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Provider 1861528390

NPI: 1861528390Share
Active Billing Period:2019-10→2024-12(57 months)

Total Paid

$17.6M

$17,619,351

Total Claims

172K

Beneficiaries

129K

1.3 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2019
$10K
+6473%
2020
$657K
+378%
2021
$3.1M
+15%
2022
$3.6M
+40%
2023
$5.1M
+1%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (96131 (Psychological testing evaluation, each additional hour)) accounts for 38% of total spending.

96131Normal range

Psychological testing evaluation, each additional hour

$6.8M

41K claims · 38.4%

Your Cost: $164.15/claim|Median: $133.38
1.2× median
96130Normal range

Psychological testing evaluation by professional, first hour

$4.7M

50K claims · 26.4%

Your Cost: $93.25/claim|Median: $79.21
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$3.6M

29K claims · 20.4%

Your Cost: $124.68/claim|Median: $99.21
1.3× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$1.6M

26K claims · 9.0%

Your Cost: $60.00/claim|Median: $92.96
0.6× median
96136Top 25%

Psychological/neuropsychological testing, first 30 min

$1.0M

26K claims · 5.9%

Your Cost: $40.60/claim|Median: $30.49
1.3× median
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