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Provider 1972668853

NPI: 1972668853Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.7M

$12,712,557

Total Claims

980K

Beneficiaries

531K

1.8 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$631K
+58%
2019
$996K
+131%
2020
$2.3M
-5%
2021
$2.2M
-43%
2022
$1.3M
+84%
2023
$2.3M
+30%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T2025 (Waiver services, NOS; per 15 min)) accounts for 31% of total spending.

T2025Normal range

Waiver services, NOS; per 15 min

$3.9M

28K claims · 30.7%

Your Cost: $139.24/claim|Median: $124.39
1.1× median
H0017Normal range

$3.1M

4,718 claims · 24.4%

Your Cost: $656.49/claim|Median: $470.95
1.4× median
H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$1.5M

21K claims · 11.4%

Your Cost: $70.10/claim|Median: $317.54
0.2× median
H0018Normal range

Behavioral health; short-term residential, per diem

$1.2M

45K claims · 9.1%

Your Cost: $25.73/claim|Median: $467.51
0.1× median
T1041Top 25%

Medicaid CCBHC services, per diem

$976K

312 claims · 7.7%

Your Cost: $3,127.19/claim|Median: $913.47
3.4× median
99214Normal range

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

$666K

72K claims · 5.2%

Your Cost: $9.30/claim|Median: $53.41
0.2× median
99213Normal range

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

$374K

16K claims · 2.9%

Your Cost: $22.81/claim|Median: $37.81
0.6× median
99204Normal range

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

$278K

2,582 claims · 2.2%

Your Cost: $107.78/claim|Median: $84.03
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$261K

207K claims · 2.1%

Your Cost: $1.26/claim|Median: $85.66
0.0× median
H2023Normal range

Supported employment, per 15 min

$199K

2,491 claims · 1.6%

Your Cost: $79.87/claim|Median: $103.94
0.8× median
H2036Normal range

Alcohol/drug treatment, per hour

$130K

25K claims · 1.0%

Your Cost: $5.15/claim|Median: $253.79
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$36K

17K claims · 0.3%

Your Cost: $2.11/claim|Median: $74.09
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$22K

9,410 claims · 0.2%

Your Cost: $2.30/claim|Median: $108.91
0.0× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$20K

662 claims · 0.2%

Your Cost: $30.54/claim|Median: $9.79
3.1× median
99203Normal range

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

$17K

294 claims · 0.1%

Your Cost: $59.24/claim|Median: $57.85
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$16K

59K claims · 0.1%

Your Cost: $0.26/claim|Median: $74.63
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$13K

434 claims · 0.1%

Your Cost: $28.80/claim|Median: $25.06
1.1× median
99304Top 10%

$11K

211 claims · 0.1%

Your Cost: $50.82/claim|Median: $13.51
3.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$10K

74K claims · 0.1%

Your Cost: $0.14/claim|Median: $96.24
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$10K

22K claims · 0.1%

Your Cost: $0.44/claim|Median: $99.21
0.0× median
96153Normal range

Health/behavior intervention, group

$6K

32K claims · 0.1%

Your Cost: $0.20/claim|Median: $6.67
0.0× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$6K

101 claims · 0.0%

Your Cost: $60.46/claim|Median: $100.49
0.6× median
H0046Normal range

Mental health services, not otherwise specified

$6K

45K claims · 0.0%

Your Cost: $0.13/claim|Median: $85.02
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$5K

13K claims · 0.0%

Your Cost: $0.42/claim|Median: $63.65
0.0× median
S9981Normal range

$5K

336 claims · 0.0%

Your Cost: $14.70/claim|Median: $14.70
1.0× median
99306Top 10%

$5K

62 claims · 0.0%

Your Cost: $78.93/claim|Median: $29.97
2.6× median
90853Normal range

Group psychotherapy

$5K

15K claims · 0.0%

Your Cost: $0.31/claim|Median: $25.02
0.0× median
S9982Normal range

$4K

336 claims · 0.0%

Your Cost: $12.64/claim|Median: $11.05
1.1× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$4K

53K claims · 0.0%

Your Cost: $0.08/claim|Median: $76.05
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$4K

12K claims · 0.0%

Your Cost: $0.29/claim|Median: $41.28
0.0× median
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