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Provider 1003110149

NPI: 1003110149Share
Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$13.6M

$13,558,503

Total Claims

73K

Beneficiaries

13K

5.5 claims/patient

Avg Cost/Claim

$187

Monthly Spending Trend

Yearly Spending

2018
$866K
-74%
2019
$228K
+597%
2020
$1.6M
+32%
2021
$2.1M
-42%
2022
$1.2M
+143%
2023
$2.9M
+57%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 80% of total spending.

H2015Top 25%

Comprehensive community support services, per 15 min

$10.9M

46K claims · 80.2%

Your Cost: $237.25/claim|Median: $96.24
2.5× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$772K

6,381 claims · 5.7%

Your Cost: $120.96/claim|Median: $129.75
0.9× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$705K

5,678 claims · 5.2%

Your Cost: $124.16/claim|Median: $55.04
2.3× median
G0483Top 25%

Drug test, definitive, 22+ drug classes

$496K

2,999 claims · 3.7%

Your Cost: $165.28/claim|Median: $90.89
1.8× median
90837Normal range

Psychotherapy, 60 minutes

$223K

2,847 claims · 1.6%

Your Cost: $78.20/claim|Median: $85.66
0.9× median
99213Normal range

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

$199K

4,580 claims · 1.5%

Your Cost: $43.43/claim|Median: $37.81
1.1× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$181K

2,742 claims · 1.3%

Your Cost: $66.11/claim|Median: $35.43
1.9× median
90791Normal range

Psychiatric diagnostic evaluation

$31K

416 claims · 0.2%

Your Cost: $73.79/claim|Median: $99.21
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$24K

512 claims · 0.2%

Your Cost: $45.92/claim|Median: $41.28
1.1× median
H2015HTNormal range

$22K

123 claims · 0.2%

Your Cost: $182.43/claim|Median: $173.43
1.1× median
99214Normal range

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

$21K

307 claims · 0.2%

Your Cost: $67.44/claim|Median: $53.41
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$12K

249 claims · 0.1%

Your Cost: $48.99/claim|Median: $63.65
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$2K

16 claims · 0.0%

Your Cost: $138.47/claim|Median: $74.09
1.9× median
99203Normal range

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

$1K

19 claims · 0.0%

Your Cost: $74.93/claim|Median: $57.85
1.3× median
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