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Provider 1073546354

NPI: 1073546354Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,923,885

Total Claims

162K

Beneficiaries

84K

1.9 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$237K
+388%
2019
$1.2M
+136%
2020
$2.7M
+7%
2021
$2.9M
-36%
2022
$1.9M
-7%
2023
$1.8M
-31%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 31% of total spending.

G2067Top 10%

Medication-assisted treatment, opioid use disorder, per month

$3.7M

18K claims · 30.9%

Your Cost: $200.03/claim|Median: $73.29
2.7× median
99213Top 5%

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

$2.0M

20K claims · 16.6%

Your Cost: $100.47/claim|Median: $37.81
2.7× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.8M

57K claims · 15.1%

Your Cost: $31.36/claim|Median: $18.95
1.7× median
90832Top 10%

Psychotherapy, 30 minutes

$1.4M

15K claims · 11.8%

Your Cost: $95.84/claim|Median: $41.28
2.3× median
90834Top 10%

Psychotherapy, 45 minutes

$1.1M

8,667 claims · 9.2%

Your Cost: $126.57/claim|Median: $63.65
2.0× median
99214Top 10%

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

$637K

6,253 claims · 5.3%

Your Cost: $101.86/claim|Median: $53.41
1.9× median
99212Top 5%

Office/outpatient visit, low complexity

$239K

2,436 claims · 2.0%

Your Cost: $97.98/claim|Median: $25.06
3.9× median
90853Top 25%

Group psychotherapy

$160K

3,053 claims · 1.3%

Your Cost: $52.55/claim|Median: $25.02
2.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$150K

3,278 claims · 1.3%

Your Cost: $45.87/claim|Median: $74.63
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$107K

1,217 claims · 0.9%

Your Cost: $88.10/claim|Median: $76.06
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$72K

861 claims · 0.6%

Your Cost: $83.36/claim|Median: $55.04
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$63K

714 claims · 0.5%

Your Cost: $88.17/claim|Median: $72.71
1.2× median
99401Top 10%

$62K

1,764 claims · 0.5%

Your Cost: $35.39/claim|Median: $16.53
2.1× median
G0444Top 5%

Annual depression screening, fifteen minutes

$46K

1,511 claims · 0.4%

Your Cost: $30.15/claim|Median: $4.23
7.1× median
G0442Top 5%

$43K

1,269 claims · 0.4%

Your Cost: $34.16/claim|Median: $4.91
7.0× median
99000Top 10%

$42K

3,777 claims · 0.4%

Your Cost: $11.24/claim|Median: $2.30
4.9× median
90833Top 25%

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

$41K

693 claims · 0.3%

Your Cost: $59.53/claim|Median: $38.83
1.5× median
92551Top 1%

Screening audiometry, pure tone, air only

$38K

569 claims · 0.3%

Your Cost: $67.21/claim|Median: $6.61
10.2× median
H0001Normal range

Alcohol and/or drug assessment

$37K

257 claims · 0.3%

Your Cost: $142.46/claim|Median: $94.22
1.5× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$34K

349 claims · 0.3%

Your Cost: $97.73/claim|Median: $74.82
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$30K

311 claims · 0.2%

Your Cost: $95.05/claim|Median: $80.15
1.2× median
92553Top 25%

$28K

445 claims · 0.2%

Your Cost: $61.90/claim|Median: $20.30
3.0× median
90791Top 25%

Psychiatric diagnostic evaluation

$26K

162 claims · 0.2%

Your Cost: $163.24/claim|Median: $99.21
1.6× median
36415Top 25%

Collection of venous blood by venipuncture

$21K

6,572 claims · 0.2%

Your Cost: $3.16/claim|Median: $1.57
2.0× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$14K

850 claims · 0.1%

Your Cost: $16.57/claim|Median: $7.18
2.3× median
99406Top 5%

$13K

437 claims · 0.1%

Your Cost: $29.86/claim|Median: $6.53
4.6× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$11K

62 claims · 0.1%

Your Cost: $169.62/claim|Median: $108.91
1.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$8K

1,084 claims · 0.1%

Your Cost: $7.78/claim|Median: $17.85
0.4× median
90836Top 25%

Psychotherapy, 45 min, add-on to E/M

$6K

59 claims · 0.0%

Your Cost: $96.47/claim|Median: $56.18
1.7× median
99408Top 10%

$5K

129 claims · 0.0%

Your Cost: $41.27/claim|Median: $9.32
4.4× median
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