57.85
1.5× median
T1016Normal range

Case management, each 15 min

$12K

265 claims · 0.1%

Your Cost: $46.55/claim|Median: $49.62
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$4K

154 claims · 0.0%

Your Cost: $22.89/claim|Median: $96.24
0.2× median
S5185Normal range

Medication reminder service, NOS, per month

$3K

164 claims · 0.0%

Your Cost: $17.13/claim|Median: $44.39
0.4× median
G9001Normal range

$648

12 claims · 0.0%

Your Cost: $53.98/claim|Median: $53.98
1.0× median
T1027Normal range

Family training and counseling, per 15 minutes

$566

17 claims · 0.0%

Your Cost: $33.28/claim|Median: $53.00
0.6× median
99368Normal range

$49

13 claims · 0.0%

Your Cost: $3.77/claim|Median: $19.67
0.2× median
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