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Provider 1972934537

NPI: 1972934537Share
Active Billing Period:2018-01→2024-06(77 months)

Total Paid

$8.2M

$8,184,260

Total Claims

71K

Beneficiaries

4,905

14.4 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-17%
2019
$1.3M
-35%
2020
$822K
+4%
2021
$851K
+15%
2022
$976K
+64%
2023
$1.6M
-29%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 71% of total spending.

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$5.8M

24K claims · 70.6%

Your Cost: $238.48/claim|Median: $167.38
1.4× median
0364TTop 1%

$1.5M

7,383 claims · 18.2%

Your Cost: $201.34/claim|Median: $21.31
9.4× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$667K

11K claims · 8.1%

Your Cost: $58.08/claim|Median: $146.45
0.4× median
97154Normal range

Group adaptive behavior treatment, per 15 min

$201K

18K claims · 2.5%

Your Cost: $11.28/claim|Median: $55.95
0.2× median
0368TNormal range

$33K

3,651 claims · 0.4%

Your Cost: $9.10/claim|Median: $44.63
0.2× median
97151Normal range

Behavior identification assessment

$7K

69 claims · 0.1%

Your Cost: $96.50/claim|Median: $161.10
0.6× median
97156Normal range

$4K

60 claims · 0.1%

Your Cost: $68.91/claim|Median: $88.65
0.8× median
0359TNormal range

$3K

14 claims · 0.0%

Your Cost: $249.64/claim|Median: $444.44
0.6× median
0366TNormal range

$170

5,818 claims · 0.0%

Your Cost: $0.03/claim|Median: $10.37
0.0× median
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