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Provider 1871973297

NPI: 1871973297Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.7M

$15,665,645

Total Claims

91K

Beneficiaries

61K

1.5 claims/patient

Avg Cost/Claim

$172

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-30%
2019
$2.1M
+10%
2020
$2.3M
+4%
2021
$2.4M
-15%
2022
$2.0M
+27%
2023
$2.6M
-44%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 21% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$3.2M

19K claims · 20.7%

Your Cost: $174.04/claim|Median: $96.24
1.8× median
90837Top 5%

Psychotherapy, 60 minutes

$2.3M

13K claims · 14.5%

Your Cost: $173.16/claim|Median: $85.66
2.0× median
90832Top 5%

Psychotherapy, 30 minutes

$2.0M

12K claims · 13.0%

Your Cost: $175.44/claim|Median: $41.28
4.2× median
90834Top 5%

Psychotherapy, 45 minutes

$2.0M

11K claims · 12.9%

Your Cost: $179.36/claim|Median: $63.65
2.8× median
90853Top 5%

Group psychotherapy

$1.4M

8,223 claims · 9.1%

Your Cost: $173.67/claim|Median: $25.02
6.9× median
99213Top 1%

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

$1.4M

8,380 claims · 8.9%

Your Cost: $166.60/claim|Median: $37.81
4.4× median
T1007Top 10%

Alcohol/drug services, treatment plan review

$907K

5,614 claims · 5.8%

Your Cost: $161.55/claim|Median: $64.10
2.5× median
99214Top 5%

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

$851K

5,084 claims · 5.4%

Your Cost: $167.40/claim|Median: $53.41
3.1× median
90791Top 10%

Psychiatric diagnostic evaluation

$401K

2,284 claims · 2.6%

Your Cost: $175.46/claim|Median: $99.21
1.8× median
99212Top 5%

Office/outpatient visit, low complexity

$398K

2,460 claims · 2.5%

Your Cost: $161.63/claim|Median: $25.06
6.4× median
H2014Top 25%

Skills training & development, per 15 min

$371K

2,439 claims · 2.4%

Your Cost: $152.09/claim|Median: $83.88
1.8× median
H0031Normal range

Mental health assessment by non-physician

$91K

611 claims · 0.6%

Your Cost: $148.80/claim|Median: $96.18
1.5× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$66K

410 claims · 0.4%

Your Cost: $161.12/claim|Median: $111.09
1.5× median
99215Top 5%

Office/outpatient visit, high complexity

$64K

373 claims · 0.4%

Your Cost: $171.99/claim|Median: $74.09
2.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$64K

421 claims · 0.4%

Your Cost: $151.07/claim|Median: $215.80
0.7× median
90847Top 10%

Family psychotherapy with patient, 50 min

$29K

182 claims · 0.2%

Your Cost: $158.54/claim|Median: $77.33
2.1× median
99204Top 5%

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

$18K

107 claims · 0.1%

Your Cost: $169.43/claim|Median: $84.03
2.0× median
H0039Normal range

Assertive community treatment, per diem

$5K

38 claims · 0.0%

Your Cost: $126.73/claim|Median: $132.62
1.0× median
Q3014Top 5%

Telehealth originating site facility fee

$4K

24 claims · 0.0%

Your Cost: $172.14/claim|Median: $15.37
11.2× median
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