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Provider 1942368378

NPI: 1942368378Share
Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$12.4M

$12,353,891

Total Claims

49K

Beneficiaries

19K

2.5 claims/patient

Avg Cost/Claim

$254

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+15%
2019
$2.3M
-27%
2020
$1.7M
-4%
2021
$1.6M
+1%
2022
$1.6M
+12%
2023
$1.8M
-30%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 64% of total spending.

H2015Top 25%

Comprehensive community support services, per 15 min

$7.9M

33K claims · 63.7%

Your Cost: $236.55/claim|Median: $96.24
2.5× median
H2010Top 25%

Comprehensive medication services, per 15 min

$1.9M

7,003 claims · 15.0%

Your Cost: $264.27/claim|Median: $62.69
4.2× median
90837Top 1%

Psychotherapy, 60 minutes

$456K

1,227 claims · 3.7%

Your Cost: $371.56/claim|Median: $85.66
4.3× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$447K

1,355 claims · 3.6%

Your Cost: $329.87/claim|Median: $91.63
3.6× median
T1017Top 25%

Targeted case management, per 15 min

$441K

2,662 claims · 3.6%

Your Cost: $165.61/claim|Median: $69.56
2.4× median
99215Top 1%

Office/outpatient visit, high complexity

$383K

348 claims · 3.1%

Your Cost: $1,101.99/claim|Median: $74.09
14.9× median
99484Top 5%

$298K

514 claims · 2.4%

Your Cost: $580.11/claim|Median: $7.13
81.4× median
H0032Top 25%

Mental health service plan development

$205K

1,241 claims · 1.7%

Your Cost: $164.84/claim|Median: $80.64
2.0× median
99214Top 1%

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

$135K

163 claims · 1.1%

Your Cost: $829.30/claim|Median: $53.41
15.5× median
90834Top 1%

Psychotherapy, 45 minutes

$119K

427 claims · 1.0%

Your Cost: $278.59/claim|Median: $63.65
4.4× median
H0031Top 5%

Mental health assessment by non-physician

$53K

91 claims · 0.4%

Your Cost: $578.59/claim|Median: $96.18
6.0× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$43K

79 claims · 0.4%

Your Cost: $549.30/claim|Median: $150.51
3.6× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$29K

157 claims · 0.2%

Your Cost: $187.45/claim|Median: $72.96
2.6× median
H0034Top 5%

Medication training and management, per 15 min

$13K

35 claims · 0.1%

Your Cost: $384.19/claim|Median: $56.90
6.8× median
90832Top 5%

Psychotherapy, 30 minutes

$8K

43 claims · 0.1%

Your Cost: $186.85/claim|Median: $41.28
4.5× median
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