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Provider 1003969767

NPI: 1003969767Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.8M

$16,787,888

Total Claims

807K

Beneficiaries

79K

10.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$816K
+217%
2019
$2.6M
+2%
2020
$2.6M
-16%
2021
$2.2M
+14%
2022
$2.5M
+28%
2023
$3.2M
-12%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 64% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$10.8M

715K claims · 64.2%

Your Cost: $15.09/claim|Median: $18.95
0.8× median
G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$4.3M

28K claims · 25.6%

Your Cost: $152.48/claim|Median: $73.29
2.1× median
90837Normal range

Psychotherapy, 60 minutes

$457K

8,277 claims · 2.7%

Your Cost: $55.19/claim|Median: $85.66
0.6× median
G2074Top 5%

$301K

1,879 claims · 1.8%

Your Cost: $160.04/claim|Median: $82.20
1.9× median
90853Normal range

Group psychotherapy

$170K

13K claims · 1.0%

Your Cost: $13.39/claim|Median: $25.02
0.5× median
99213Normal range

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

$164K

6,324 claims · 1.0%

Your Cost: $25.95/claim|Median: $37.81
0.7× median
80305Normal range

$129K

19K claims · 0.8%

Your Cost: $6.95/claim|Median: $7.44
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$97K

2,415 claims · 0.6%

Your Cost: $40.25/claim|Median: $63.65
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$91K

1,251 claims · 0.5%

Your Cost: $72.42/claim|Median: $108.91
0.7× median
G2077Normal range

$74K

1,126 claims · 0.4%

Your Cost: $65.56/claim|Median: $38.98
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$61K

3,768 claims · 0.4%

Your Cost: $16.23/claim|Median: $25.06
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$59K

2,538 claims · 0.3%

Your Cost: $23.08/claim|Median: $35.43
0.7× median
G2078Normal range

$44K

1,491 claims · 0.3%

Your Cost: $29.66/claim|Median: $27.04
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$42K

1,131 claims · 0.2%

Your Cost: $36.91/claim|Median: $41.28
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$12K

113 claims · 0.1%

Your Cost: $101.87/claim|Median: $111.09
0.9× median
G2076Normal range

$4K

32 claims · 0.0%

Your Cost: $135.67/claim|Median: $275.92
0.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$2K

303 claims · 0.0%

Your Cost: $7.36/claim|Median: $55.04
0.1× median
99214Normal range

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

$999

21 claims · 0.0%

Your Cost: $47.59/claim|Median: $53.41
0.9× median
T1016Normal range

Case management, each 15 min

$0

2,004 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62
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