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

⚖️ Compare🖨️ Print Report

Provider 1093198947

NPI: 1093198947Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,636,643

Total Claims

62K

Beneficiaries

38K

1.6 claims/patient

Avg Cost/Claim

$189

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-37%
2019
$953K
-85%
2020
$146K
-29%
2021
$104K
+1366%
2022
$1.5M
+177%
2023
$4.2M
-25%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 25% of total spending.

T2022Top 25%

Case management, per month

$3.0M

8,483 claims · 25.5%

Your Cost: $349.38/claim|Median: $202.77
1.7× median
H0047Top 25%

Alcohol and/or drug abuse, not otherwise specified

$2.8M

9,056 claims · 24.1%

Your Cost: $310.21/claim|Median: $81.37
3.8× median
99408Top 1%

$2.7M

9,055 claims · 23.0%

Your Cost: $295.65/claim|Median: $9.32
31.7× median
H2010Normal range

Comprehensive medication services, per 15 min

$1.7M

15K claims · 14.5%

Your Cost: $114.02/claim|Median: $62.69
1.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.0M

14K claims · 8.6%

Your Cost: $71.30/claim|Median: $74.63
1.0× median
T1012Top 5%

Alcohol/drug services, skills development

$259K

544 claims · 2.2%

Your Cost: $475.42/claim|Median: $40.78
11.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$170K

5,065 claims · 1.5%

Your Cost: $33.48/claim|Median: $35.43
0.9× median
H0015Normal range

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

$27K

267 claims · 0.2%

Your Cost: $99.39/claim|Median: $129.75
0.8× median
T1041Normal range

Medicaid CCBHC services, per diem

$19K

60 claims · 0.2%

Your Cost: $313.24/claim|Median: $913.47
0.3× median
T1007Top 10%

Alcohol/drug services, treatment plan review

$12K

62 claims · 0.1%

Your Cost: $201.07/claim|Median: $64.10
3.1× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$3K

34 claims · 0.0%

Your Cost: $73.63/claim|Median: $114.71
0.6× median
80371Normal range

$0

120 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.34
← All providersHow we detect fraud →