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Provider 1932788486

NPI: 1932788486Share
Active Billing Period:2021-06→2023-05(23 months)
Billing appears to have stoppedLast active: 2023-05

Total Paid

$10.4M

$10,364,289

Total Claims

15K

Beneficiaries

4,225

3.6 claims/patient

Avg Cost/Claim

$674

Monthly Spending Trend

Yearly Spending

2021
$4.1M
+16%
2022
$4.8M
-70%
2023
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 38% of total spending.

T1016Top 1%

Case management, each 15 min

$4.0M

3,166 claims · 38.4%

Your Cost: $1,256.34/claim|Median: $49.62
25.3× median
H0038Top 5%

Self-help/peer services, per 15 minutes

$2.3M

2,829 claims · 22.5%

Your Cost: $824.07/claim|Median: $55.04
15.0× median
H2027Top 10%

Psychoeducational service, per 15 minutes

$1.3M

2,478 claims · 12.7%

Your Cost: $530.09/claim|Median: $82.72
6.4× median
H2014Top 5%

Skills training & development, per 15 min

$739K

887 claims · 7.1%

Your Cost: $832.96/claim|Median: $83.88
9.9× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$728K

1,449 claims · 7.0%

Your Cost: $502.38/claim|Median: $215.80
2.3× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$493K

1,479 claims · 4.8%

Your Cost: $333.30/claim|Median: $91.63
3.6× median
H0030Top 10%

$364K

1,072 claims · 3.5%

Your Cost: $339.76/claim|Median: $20.62
16.5× median
H0015Top 5%

Alcohol and/or drug abuse, intensive outpatient, per hour

$282K

413 claims · 2.7%

Your Cost: $681.88/claim|Median: $129.75
5.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$63K

868 claims · 0.6%

Your Cost: $73.12/claim|Median: $74.63
1.0× median
A0120Top 25%

Non-emergency mini-bus transport

$37K

495 claims · 0.4%

Your Cost: $74.95/claim|Median: $16.09
4.7× median
H2016Normal range

Comprehensive community support services, per 15 min

$30K

81 claims · 0.3%

Your Cost: $373.77/claim|Median: $321.53
1.2× median
H0031Top 25%

Mental health assessment by non-physician

$3K

16 claims · 0.0%

Your Cost: $201.23/claim|Median: $96.18
2.1× median
H0020Normal range

Alcohol/drug services; methadone administration

$649

51 claims · 0.0%

Your Cost: $12.72/claim|Median: $18.95
0.7× median
H0001Normal range

Alcohol and/or drug assessment

$588

16 claims · 0.0%

Your Cost: $36.73/claim|Median: $94.22
0.4× median
H0025Normal range

Behavioral health prevention education, per session

$556

58 claims · 0.0%

Your Cost: $9.58/claim|Median: $36.25
0.3× median
H0002Normal range

Behavioral health screening

$458

16 claims · 0.0%

Your Cost: $28.61/claim|Median: $38.77
0.7× median
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