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Provider 1053801951

NPI: 1053801951Share
Active Billing Period:2018-122024-12(73 months)

Total Paid

$10.7M

$10,684,240

Total Claims

126K

Beneficiaries

61K

2.1 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$27K
+4192%
2019
$1.2M
+50%
2020
$1.7M
+15%
2021
$2.0M
+10%
2022
$2.2M
-13%
2023
$1.9M
-19%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 47% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$5.0M

64K claims · 46.8%

Your Cost: $77.63/claim|Median: $18.95
4.1× median
W1761Normal range

$1.8M

15K claims · 16.7%

Your Cost: $116.83/claim|Median: $116.75
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.7M

27K claims · 15.5%

Your Cost: $61.32/claim|Median: $74.63
0.8× median
99213Top 10%

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

$756K

9,126 claims · 7.1%

Your Cost: $82.81/claim|Median: $37.81
2.2× median
99215Top 5%

Office/outpatient visit, high complexity

$447K

2,518 claims · 4.2%

Your Cost: $177.67/claim|Median: $74.09
2.4× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$351K

1,563 claims · 3.3%

Your Cost: $224.44/claim|Median: $182.66
1.2× median
99214Top 5%

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

$304K

2,544 claims · 2.8%

Your Cost: $119.57/claim|Median: $53.41
2.2× median
H0001Top 25%

Alcohol and/or drug assessment

$288K

1,667 claims · 2.7%

Your Cost: $172.99/claim|Median: $94.22
1.8× median
W1760Normal range

$56K

578 claims · 0.5%

Your Cost: $97.61/claim|Median: $106.40
0.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$22K

965 claims · 0.2%

Your Cost: $22.34/claim|Median: $12.93
1.7× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$12K

213 claims · 0.1%

Your Cost: $58.16/claim|Median: $73.29
0.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$7K

155 claims · 0.1%

Your Cost: $43.08/claim|Median: $47.35
0.9× median