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Provider 1922188606

NPI: 1922188606Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,304,900

Total Claims

268K

Beneficiaries

195K

1.4 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-2%
2019
$2.1M
+11%
2020
$2.3M
+8%
2021
$2.5M
-1%
2022
$2.5M
-5%
2023
$2.3M
-32%
2024
$1.6M

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 37% of total spending.

99490Top 1%

Chronic care management services, 20 minutes per month

$5.6M

43K claims · 36.7%

Your Cost: $129.92/claim|Median: $6.31
20.6× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$2.9M

52K claims · 18.7%

Your Cost: $54.53/claim|Median: $266.41
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$2.4M

32K claims · 15.5%

Your Cost: $73.54/claim|Median: $63.65
1.2× median
99214Normal range

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

$1.2M

22K claims · 7.9%

Your Cost: $54.44/claim|Median: $53.41
1.0× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$657K

3,191 claims · 4.3%

Your Cost: $205.74/claim|Median: $225.50
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$643K

4,377 claims · 4.2%

Your Cost: $146.97/claim|Median: $108.91
1.3× median
99213Normal range

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

$613K

14K claims · 4.0%

Your Cost: $42.49/claim|Median: $37.81
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$437K

3,679 claims · 2.9%

Your Cost: $118.83/claim|Median: $99.21
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$284K

6,929 claims · 1.9%

Your Cost: $40.96/claim|Median: $41.28
1.0× median
Q3014Normal range

Telehealth originating site facility fee

$225K

12K claims · 1.5%

Your Cost: $19.40/claim|Median: $15.37
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$154K

2,006 claims · 1.0%

Your Cost: $76.79/claim|Median: $85.66
0.9× median
G0506Normal range

Comprehensive assessment of chronic care management

$99K

22K claims · 0.6%

Your Cost: $4.53/claim|Median: $7.41
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$71K

867 claims · 0.5%

Your Cost: $82.32/claim|Median: $74.09
1.1× median
90853Normal range

Group psychotherapy

$21K

654 claims · 0.1%

Your Cost: $31.98/claim|Median: $25.02
1.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$7K

6,058 claims · 0.0%

Your Cost: $1.16/claim|Median: $55.04
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$7K

223 claims · 0.0%

Your Cost: $29.29/claim|Median: $25.06
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

1,620 claims · 0.0%

Your Cost: $3.74/claim|Median: $9.56
0.4× median
90839Normal range

Psychotherapy for crisis, first 60 min

$6K

70 claims · 0.0%

Your Cost: $80.11/claim|Median: $83.98
1.0× median
99308Normal range

Nursing facility care, subsequent, straightforward

$4K

315 claims · 0.0%

Your Cost: $11.70/claim|Median: $9.79
1.2× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$3K

72 claims · 0.0%

Your Cost: $48.00/claim|Median: $3.67
13.1× median
99204Normal range

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

$3K

35 claims · 0.0%

Your Cost: $83.62/claim|Median: $84.03
1.0× median
T1016Normal range

Case management, each 15 min

$2K

108 claims · 0.0%

Your Cost: $17.67/claim|Median: $49.62
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

12 claims · 0.0%

Your Cost: $147.71/claim|Median: $111.09
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$2K

977 claims · 0.0%

Your Cost: $1.62/claim|Median: $1.57
1.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$1K

237 claims · 0.0%

Your Cost: $4.36/claim|Median: $32.55
0.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$903

141 claims · 0.0%

Your Cost: $6.40/claim|Median: $22.44
0.3× median
80305Normal range

$854

120 claims · 0.0%

Your Cost: $7.12/claim|Median: $7.44
1.0× median
G2065Normal range

$84

877 claims · 0.0%

Your Cost: $0.10/claim|Median: $4.39
0.0× median
99426Normal range

$0

360 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
G2058Normal range

$0

345 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.40
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