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ACHIEVE WHOLE RECOVERY, PC

Specialist·COLORADO SPRINGS, CO·NPI: 1013456383Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.6M

$22,643,221

Total Claims

328K

Beneficiaries

250K

1.3 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$827K
+182%
2019
$2.3M
+38%
2020
$3.2M
+93%
2021
$6.2M
-51%
2022
$3.1M
+16%
2023
$3.5M
-2%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 19% of total spending.

99214Top 25%

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

$4.3M

51K claims · 19.1%

Your Cost: $84.84/claim|Median: $53.41
1.6× median
G0483Top 10%

Drug test, definitive, 22+ drug classes

$4.2M

21K claims · 18.6%

Your Cost: $198.18/claim|Median: $90.89
2.2× median
Q9992Normal range

$3.8M

2,407 claims · 16.9%

Your Cost: $1,593.80/claim|Median: $1,537.34
1.0× median
J2315Top 25%

$1.2M

993 claims · 5.5%

Your Cost: $1,247.39/claim|Median: $1,045.36
1.2× median
Q9991Normal range

$1.2M

731 claims · 5.3%

Your Cost: $1,643.40/claim|Median: $1,554.42
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$1.1M

13K claims · 5.0%

Your Cost: $88.15/claim|Median: $85.66
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$1.1M

8,520 claims · 4.9%

Your Cost: $129.69/claim|Median: $74.09
1.8× median
82075Top 25%

Alcohol (ethanol) breath test

$1.0M

42K claims · 4.6%

Your Cost: $25.03/claim|Median: $16.59
1.5× median
G0482Top 10%

Drug test, definitive, 15-21 drug classes

$731K

4,594 claims · 3.2%

Your Cost: $159.19/claim|Median: $75.26
2.1× median
99213Normal range

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

$548K

10K claims · 2.4%

Your Cost: $53.36/claim|Median: $37.81
1.4× median
80305Top 10%

$540K

45K claims · 2.4%

Your Cost: $11.94/claim|Median: $7.44
1.6× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$446K

13K claims · 2.0%

Your Cost: $34.74/claim|Median: $38.83
0.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$320K

1,885 claims · 1.4%

Your Cost: $170.02/claim|Median: $111.09
1.5× median
99204Top 25%

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

$258K

1,963 claims · 1.1%

Your Cost: $131.18/claim|Median: $84.03
1.6× median
81025Top 25%

Urine pregnancy test

$158K

20K claims · 0.7%

Your Cost: $7.93/claim|Median: $4.81
1.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$117K

882 claims · 0.5%

Your Cost: $132.56/claim|Median: $108.91
1.2× median
99355Top 5%

$101K

739 claims · 0.4%

Your Cost: $136.31/claim|Median: $55.81
2.4× median
90834Normal range

Psychotherapy, 45 minutes

$97K

1,623 claims · 0.4%

Your Cost: $59.46/claim|Median: $63.65
0.9× median
99354Normal range

$57K

813 claims · 0.3%

Your Cost: $69.98/claim|Median: $54.96
1.3× median
80362Top 10%

$52K

3,085 claims · 0.2%

Your Cost: $16.80/claim|Median: $5.83
2.9× median
80345Top 10%

Drug assay for barbiturates

$52K

3,086 claims · 0.2%

Your Cost: $16.78/claim|Median: $5.19
3.2× median
80356Top 10%

Benzodiazepine drug assay by definitive method

$52K

3,086 claims · 0.2%

Your Cost: $16.75/claim|Median: $5.78
2.9× median
80324Top 10%

$52K

3,086 claims · 0.2%

Your Cost: $16.75/claim|Median: $6.08
2.8× median
80349Top 10%

$52K

3,086 claims · 0.2%

Your Cost: $16.75/claim|Median: $5.96
2.8× median
80354Top 10%

$52K

3,086 claims · 0.2%

Your Cost: $16.74/claim|Median: $5.61
3.0× median
80358Top 10%

$52K

3,086 claims · 0.2%

Your Cost: $16.74/claim|Median: $5.06
3.3× median
80365Top 10%

$52K

3,085 claims · 0.2%

Your Cost: $16.74/claim|Median: $5.24
3.2× median
80369Top 10%

$52K

3,084 claims · 0.2%

Your Cost: $16.74/claim|Median: $5.73
2.9× median
80346Top 25%

$52K

3,086 claims · 0.2%

Your Cost: $16.73/claim|Median: $8.14
2.1× median
80321Top 25%

$52K

3,087 claims · 0.2%

Your Cost: $16.72/claim|Median: $6.61
2.5× median
80361Top 25%

$52K

3,084 claims · 0.2%

Your Cost: $16.73/claim|Median: $7.53
2.2× median
80348Top 25%

$52K

3,086 claims · 0.2%

Your Cost: $16.71/claim|Median: $6.63
2.5× median
80373Top 5%

$52K

3,084 claims · 0.2%

Your Cost: $16.72/claim|Median: $6.39
2.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$50K

3,647 claims · 0.2%

Your Cost: $13.83/claim|Median: $9.56
1.4× median
80355Top 5%

$43K

2,558 claims · 0.2%

Your Cost: $16.76/claim|Median: $6.21
2.7× median
80357Top 5%

$43K

2,558 claims · 0.2%

Your Cost: $16.75/claim|Median: $5.30
3.2× median
80368Top 5%

$43K

2,556 claims · 0.2%

Your Cost: $16.75/claim|Median: $5.64
3.0× median
80366Top 5%

$43K

2,556 claims · 0.2%

Your Cost: $16.74/claim|Median: $5.67
3.0× median
80360Top 5%

$43K

2,557 claims · 0.2%

Your Cost: $16.70/claim|Median: $5.43
3.1× median
80359Top 5%

$43K

2,557 claims · 0.2%

Your Cost: $16.70/claim|Median: $4.98
3.4× median
80372Top 5%

$43K

2,556 claims · 0.2%

Your Cost: $16.69/claim|Median: $6.21
2.7× median
99000Normal range

$35K

17K claims · 0.2%

Your Cost: $1.98/claim|Median: $2.30
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$24K

246 claims · 0.1%

Your Cost: $98.17/claim|Median: $99.21
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$24K

1,189 claims · 0.1%

Your Cost: $20.04/claim|Median: $55.04
0.4× median
99417Normal range

$13K

321 claims · 0.1%

Your Cost: $41.42/claim|Median: $34.90
1.2× median
90863Normal range

$9K

877 claims · 0.0%

Your Cost: $10.80/claim|Median: $29.71
0.4× median
90785Normal range

$7K

2,103 claims · 0.0%

Your Cost: $3.30/claim|Median: $6.43
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$4K

1,105 claims · 0.0%

Your Cost: $3.66/claim|Median: $3.67
1.0× median
T1017Normal range

Targeted case management, per 15 min

$2K

44 claims · 0.0%

Your Cost: $42.60/claim|Median: $69.56
0.6× median
99406Top 25%

$1K

124 claims · 0.0%

Your Cost: $10.77/claim|Median: $6.53
1.6× median

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