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

⚖️ Compare🖨️ Print Report

Provider 1912158494

NPI: 1912158494Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.8M

$12,814,915

Total Claims

219K

Beneficiaries

131K

1.7 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+87%
2019
$2.3M
-11%
2020
$2.0M
-10%
2021
$1.8M
+9%
2022
$2.0M
+1%
2023
$2.0M
-27%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 50% of total spending.

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$6.4M

84K claims · 49.8%

Your Cost: $75.98/claim|Median: $74.63
1.0× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$4.0M

52K claims · 31.5%

Your Cost: $77.71/claim|Median: $114.71
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.1M

43K claims · 8.3%

Your Cost: $24.50/claim|Median: $96.24
0.3× median
T1016Normal range

Case management, each 15 min

$345K

11K claims · 2.7%

Your Cost: $30.79/claim|Median: $49.62
0.6× median
96127Top 10%

Brief emotional/behavioral assessment, per standardized instrument

$163K

9,493 claims · 1.3%

Your Cost: $17.15/claim|Median: $3.67
4.7× median
H2010Normal range

Comprehensive medication services, per 15 min

$146K

6,080 claims · 1.1%

Your Cost: $24.02/claim|Median: $62.69
0.4× median
H0031Normal range

Mental health assessment by non-physician

$125K

2,114 claims · 1.0%

Your Cost: $59.28/claim|Median: $96.18
0.6× median
99214Top 25%

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

$97K

1,245 claims · 0.8%

Your Cost: $77.59/claim|Median: $53.41
1.5× median
S9484Normal range

Crisis intervention mental health services, per hour

$91K

780 claims · 0.7%

Your Cost: $116.93/claim|Median: $249.51
0.5× median
T1023Top 25%

Screening to determine appropriateness of consideration for program

$74K

222 claims · 0.6%

Your Cost: $331.70/claim|Median: $106.70
3.1× median
90834Top 25%

Psychotherapy, 45 minutes

$67K

713 claims · 0.5%

Your Cost: $93.90/claim|Median: $63.65
1.5× median
H0032Normal range

Mental health service plan development

$47K

1,977 claims · 0.4%

Your Cost: $23.98/claim|Median: $80.64
0.3× median
H0002Normal range

Behavioral health screening

$44K

1,042 claims · 0.3%

Your Cost: $42.45/claim|Median: $38.77
1.1× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$29K

1,883 claims · 0.2%

Your Cost: $15.54/claim|Median: $7.86
2.0× median
99221Top 25%

Initial hospital care, straightforward/low

$25K

378 claims · 0.2%

Your Cost: $66.37/claim|Median: $39.96
1.7× median
H0034Normal range

Medication training and management, per 15 min

$24K

1,036 claims · 0.2%

Your Cost: $23.27/claim|Median: $56.90
0.4× median
99215Top 25%

Office/outpatient visit, high complexity

$12K

102 claims · 0.1%

Your Cost: $122.12/claim|Median: $74.09
1.6× median
Q3014Top 25%

Telehealth originating site facility fee

$12K

500 claims · 0.1%

Your Cost: $23.11/claim|Median: $15.37
1.5× median
G8510Top 5%

$11K

710 claims · 0.1%

Your Cost: $15.66/claim|Median: $1.96
8.0× median
G8431Normal range

$8K

510 claims · 0.1%

Your Cost: $15.43/claim|Median: $2.37
6.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$7K

51 claims · 0.1%

Your Cost: $143.68/claim|Median: $108.91
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$6K

229 claims · 0.0%

Your Cost: $25.14/claim|Median: $23.99
1.0× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$3K

36 claims · 0.0%

Your Cost: $84.19/claim|Median: $51.25
1.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$2K

13 claims · 0.0%

Your Cost: $180.14/claim|Median: $215.80
0.8× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$750

27 claims · 0.0%

Your Cost: $27.78/claim|Median: $16.77
1.7× median
← All providersHow we detect fraud →