Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1851415129

NPI: 1851415129Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,865,580

Total Claims

168K

Beneficiaries

25K

6.7 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-1%
2019
$1.2M
+8%
2020
$1.3M
+23%
2021
$1.6M
-9%
2022
$1.4M
+10%
2023
$1.6M
-3%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (S5100 (Day care services, adult, per half day)) accounts for 28% of total spending.

S5100Normal range

Day care services, adult, per half day

$2.8M

34K claims · 28.4%

Your Cost: $82.60/claim|Median: $67.58
1.2× median
H2032Normal range

Activity therapy, per 15 minutes

$2.0M

34K claims · 20.2%

Your Cost: $58.38/claim|Median: $108.23
0.5× median
97537Normal range

$1.5M

64K claims · 15.4%

Your Cost: $23.87/claim|Median: $24.64
1.0× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$1.4M

11K claims · 14.7%

Your Cost: $137.19/claim|Median: $74.63
1.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.4M

16K claims · 14.4%

Your Cost: $86.43/claim|Median: $96.24
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$474K

4,912 claims · 4.8%

Your Cost: $96.40/claim|Median: $84.12
1.1× median
96152Top 10%

Health behavior intervention, individual

$115K

954 claims · 1.2%

Your Cost: $120.03/claim|Median: $20.02
6.0× median
T1027Normal range

Family training and counseling, per 15 minutes

$64K

1,959 claims · 0.6%

Your Cost: $32.50/claim|Median: $53.00
0.6× median
T1005Normal range

Respite care services, per 15 minutes

$31K

1,465 claims · 0.3%

Your Cost: $21.43/claim|Median: $71.40
0.3× median
← All providersHow we detect fraud →