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Provider 1093108755

NPI: 1093108755Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,898,957

Total Claims

1.3M

Beneficiaries

119K

10.6 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$973K
+93%
2019
$1.9M
+21%
2020
$2.3M
+14%
2021
$2.6M
+1%
2022
$2.6M
+8%
2023
$2.8M
-2%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 30% of total spending.

G9012Normal range

Other specified case management service, per 15 minutes

$4.8M

22K claims · 30.5%

Your Cost: $221.45/claim|Median: $137.85
1.6× median
H0020Normal range

Alcohol/drug services; methadone administration

$4.4M

499K claims · 27.5%

Your Cost: $8.76/claim|Median: $18.95
0.5× median
S0109Normal range

$2.6M

516K claims · 16.3%

Your Cost: $5.02/claim|Median: $4.67
1.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.3M

30K claims · 8.2%

Your Cost: $44.02/claim|Median: $74.63
0.6× median
J0574Normal range

$1.3M

88K claims · 8.0%

Your Cost: $14.49/claim|Median: $15.76
0.9× median
80305Top 25%

$460K

43K claims · 2.9%

Your Cost: $10.64/claim|Median: $7.44
1.4× median
J0572Normal range

$305K

40K claims · 1.9%

Your Cost: $7.59/claim|Median: $8.49
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$181K

2,311 claims · 1.1%

Your Cost: $78.52/claim|Median: $74.09
1.1× median
99214Normal range

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

$163K

2,644 claims · 1.0%

Your Cost: $61.52/claim|Median: $53.41
1.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$157K

6,468 claims · 1.0%

Your Cost: $24.33/claim|Median: $47.35
0.5× median
H0014Normal range

$140K

1,158 claims · 0.9%

Your Cost: $120.53/claim|Median: $137.81
0.9× median
99213Normal range

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

$75K

1,829 claims · 0.5%

Your Cost: $41.11/claim|Median: $37.81
1.1× median
82075Normal range

Alcohol (ethanol) breath test

$12K

3,168 claims · 0.1%

Your Cost: $3.91/claim|Median: $16.59
0.2× median
J0573Normal range

$9K

769 claims · 0.1%

Your Cost: $11.20/claim|Median: $12.82
0.9× median
86580Normal range

Tuberculosis (TB) skin test

$7K

1,229 claims · 0.0%

Your Cost: $5.97/claim|Median: $4.46
1.3× median
J0575Normal range

$2K

162 claims · 0.0%

Your Cost: $13.03/claim|Median: $14.96
0.9× median
81025Normal range

Urine pregnancy test

$1K

227 claims · 0.0%

Your Cost: $6.05/claim|Median: $4.81
1.3× median
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