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RTS EDGEWOOD

Clinic/Center, Methadone Clinic·EDGEWOOD, MD·NPI: 1003368945Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.6M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

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

Total Paid

$25.6M

$25,567,371

Total Claims

664K

Beneficiaries

108K

6.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+37%
2019
$3.7M
+1%
2020
$3.7M
+4%
2021
$3.9M
+2%
2022
$4.0M
-4%
2023
$3.8M
-1%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 41% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$10.6M

139K claims · 41.5%

Your Cost: $76.41/claim|Median: $18.95
4.0× median
J0574Normal range

$4.8M

280K claims · 18.9%

Your Cost: $17.33/claim|Median: $15.76
1.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$3.8M

43K claims · 15.0%

Your Cost: $89.70/claim|Median: $74.63
1.2× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$3.3M

49K claims · 13.0%

Your Cost: $68.27/claim|Median: $81.37
0.8× median
J0572Normal range

$1.7M

143K claims · 6.5%

Your Cost: $11.61/claim|Median: $8.49
1.4× median
H0001Top 25%

Alcohol and/or drug assessment

$677K

3,882 claims · 2.6%

Your Cost: $174.28/claim|Median: $94.22
1.8× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$454K

1,880 claims · 1.8%

Your Cost: $241.29/claim|Median: $182.66
1.3× median
99213Top 10%

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

$79K

1,012 claims · 0.3%

Your Cost: $78.10/claim|Median: $37.81
2.1× median
J0573Top 25%

$44K

2,735 claims · 0.2%

Your Cost: $16.07/claim|Median: $12.82
1.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$34K

1,591 claims · 0.1%

Your Cost: $21.30/claim|Median: $12.93
1.6× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$13K

273 claims · 0.1%

Your Cost: $48.43/claim|Median: $73.29
0.7× median
99215Top 10%

Office/outpatient visit, high complexity

$7K

50 claims · 0.0%

Your Cost: $149.21/claim|Median: $74.09
2.0× median
G2078Normal range

$2K

67 claims · 0.0%

Your Cost: $33.06/claim|Median: $27.04
1.2× median

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Similar Providers

Other top providers in Clinic/Center, Methadone Clinic

Galax Treatment Center, LLC

Galax, VA

$164.2M

Hartford Dispensary

Hartford, CT

$122.8M

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