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Provider 1952780074

NPI: 1952780074Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,402,493

Total Claims

110K

Beneficiaries

41K

2.7 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$923K
+31%
2019
$1.2M
+24%
2020
$1.5M
-1%
2021
$1.5M
+11%
2022
$1.7M
-10%
2023
$1.5M
-23%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 30% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$2.8M

21K claims · 29.7%

Your Cost: $130.65/claim|Median: $96.24
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$2.1M

31K claims · 22.2%

Your Cost: $66.68/claim|Median: $85.66
0.8× median
T2023Normal range

Community transition, waiver; per service

$1.7M

6,123 claims · 18.6%

Your Cost: $284.99/claim|Median: $300.13
0.9× median
99354Normal range

$764K

14K claims · 8.1%

Your Cost: $56.40/claim|Median: $54.96
1.0× median
H2021Normal range

Community-based wrap-around services, per 15 min

$622K

5,605 claims · 6.6%

Your Cost: $110.98/claim|Median: $169.11
0.7× median
90887Normal range

Interpretation/explanation of results

$557K

14K claims · 5.9%

Your Cost: $38.69/claim|Median: $47.55
0.8× median
99355Normal range

$284K

6,210 claims · 3.0%

Your Cost: $45.74/claim|Median: $55.81
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$280K

6,200 claims · 3.0%

Your Cost: $45.13/claim|Median: $74.63
0.6× median
H0032Normal range

Mental health service plan development

$70K

1,359 claims · 0.7%

Your Cost: $51.67/claim|Median: $80.64
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$63K

877 claims · 0.7%

Your Cost: $71.28/claim|Median: $99.21
0.7× median
H0002Normal range

Behavioral health screening

$41K

754 claims · 0.4%

Your Cost: $54.19/claim|Median: $38.77
1.4× median
H0031Normal range

Mental health assessment by non-physician

$38K

712 claims · 0.4%

Your Cost: $53.12/claim|Median: $96.18
0.6× median
H2027Top 25%

Psychoeducational service, per 15 minutes

$28K

122 claims · 0.3%

Your Cost: $228.02/claim|Median: $82.72
2.8× median
90832Normal range

Psychotherapy, 30 minutes

$26K

771 claims · 0.3%

Your Cost: $33.99/claim|Median: $41.28
0.8× median
90853Normal range

Group psychotherapy

$3K

235 claims · 0.0%

Your Cost: $14.50/claim|Median: $25.02
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$633

16 claims · 0.0%

Your Cost: $39.56/claim|Median: $63.65
0.6× median
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