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Provider 1093071920

NPI: 1093071920Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$13.3M

$13,294,147

Total Claims

231K

Beneficiaries

64K

3.6 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-4%
2019
$2.8M
-48%
2020
$1.4M
+41%
2021
$2.0M
-12%
2022
$1.8M
-21%
2023
$1.4M
-28%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 75% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$10.0M

136K claims · 75.3%

Your Cost: $73.38/claim|Median: $18.95
3.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.6M

31K claims · 12.1%

Your Cost: $52.73/claim|Median: $74.63
0.7× median
J0574Normal range

$500K

30K claims · 3.8%

Your Cost: $16.78/claim|Median: $15.76
1.1× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$445K

6,880 claims · 3.4%

Your Cost: $64.75/claim|Median: $81.37
0.8× median
H0001Top 25%

Alcohol and/or drug assessment

$318K

1,913 claims · 2.4%

Your Cost: $166.06/claim|Median: $94.22
1.8× median
J0572Normal range

$134K

16K claims · 1.0%

Your Cost: $8.30/claim|Median: $8.49
1.0× median
J0573Normal range

$114K

8,299 claims · 0.9%

Your Cost: $13.76/claim|Median: $12.82
1.1× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$81K

371 claims · 0.6%

Your Cost: $219.34/claim|Median: $182.66
1.2× median
99214Top 10%

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

$42K

388 claims · 0.3%

Your Cost: $109.07/claim|Median: $53.41
2.0× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$14K

222 claims · 0.1%

Your Cost: $61.74/claim|Median: $73.29
0.8× median
G2078Top 5%

$10K

55 claims · 0.1%

Your Cost: $182.80/claim|Median: $27.04
6.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$10K

221 claims · 0.1%

Your Cost: $43.47/claim|Median: $47.35
0.9× median
99213Top 5%

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

$6K

60 claims · 0.0%

Your Cost: $92.01/claim|Median: $37.81
2.4× median
99212Top 25%

Office/outpatient visit, low complexity

$594

13 claims · 0.0%

Your Cost: $45.72/claim|Median: $25.06
1.8× median
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