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

⚖️ Compare🖨️ Print Report

Provider 1851811525

NPI: 1851811525Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,327,213

Total Claims

162K

Beneficiaries

66K

2.5 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-4%
2019
$1.5M
-34%
2020
$963K
+19%
2021
$1.1M
-8%
2022
$1.1M
+5%
2023
$1.1M
-3%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2012 (Behavioral health day treatment, per hour)) accounts for 62% of total spending.

H2012Normal range

Behavioral health day treatment, per hour

$5.2M

63K claims · 61.9%

Your Cost: $81.55/claim|Median: $137.86
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$1.2M

22K claims · 14.4%

Your Cost: $54.10/claim|Median: $63.65
0.9× median
99214Normal range

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

$783K

17K claims · 9.4%

Your Cost: $44.98/claim|Median: $53.41
0.8× median
99213Normal range

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

$651K

16K claims · 7.8%

Your Cost: $40.42/claim|Median: $37.81
1.1× median
H0002Normal range

Behavioral health screening

$125K

4,743 claims · 1.5%

Your Cost: $26.31/claim|Median: $38.77
0.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$112K

2,702 claims · 1.3%

Your Cost: $41.53/claim|Median: $146.45
0.3× median
0368TNormal range

$82K

2,980 claims · 1.0%

Your Cost: $27.41/claim|Median: $44.63
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$63K

8,008 claims · 0.8%

Your Cost: $7.86/claim|Median: $9.56
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$52K

526 claims · 0.6%

Your Cost: $98.23/claim|Median: $85.66
1.1× median
0370TNormal range

$20K

582 claims · 0.2%

Your Cost: $34.83/claim|Median: $88.49
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$15K

151 claims · 0.2%

Your Cost: $98.79/claim|Median: $74.09
1.3× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$11K

784 claims · 0.1%

Your Cost: $13.83/claim|Median: $55.95
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$11K

131 claims · 0.1%

Your Cost: $80.97/claim|Median: $99.21
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$9K

164 claims · 0.1%

Your Cost: $53.90/claim|Median: $41.28
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$7K

101 claims · 0.1%

Your Cost: $72.91/claim|Median: $108.91
0.7× median
H2014Normal range

Skills training & development, per 15 min

$7K

525 claims · 0.1%

Your Cost: $13.74/claim|Median: $83.88
0.2× median
0367TNormal range

$7K

1,030 claims · 0.1%

Your Cost: $6.52/claim|Median: $50.31
0.1× median
97156Normal range

$4K

190 claims · 0.0%

Your Cost: $19.61/claim|Median: $88.65
0.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$2K

173 claims · 0.0%

Your Cost: $14.11/claim|Median: $32.55
0.4× median
97157Normal range

$2K

103 claims · 0.0%

Your Cost: $19.87/claim|Median: $43.58
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$2K

165 claims · 0.0%

Your Cost: $11.82/claim|Median: $22.44
0.5× median
0366TNormal range

$2K

999 claims · 0.0%

Your Cost: $1.70/claim|Median: $10.37
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

16 claims · 0.0%

Your Cost: $104.74/claim|Median: $111.09
0.9× median
3074FNormal range

$980

1,882 claims · 0.0%

Your Cost: $0.52/claim|Median: $0.11
4.7× median
3044FNormal range

$675

950 claims · 0.0%

Your Cost: $0.71/claim|Median: $0.16
4.4× median
3075FNormal range

$260

628 claims · 0.0%

Your Cost: $0.41/claim|Median: $0.15
2.8× median
S5110Normal range

Home care training, family; per 15 min

$90

2,211 claims · 0.0%

Your Cost: $0.04/claim|Median: $74.36
0.0× median
3077FNormal range

$20

394 claims · 0.0%

Your Cost: $0.05/claim|Median: $0.12
0.4× median
4010FNormal range

$0

1,036 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
1157FNormal range

$0

560 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.34
← All providersHow we detect fraud →