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Provider 1962068296

NPI: 1962068296Share
Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$9.8M

$9,758,286

Total Claims

175K

Beneficiaries

113K

1.6 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2020
$266K
+175%
2021
$731K
+147%
2022
$1.8M
+78%
2023
$3.2M
+16%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T2023 (Community transition, waiver; per service)) accounts for 41% of total spending.

T2023Normal range

Community transition, waiver; per service

$4.0M

17K claims · 40.6%

Your Cost: $237.51/claim|Median: $300.13
0.8× median
99213Normal range

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

$2.1M

56K claims · 21.5%

Your Cost: $37.62/claim|Median: $37.81
1.0× median
99214Normal range

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

$2.0M

36K claims · 20.9%

Your Cost: $56.75/claim|Median: $53.41
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$537K

17K claims · 5.5%

Your Cost: $32.24/claim|Median: $41.28
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$365K

15K claims · 3.7%

Your Cost: $23.88/claim|Median: $25.06
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$183K

1,918 claims · 1.9%

Your Cost: $95.56/claim|Median: $108.91
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$158K

2,139 claims · 1.6%

Your Cost: $74.07/claim|Median: $99.21
0.7× median
99204Normal range

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

$84K

1,108 claims · 0.9%

Your Cost: $75.58/claim|Median: $84.03
0.9× median
T1017Normal range

Targeted case management, per 15 min

$73K

7,792 claims · 0.8%

Your Cost: $9.40/claim|Median: $69.56
0.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$64K

12K claims · 0.7%

Your Cost: $5.22/claim|Median: $3.67
1.4× median
90853Normal range

Group psychotherapy

$45K

3,017 claims · 0.5%

Your Cost: $14.78/claim|Median: $25.02
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$27K

763 claims · 0.3%

Your Cost: $35.76/claim|Median: $74.09
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$26K

485 claims · 0.3%

Your Cost: $53.58/claim|Median: $63.65
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$23K

296 claims · 0.2%

Your Cost: $77.13/claim|Median: $111.09
0.7× median
99484Normal range

$15K

1,029 claims · 0.2%

Your Cost: $14.58/claim|Median: $7.13
2.0× median
90837Normal range

Psychotherapy, 60 minutes

$15K

495 claims · 0.1%

Your Cost: $29.33/claim|Median: $85.66
0.3× median
99203Normal range

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

$12K

234 claims · 0.1%

Your Cost: $51.43/claim|Median: $57.85
0.9× median
T1007Normal range

Alcohol/drug services, treatment plan review

$12K

335 claims · 0.1%

Your Cost: $34.83/claim|Median: $64.10
0.5× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$7K

233 claims · 0.1%

Your Cost: $31.85/claim|Median: $38.83
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$6K

153 claims · 0.1%

Your Cost: $38.14/claim|Median: $40.11
1.0× median
98980Normal range

$5K

312 claims · 0.1%

Your Cost: $17.21/claim|Median: $8.81
2.0× median
98975Normal range

$4K

702 claims · 0.0%

Your Cost: $6.12/claim|Median: $7.28
0.8× median
H0006Normal range

Alcohol and/or drug services, case management

$180

1,534 claims · 0.0%

Your Cost: $0.12/claim|Median: $43.10
0.0× median
99490Normal range

Chronic care management services, 20 minutes per month

$0

188 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.31
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