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Provider 1932274180

NPI: 1932274180Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.9M

$12,885,663

Total Claims

613K

Beneficiaries

85K

7.2 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$6K
+4210%
2019
$248K
+563%
2020
$1.6M
+7%
2021
$1.8M
+64%
2022
$2.9M
+22%
2023
$3.5M
-19%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0038 (Self-help/peer services, per 15 minutes)) accounts for 27% of total spending.

H0038Normal range

Self-help/peer services, per 15 minutes

$3.5M

162K claims · 27.3%

Your Cost: $21.72/claim|Median: $55.04
0.4× median
H2014Normal range

Skills training & development, per 15 min

$2.9M

97K claims · 22.8%

Your Cost: $30.23/claim|Median: $83.88
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.9M

113K claims · 14.6%

Your Cost: $16.59/claim|Median: $74.63
0.2× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$1.2M

60K claims · 9.2%

Your Cost: $19.85/claim|Median: $84.12
0.2× median
T1016Normal range

Case management, each 15 min

$1.2M

107K claims · 9.0%

Your Cost: $10.84/claim|Median: $49.62
0.2× median
H2027Normal range

Psychoeducational service, per 15 minutes

$887K

33K claims · 6.9%

Your Cost: $27.19/claim|Median: $82.72
0.3× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$370K

7,222 claims · 2.9%

Your Cost: $51.29/claim|Median: $144.05
0.4× median
H2016Normal range

Comprehensive community support services, per 15 min

$287K

2,128 claims · 2.2%

Your Cost: $134.74/claim|Median: $321.53
0.4× median
H2012Normal range

Behavioral health day treatment, per hour

$260K

21K claims · 2.0%

Your Cost: $12.25/claim|Median: $137.86
0.1× median
H0031Normal range

Mental health assessment by non-physician

$258K

3,617 claims · 2.0%

Your Cost: $71.26/claim|Median: $96.18
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$69K

2,083 claims · 0.5%

Your Cost: $32.93/claim|Median: $96.24
0.3× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$53K

3,763 claims · 0.4%

Your Cost: $14.05/claim|Median: $100.49
0.1× median
H0001Normal range

Alcohol and/or drug assessment

$14K

937 claims · 0.1%

Your Cost: $15.32/claim|Median: $94.22
0.2× median
G9921Normal range

$0

48 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.60