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Provider 1871542829

NPI: 1871542829Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.5M

$9,461,854

Total Claims

125K

Beneficiaries

102K

1.2 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+43%
2019
$1.6M
+1%
2020
$1.7M
+1%
2021
$1.7M
-27%
2022
$1.2M
-2%
2023
$1.2M
-25%
2024
$895K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99490 (Chronic care management services, 20 minutes per month)) accounts for 66% of total spending.

99490Top 1%

Chronic care management services, 20 minutes per month

$6.3M

48K claims · 66.3%

Your Cost: $129.53/claim|Median: $6.31
20.5× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$856K

13K claims · 9.1%

Your Cost: $65.54/claim|Median: $47.35
1.4× median
90834Top 25%

Psychotherapy, 45 minutes

$616K

6,738 claims · 6.5%

Your Cost: $91.43/claim|Median: $63.65
1.4× median
90839Normal range

Psychotherapy for crisis, first 60 min

$416K

5,069 claims · 4.4%

Your Cost: $82.07/claim|Median: $83.98
1.0× median
99214Top 25%

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

$303K

3,655 claims · 3.2%

Your Cost: $82.78/claim|Median: $53.41
1.5× median
90791Top 25%

Psychiatric diagnostic evaluation

$234K

1,846 claims · 2.5%

Your Cost: $126.66/claim|Median: $99.21
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$191K

4,625 claims · 2.0%

Your Cost: $41.24/claim|Median: $74.63
0.6× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$132K

622 claims · 1.4%

Your Cost: $212.84/claim|Median: $108.91
2.0× median
H0002Top 25%

Behavioral health screening

$115K

1,168 claims · 1.2%

Your Cost: $98.50/claim|Median: $38.77
2.5× median
99213Top 25%

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

$104K

1,575 claims · 1.1%

Your Cost: $66.11/claim|Median: $37.81
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$64K

1,327 claims · 0.7%

Your Cost: $48.18/claim|Median: $41.28
1.2× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$60K

1,779 claims · 0.6%

Your Cost: $33.79/claim|Median: $3.67
9.2× median
99215Top 25%

Office/outpatient visit, high complexity

$15K

103 claims · 0.2%

Your Cost: $142.27/claim|Median: $74.09
1.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$12K

424 claims · 0.1%

Your Cost: $27.75/claim|Median: $23.99
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$12K

144 claims · 0.1%

Your Cost: $81.14/claim|Median: $111.09
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$11K

171 claims · 0.1%

Your Cost: $65.59/claim|Median: $51.25
1.3× median
99221Top 25%

Initial hospital care, straightforward/low

$10K

148 claims · 0.1%

Your Cost: $69.94/claim|Median: $39.96
1.8× median
Q3014Normal range

Telehealth originating site facility fee

$8K

414 claims · 0.1%

Your Cost: $19.30/claim|Median: $15.37
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$7K

123 claims · 0.1%

Your Cost: $55.43/claim|Median: $85.66
0.6× median
H0031Normal range

Mental health assessment by non-physician

$6K

105 claims · 0.1%

Your Cost: $53.12/claim|Median: $96.18
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$5K

147 claims · 0.0%

Your Cost: $31.96/claim|Median: $25.06
1.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$4K

32 claims · 0.0%

Your Cost: $138.28/claim|Median: $215.80
0.6× median
H0032Normal range

Mental health service plan development

$2K

91 claims · 0.0%

Your Cost: $22.51/claim|Median: $80.64
0.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$2K

67 claims · 0.0%

Your Cost: $22.69/claim|Median: $96.24
0.2× median
90840Normal range

Psychotherapy for crisis, each additional 30 min

$1K

52 claims · 0.0%

Your Cost: $26.41/claim|Median: $50.71
0.5× median
T1016Normal range

Case management, each 15 min

$1K

36 claims · 0.0%

Your Cost: $32.17/claim|Median: $49.62
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1K

28 claims · 0.0%

Your Cost: $36.66/claim|Median: $37.22
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$882

26 claims · 0.0%

Your Cost: $33.94/claim|Median: $40.11
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$843

70 claims · 0.0%

Your Cost: $12.04/claim|Median: $16.77
0.7× median
H2010Normal range

Comprehensive medication services, per 15 min

$517

22 claims · 0.0%

Your Cost: $23.48/claim|Median: $62.69
0.4× median
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