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Provider 1114938594

NPI: 1114938594Share
Active Billing Period:2019-01→2024-12(68 months)

Total Paid

$15.7M

$15,740,350

Total Claims

195K

Beneficiaries

37K

5.3 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2019
$1.1M
+169%
2020
$2.9M
+23%
2021
$3.6M
-5%
2022
$3.4M
-19%
2023
$2.7M
-26%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 78% of total spending.

G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$12.3M

62K claims · 77.9%

Your Cost: $196.60/claim|Median: $73.29
2.7× median
H0020Normal range

Alcohol/drug services; methadone administration

$2.8M

120K claims · 17.5%

Your Cost: $23.01/claim|Median: $18.95
1.2× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$353K

4,223 claims · 2.2%

Your Cost: $83.65/claim|Median: $40.58
2.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$152K

4,205 claims · 1.0%

Your Cost: $36.07/claim|Median: $74.63
0.5× median
G2078Top 10%

$108K

2,155 claims · 0.7%

Your Cost: $49.99/claim|Median: $27.04
1.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$79K

1,801 claims · 0.5%

Your Cost: $44.00/claim|Median: $47.35
0.9× median
G0397Normal range

$36K

318 claims · 0.2%

Your Cost: $114.45/claim|Median: $142.31
0.8× median
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