Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1003150004

NPI: 1003150004Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.5M

$9,498,080

Total Claims

498K

Beneficiaries

152K

3.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+1%
2019
$1.6M
-9%
2020
$1.4M
-1%
2021
$1.4M
-6%
2022
$1.4M
-5%
2023
$1.3M
-36%
2024
$826K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 46% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$4.3M

400K claims · 45.7%

Your Cost: $10.87/claim|Median: $18.95
0.6× median
H0003Top 25%

$3.9M

59K claims · 41.2%

Your Cost: $66.89/claim|Median: $13.38
5.0× median
H0022Normal range

$1.2M

35K claims · 12.5%

Your Cost: $33.82/claim|Median: $32.48
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$43K

3,466 claims · 0.5%

Your Cost: $12.51/claim|Median: $47.35
0.3× median
86580Top 25%

Tuberculosis (TB) skin test

$6K

809 claims · 0.1%

Your Cost: $7.16/claim|Median: $4.46
1.6× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$2K

47 claims · 0.0%

Your Cost: $51.16/claim|Median: $73.29
0.7× median
99001Normal range

$267

105 claims · 0.0%

Your Cost: $2.54/claim|Median: $2.31
1.1× median
H0001Normal range

Alcohol and/or drug assessment

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $94.22
81025Normal range

Urine pregnancy test

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81