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Provider 1871915827

NPI: 1871915827Share
Active Billing Period:2018-04→2024-09(65 months)

Total Paid

$11.2M

$11,231,103

Total Claims

188K

Beneficiaries

103K

1.8 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$310K
+115%
2019
$667K
-94%
2020
$39K
+2258%
2021
$920K
+268%
2022
$3.4M
+56%
2023
$5.3M
-88%
2024
$640K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 43% of total spending.

H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$4.9M

33K claims · 43.2%

Your Cost: $145.35/claim|Median: $74.63
1.9× median
T1016Normal range

Case management, each 15 min

$2.4M

77K claims · 21.3%

Your Cost: $31.22/claim|Median: $49.62
0.6× median
H0002Normal range

Behavioral health screening

$1.4M

50K claims · 12.2%

Your Cost: $27.65/claim|Median: $38.77
0.7× median
H0031Top 25%

Mental health assessment by non-physician

$876K

4,712 claims · 7.8%

Your Cost: $185.90/claim|Median: $96.18
1.9× median
99214Top 10%

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

$871K

8,738 claims · 7.8%

Your Cost: $99.68/claim|Median: $53.41
1.9× median
90833Top 5%

Psychotherapy, 30 min, add-on to E/M service

$378K

3,845 claims · 3.4%

Your Cost: $98.27/claim|Median: $38.83
2.5× median
99213Top 10%

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

$187K

2,438 claims · 1.7%

Your Cost: $76.87/claim|Median: $37.81
2.0× median
H0001Normal range

Alcohol and/or drug assessment

$94K

2,289 claims · 0.8%

Your Cost: $41.02/claim|Median: $94.22
0.4× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$39K

133 claims · 0.3%

Your Cost: $290.49/claim|Median: $108.91
2.7× median
90791Top 5%

Psychiatric diagnostic evaluation

$29K

126 claims · 0.3%

Your Cost: $230.40/claim|Median: $99.21
2.3× median
99215Top 10%

Office/outpatient visit, high complexity

$24K

140 claims · 0.2%

Your Cost: $168.15/claim|Median: $74.09
2.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$19K

595 claims · 0.2%

Your Cost: $32.73/claim|Median: $17.85
1.8× median
H0025Normal range

Behavioral health prevention education, per session

$16K

393 claims · 0.1%

Your Cost: $41.79/claim|Median: $36.25
1.2× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$15K

141 claims · 0.1%

Your Cost: $107.68/claim|Median: $74.82
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$12K

242 claims · 0.1%

Your Cost: $48.11/claim|Median: $25.06
1.9× median
99204Top 10%

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

$9K

60 claims · 0.1%

Your Cost: $148.50/claim|Median: $84.03
1.8× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$8K

77 claims · 0.1%

Your Cost: $103.97/claim|Median: $80.15
1.3× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$6K

128 claims · 0.1%

Your Cost: $44.61/claim|Median: $6.93
6.4× median
96160Normal range

Patient-focused health risk assessment

$5K

1,340 claims · 0.0%

Your Cost: $3.54/claim|Median: $2.10
1.7× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$4K

28 claims · 0.0%

Your Cost: $140.41/claim|Median: $76.06
1.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$4K

43 claims · 0.0%

Your Cost: $90.16/claim|Median: $75.18
1.2× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$3K

21 claims · 0.0%

Your Cost: $130.06/claim|Median: $72.71
1.8× median
92551Top 10%

Screening audiometry, pure tone, air only

$2K

168 claims · 0.0%

Your Cost: $12.60/claim|Median: $6.61
1.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$1K

199 claims · 0.0%

Your Cost: $5.82/claim|Median: $3.67
1.6× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$404

15 claims · 0.0%

Your Cost: $26.90/claim|Median: $9.80
2.7× median
99173Normal range

$327

127 claims · 0.0%

Your Cost: $2.58/claim|Median: $2.16
1.2× median
90656Normal range

$263

31 claims · 0.0%

Your Cost: $8.47/claim|Median: $8.67
1.0× median
90688Normal range

$132

21 claims · 0.0%

Your Cost: $6.30/claim|Median: $9.00
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$60

24 claims · 0.0%

Your Cost: $2.51/claim|Median: $12.93
0.2× median
36415Top 25%

Collection of venous blood by venipuncture

$55

17 claims · 0.0%

Your Cost: $3.23/claim|Median: $1.57
2.1× median
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