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Provider 1932167277

NPI: 1932167277Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.7M

$13,650,321

Total Claims

162K

Beneficiaries

47K

3.4 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+7%
2019
$2.0M
-37%
2020
$1.3M
+41%
2021
$1.8M
+13%
2022
$2.0M
-3%
2023
$2.0M
+32%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0039 (Assertive community treatment, per diem)) accounts for 34% of total spending.

H0039Normal range

Assertive community treatment, per diem

$4.7M

56K claims · 34.2%

Your Cost: $82.70/claim|Median: $132.62
0.6× median
90832Top 10%

Psychotherapy, 30 minutes

$3.4M

37K claims · 25.3%

Your Cost: $92.44/claim|Median: $41.28
2.2× median
H2021Normal range

Community-based wrap-around services, per 15 min

$1.9M

22K claims · 13.9%

Your Cost: $87.60/claim|Median: $169.11
0.5× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.2M

16K claims · 9.0%

Your Cost: $75.60/claim|Median: $321.53
0.2× median
90863Top 10%

$924K

12K claims · 6.8%

Your Cost: $76.91/claim|Median: $29.71
2.6× median
90853Top 5%

Group psychotherapy

$576K

5,322 claims · 4.2%

Your Cost: $108.16/claim|Median: $25.02
4.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$327K

2,221 claims · 2.4%

Your Cost: $147.38/claim|Median: $99.21
1.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$150K

2,066 claims · 1.1%

Your Cost: $72.40/claim|Median: $74.63
1.0× median
W0037Top 1%

$136K

1,615 claims · 1.0%

Your Cost: $84.05/claim|Median: $3.00
28.0× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$136K

2,023 claims · 1.0%

Your Cost: $66.99/claim|Median: $22.44
3.0× median
90847Top 25%

Family psychotherapy with patient, 50 min

$79K

791 claims · 0.6%

Your Cost: $99.55/claim|Median: $77.33
1.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$64K

1,289 claims · 0.5%

Your Cost: $49.97/claim|Median: $47.35
1.1× median
99213Normal range

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

$9K

661 claims · 0.1%

Your Cost: $13.11/claim|Median: $37.81
0.3× median
99307Top 25%

$527

36 claims · 0.0%

Your Cost: $14.65/claim|Median: $6.57
2.2× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$360

14 claims · 0.0%

Your Cost: $25.72/claim|Median: $56.18
0.5× median
90887Normal range

Interpretation/explanation of results

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.55
99214Normal range

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

$0

2,040 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
90837Normal range

Psychotherapy, 60 minutes

$0

160 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66
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