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Provider 1942362884

NPI: 1942362884Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,613,245

Total Claims

62K

Beneficiaries

20K

3.1 claims/patient

Avg Cost/Claim

$170

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+3%
2019
$1.4M
+4%
2020
$1.5M
-9%
2021
$1.4M
+12%
2022
$1.5M
+6%
2023
$1.6M
+13%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 60% of total spending.

H0040Normal range

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

$6.4M

25K claims · 60.4%

Your Cost: $259.93/claim|Median: $266.41
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$1.2M

14K claims · 11.1%

Your Cost: $85.69/claim|Median: $85.66
1.0× median
H2022Normal range

Community-based wrap-around services, per diem

$810K

3,216 claims · 7.6%

Your Cost: $251.75/claim|Median: $336.31
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$546K

5,433 claims · 5.1%

Your Cost: $100.47/claim|Median: $55.04
1.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$546K

3,850 claims · 5.1%

Your Cost: $141.78/claim|Median: $96.24
1.5× median
H0032Normal range

Mental health service plan development

$411K

3,990 claims · 3.9%

Your Cost: $103.06/claim|Median: $80.64
1.3× median
99214Top 25%

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

$325K

3,732 claims · 3.1%

Your Cost: $86.97/claim|Median: $53.41
1.6× median
T1017Top 10%

Targeted case management, per 15 min

$165K

632 claims · 1.6%

Your Cost: $261.20/claim|Median: $69.56
3.8× median
90832Normal range

Psychotherapy, 30 minutes

$94K

1,875 claims · 0.9%

Your Cost: $49.97/claim|Median: $41.28
1.2× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$41K

211 claims · 0.4%

Your Cost: $192.55/claim|Median: $167.38
1.2× median
99213Top 25%

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

$31K

486 claims · 0.3%

Your Cost: $64.19/claim|Median: $37.81
1.7× median
T2013Normal range

Habilitation, residential, waiver, per hour

$20K

203 claims · 0.2%

Your Cost: $99.21/claim|Median: $158.23
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$19K

196 claims · 0.2%

Your Cost: $96.29/claim|Median: $99.21
1.0× median
H0040CRNormal range

$12K

46 claims · 0.1%

Your Cost: $265.90/claim|Median: $265.90
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$9K

166 claims · 0.1%

Your Cost: $53.78/claim|Median: $63.65
0.8× median
99204Top 25%

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

$2K

14 claims · 0.0%

Your Cost: $129.27/claim|Median: $84.03
1.5× median
90837GTNormal range

$2K

17 claims · 0.0%

Your Cost: $93.56/claim|Median: $94.92
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$1K

12 claims · 0.0%

Your Cost: $117.78/claim|Median: $74.09
1.6× median
98968Normal range

$306

12 claims · 0.0%

Your Cost: $25.46/claim|Median: $28.39
0.9× median
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