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Provider 1063628170

NPI: 1063628170Share
Active Billing Period:2018-082024-12(77 months)

Total Paid

$16.7M

$16,702,536

Total Claims

1.6M

Beneficiaries

96K

16.9 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$15K
+5228%
2019
$826K
+141%
2020
$2.0M
+38%
2021
$2.8M
+25%
2022
$3.4M
+32%
2023
$4.6M
-32%
2024
$3.1M

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 37% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$6.1M

807K claims · 36.8%

Your Cost: $7.61/claim|Median: $18.95
0.4× median
S0109Top 25%

$4.9M

763K claims · 29.5%

Your Cost: $6.45/claim|Median: $4.67
1.4× median
G9012Normal range

Other specified case management service, per 15 minutes

$3.8M

17K claims · 22.9%

Your Cost: $228.61/claim|Median: $137.85
1.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.5M

30K claims · 8.9%

Your Cost: $49.95/claim|Median: $74.63
0.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$159K

1,143 claims · 1.0%

Your Cost: $139.18/claim|Median: $99.21
1.4× median
99214Normal range

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

$111K

2,931 claims · 0.7%

Your Cost: $37.96/claim|Median: $53.41
0.7× median
H0005Normal range

Alcohol and/or drug services, group counseling

$21K

1,333 claims · 0.1%

Your Cost: $15.53/claim|Median: $47.35
0.3× median
99213Normal range

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

$12K

694 claims · 0.1%

Your Cost: $17.88/claim|Median: $37.81
0.5× median
86580Top 25%

Tuberculosis (TB) skin test

$5K

644 claims · 0.0%

Your Cost: $7.47/claim|Median: $4.46
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

486 claims · 0.0%

Your Cost: $7.16/claim|Median: $12.93
0.6× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$3K

280 claims · 0.0%

Your Cost: $11.23/claim|Median: $73.29
0.2× median
99204Normal range

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

$2K

32 claims · 0.0%

Your Cost: $49.78/claim|Median: $84.03
0.6× median