Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1073722286

NPI: 1073722286Share
Active Billing Period:2018-012024-12(80 months)

Total Paid

$12.7M

$12,745,454

Total Claims

135K

Beneficiaries

23K

5.9 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$223K
+314%
2019
$925K
+211%
2020
$2.9M
-19%
2021
$2.3M
+11%
2022
$2.6M
-16%
2023
$2.2M
-28%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 77% of total spending.

G2067Top 5%

Medication-assisted treatment, opioid use disorder, per month

$9.8M

45K claims · 76.9%

Your Cost: $218.39/claim|Median: $73.29
3.0× median
H0020Normal range

Alcohol/drug services; methadone administration

$2.2M

83K claims · 17.5%

Your Cost: $26.72/claim|Median: $18.95
1.4× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$528K

5,512 claims · 4.1%

Your Cost: $95.82/claim|Median: $40.58
2.4× median
G0397Normal range

$109K

924 claims · 0.9%

Your Cost: $118.41/claim|Median: $142.31
0.8× median
99212Top 5%

Office/outpatient visit, low complexity

$69K

620 claims · 0.5%

Your Cost: $110.84/claim|Median: $25.06
4.4× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$10K

89 claims · 0.1%

Your Cost: $107.36/claim|Median: $76.06
1.4× median