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EAST TENNESSEE RECOVERY, PLLC

Internal Medicine, Addiction Medicine·JOHNSON CITY, TN·NPI: 1114462215Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$28.3M

$28,282,131

Total Claims

626K

Beneficiaries

369K

1.7 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+180%
2019
$4.6M
-10%
2020
$4.1M
-20%
2021
$3.3M
+5%
2022
$3.5M
+56%
2023
$5.4M
+8%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 23% of total spending.

G9012Normal range

Other specified case management service, per 15 minutes

$6.6M

37K claims · 23.4%

Your Cost: $178.47/claim|Median: $137.85
1.3× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$4.9M

44K claims · 17.4%

Your Cost: $111.42/claim|Median: $90.89
1.2× median
99214Normal range

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

$4.2M

80K claims · 15.0%

Your Cost: $53.11/claim|Median: $53.41
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$2.5M

66K claims · 9.0%

Your Cost: $38.33/claim|Median: $35.43
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$1.5M

42K claims · 5.4%

Your Cost: $36.22/claim|Median: $41.28
0.9× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$1.3M

8,070 claims · 4.4%

Your Cost: $155.73/claim|Median: $182.66
0.9× median
H2010Normal range

Comprehensive medication services, per 15 min

$1.0M

7,235 claims · 3.6%

Your Cost: $141.64/claim|Median: $62.69
2.3× median
H0014Normal range

$802K

5,321 claims · 2.8%

Your Cost: $150.70/claim|Median: $137.81
1.1× median
99213Normal range

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

$612K

15K claims · 2.2%

Your Cost: $40.55/claim|Median: $37.81
1.1× median
90853Normal range

Group psychotherapy

$445K

39K claims · 1.6%

Your Cost: $11.53/claim|Median: $25.02
0.5× median
G0481Top 25%

Drug test, definitive, 8-14 drug classes

$389K

3,884 claims · 1.4%

Your Cost: $100.18/claim|Median: $64.72
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$254K

2,979 claims · 0.9%

Your Cost: $85.27/claim|Median: $74.09
1.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$227K

8,375 claims · 0.8%

Your Cost: $27.10/claim|Median: $47.35
0.6× median
H0006Top 25%

Alcohol and/or drug services, case management

$222K

2,274 claims · 0.8%

Your Cost: $97.58/claim|Median: $43.10
2.3× median
H0049Normal range

$137K

7,213 claims · 0.5%

Your Cost: $19.06/claim|Median: $9.27
2.1× median
80346Top 25%

$135K

8,113 claims · 0.5%

Your Cost: $16.61/claim|Median: $8.14
2.0× median
80356Top 10%

Benzodiazepine drug assay by definitive method

$131K

7,882 claims · 0.5%

Your Cost: $16.66/claim|Median: $5.78
2.9× median
99484Normal range

$124K

10K claims · 0.4%

Your Cost: $11.85/claim|Median: $7.13
1.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$124K

3,221 claims · 0.4%

Your Cost: $38.50/claim|Median: $37.56
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$122K

1,626 claims · 0.4%

Your Cost: $74.95/claim|Median: $99.21
0.8× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$109K

8,069 claims · 0.4%

Your Cost: $13.48/claim|Median: $40.58
0.3× median
80355Top 25%

$105K

7,912 claims · 0.4%

Your Cost: $13.21/claim|Median: $6.21
2.1× median
80323Top 25%

$101K

7,760 claims · 0.4%

Your Cost: $12.96/claim|Median: $7.53
1.7× median
80363Normal range

$99K

7,293 claims · 0.3%

Your Cost: $13.55/claim|Median: $7.61
1.8× median
99406Normal range

$96K

16K claims · 0.3%

Your Cost: $5.88/claim|Median: $6.53
0.9× median
80348Normal range

$91K

8,730 claims · 0.3%

Your Cost: $10.41/claim|Median: $6.63
1.6× median
80325Top 25%

$90K

7,081 claims · 0.3%

Your Cost: $12.66/claim|Median: $6.85
1.8× median
80359Top 25%

$83K

7,864 claims · 0.3%

Your Cost: $10.55/claim|Median: $4.98
2.1× median
80349Normal range

$82K

7,876 claims · 0.3%

Your Cost: $10.47/claim|Median: $5.96
1.8× median
80371Top 25%

$82K

7,792 claims · 0.3%

Your Cost: $10.54/claim|Median: $4.34
2.4× median
80350Top 25%

$82K

7,754 claims · 0.3%

Your Cost: $10.55/claim|Median: $7.18
1.5× median
80354Top 25%

$81K

7,689 claims · 0.3%

Your Cost: $10.58/claim|Median: $5.61
1.9× median
80372Top 25%

$81K

7,685 claims · 0.3%

Your Cost: $10.57/claim|Median: $6.21
1.7× median
80373Top 25%

$81K

7,686 claims · 0.3%

Your Cost: $10.57/claim|Median: $6.39
1.7× median
80367Top 25%

$81K

7,666 claims · 0.3%

Your Cost: $10.58/claim|Median: $4.37
2.4× median
80365Top 25%

$80K

7,607 claims · 0.3%

Your Cost: $10.57/claim|Median: $5.24
2.0× median
80345Top 25%

Drug assay for barbiturates

$79K

7,017 claims · 0.3%

Your Cost: $11.23/claim|Median: $5.19
2.2× median
80361Normal range

$79K

7,341 claims · 0.3%

Your Cost: $10.72/claim|Median: $7.53
1.4× median
80366Top 25%

$76K

7,191 claims · 0.3%

Your Cost: $10.56/claim|Median: $5.67
1.9× median
80368Top 25%

$76K

7,163 claims · 0.3%

Your Cost: $10.55/claim|Median: $5.64
1.9× median
80369Top 25%

$75K

7,149 claims · 0.3%

Your Cost: $10.55/claim|Median: $5.73
1.8× median
80337Normal range

$75K

7,016 claims · 0.3%

Your Cost: $10.62/claim|Median: $5.42
2.0× median
80334Top 25%

$74K

7,013 claims · 0.3%

Your Cost: $10.61/claim|Median: $4.17
2.5× median
99490Top 25%

Chronic care management services, 20 minutes per month

$63K

3,887 claims · 0.2%

Your Cost: $16.25/claim|Median: $6.31
2.6× median
80353Normal range

Benzodiazepine drug level, definitive method, each

$52K

7,741 claims · 0.2%

Your Cost: $6.70/claim|Median: $5.26
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$44K

1,717 claims · 0.2%

Your Cost: $25.89/claim|Median: $25.06
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$43K

1,108 claims · 0.2%

Your Cost: $38.77/claim|Median: $63.65
0.6× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$36K

471 claims · 0.1%

Your Cost: $77.39/claim|Median: $84.03
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$30K

233 claims · 0.1%

Your Cost: $127.11/claim|Median: $108.91
1.2× median
99408Normal range

$30K

3,015 claims · 0.1%

Your Cost: $9.81/claim|Median: $9.32
1.1× median

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