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Provider 1063857373

NPI: 1063857373Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.3M

$12,327,876

Total Claims

73K

Beneficiaries

12K

6.1 claims/patient

Avg Cost/Claim

$168

Monthly Spending Trend

Yearly Spending

2018
$524K
+131%
2019
$1.2M
+33%
2020
$1.6M
+53%
2021
$2.5M
+14%
2022
$2.8M
-32%
2023
$1.9M
-4%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H0011 (Alcohol and/or drug services, acute detoxification, per diem)) accounts for 57% of total spending.

H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$7.0M

22K claims · 57.1%

Your Cost: $325.62/claim|Median: $317.54
1.0× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$4.2M

41K claims · 33.8%

Your Cost: $102.95/claim|Median: $129.75
0.8× median
H0018Normal range

Behavioral health; short-term residential, per diem

$399K

692 claims · 3.2%

Your Cost: $576.88/claim|Median: $467.51
1.2× median
H0019Normal range

Behavioral health; residential, per diem

$217K

422 claims · 1.8%

Your Cost: $513.77/claim|Median: $357.16
1.4× median
H2034Normal range

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

$207K

1,463 claims · 1.7%

Your Cost: $141.19/claim|Median: $164.03
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$143K

5,727 claims · 1.2%

Your Cost: $24.90/claim|Median: $55.04
0.5× median
H0002Normal range

Behavioral health screening

$75K

1,324 claims · 0.6%

Your Cost: $56.44/claim|Median: $38.77
1.5× median
T2023Normal range

Community transition, waiver; per service

$35K

121 claims · 0.3%

Your Cost: $286.12/claim|Median: $300.13
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

184 claims · 0.1%

Your Cost: $76.36/claim|Median: $108.91
0.7× median
96150Top 25%

Health behavior assessment, initial

$9K

293 claims · 0.1%

Your Cost: $29.14/claim|Median: $17.83
1.6× median
90853Normal range

Group psychotherapy

$5K

353 claims · 0.0%

Your Cost: $15.24/claim|Median: $25.02
0.6× median
H0001Normal range

Alcohol and/or drug assessment

$4K

135 claims · 0.0%

Your Cost: $32.80/claim|Median: $94.22
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$3K

50 claims · 0.0%

Your Cost: $60.04/claim|Median: $85.66
0.7× median
98962Normal range

$1K

227 claims · 0.0%

Your Cost: $5.96/claim|Median: $12.43
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$761

17 claims · 0.0%

Your Cost: $44.74/claim|Median: $63.65
0.7× median
99213Normal range

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

$426

18 claims · 0.0%

Your Cost: $23.68/claim|Median: $37.81
0.6× median
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