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Provider 1023686284

NPI: 1023686284Share
Active Billing Period:2021-06→2024-12(43 months)

Total Paid

$18.1M

$18,147,875

Total Claims

1.6M

Beneficiaries

158K

10.4 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2021
$3.4M
+110%
2022
$7.1M
-32%
2023
$4.8M
-42%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 63% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$11.4M

1.4M claims · 62.9%

Your Cost: $7.92/claim|Median: $18.95
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.6M

65K claims · 14.6%

Your Cost: $40.56/claim|Median: $74.63
0.5× median
99214Top 25%

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

$1.5M

19K claims · 8.0%

Your Cost: $77.39/claim|Median: $53.41
1.4× median
H2036Normal range

Alcohol/drug treatment, per hour

$561K

5,226 claims · 3.1%

Your Cost: $107.44/claim|Median: $253.79
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$535K

5,331 claims · 2.9%

Your Cost: $100.42/claim|Median: $74.09
1.4× median
H0001Normal range

Alcohol and/or drug assessment

$251K

2,981 claims · 1.4%

Your Cost: $84.13/claim|Median: $94.22
0.9× median
J0575Normal range

$214K

31K claims · 1.2%

Your Cost: $6.99/claim|Median: $14.96
0.5× median
99213Top 25%

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

$207K

3,576 claims · 1.1%

Your Cost: $57.76/claim|Median: $37.81
1.5× median
H0048Normal range

$183K

34K claims · 1.0%

Your Cost: $5.43/claim|Median: $13.25
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$118K

1,511 claims · 0.7%

Your Cost: $78.38/claim|Median: $85.66
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$82K

634 claims · 0.4%

Your Cost: $128.79/claim|Median: $111.09
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$75K

1,318 claims · 0.4%

Your Cost: $57.00/claim|Median: $108.91
0.5× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$69K

859 claims · 0.4%

Your Cost: $80.25/claim|Median: $164.03
0.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$60K

6,586 claims · 0.3%

Your Cost: $9.18/claim|Median: $47.35
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$52K

735 claims · 0.3%

Your Cost: $70.74/claim|Median: $99.21
0.7× median
J0574Normal range

$44K

13K claims · 0.2%

Your Cost: $3.49/claim|Median: $15.76
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$44K

1,326 claims · 0.2%

Your Cost: $33.19/claim|Median: $41.28
0.8× median
99212Top 25%

Office/outpatient visit, low complexity

$38K

968 claims · 0.2%

Your Cost: $38.75/claim|Median: $25.06
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$27K

492 claims · 0.1%

Your Cost: $55.00/claim|Median: $63.65
0.9× median
99204Normal range

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

$26K

277 claims · 0.1%

Your Cost: $92.52/claim|Median: $84.03
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$25K

697 claims · 0.1%

Your Cost: $35.25/claim|Median: $55.04
0.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$12K

620 claims · 0.1%

Your Cost: $19.10/claim|Median: $12.93
1.5× median
90853Normal range

Group psychotherapy

$5K

206 claims · 0.0%

Your Cost: $24.30/claim|Median: $25.02
1.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$5K

75 claims · 0.0%

Your Cost: $65.61/claim|Median: $40.11
1.6× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$2K

164 claims · 0.0%

Your Cost: $10.84/claim|Median: $73.29
0.1× median
99203Top 25%

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

$2K

20 claims · 0.0%

Your Cost: $86.42/claim|Median: $57.85
1.5× median
J0573Normal range

$1K

301 claims · 0.0%

Your Cost: $4.89/claim|Median: $12.82
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$351

31 claims · 0.0%

Your Cost: $11.31/claim|Median: $9.56
1.2× median
G2078Normal range

$125

22 claims · 0.0%

Your Cost: $5.69/claim|Median: $27.04
0.2× median
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