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Provider 1144419201

NPI: 1144419201Share
Active Billing Period:2018-012024-10(82 months)

Total Paid

$11.8M

$11,790,503

Total Claims

161K

Beneficiaries

68K

2.4 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+0%
2019
$1.6M
+19%
2020
$1.9M
-3%
2021
$1.9M
-10%
2022
$1.7M
-0%
2023
$1.7M
-21%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 67% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$7.9M

105K claims · 67.4%

Your Cost: $75.38/claim|Median: $18.95
4.0× median
W1761Top 25%

$1.1M

8,690 claims · 9.0%

Your Cost: $121.67/claim|Median: $116.75
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$967K

26K claims · 8.2%

Your Cost: $37.05/claim|Median: $74.63
0.5× median
99213Top 10%

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

$929K

11K claims · 7.9%

Your Cost: $80.92/claim|Median: $37.81
2.1× median
H0001Top 25%

Alcohol and/or drug assessment

$364K

2,104 claims · 3.1%

Your Cost: $172.89/claim|Median: $94.22
1.8× median
99214Top 10%

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

$298K

2,732 claims · 2.5%

Your Cost: $109.07/claim|Median: $53.41
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$131K

2,684 claims · 1.1%

Your Cost: $48.66/claim|Median: $25.06
1.9× median
W1760Normal range

$45K

419 claims · 0.4%

Your Cost: $106.51/claim|Median: $106.40
1.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$30K

1,382 claims · 0.3%

Your Cost: $21.98/claim|Median: $12.93
1.7× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$20K

91 claims · 0.2%

Your Cost: $220.27/claim|Median: $182.66
1.2× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$4K

74 claims · 0.0%

Your Cost: $55.14/claim|Median: $73.29
0.8× median
G2077Normal range

$546

14 claims · 0.0%

Your Cost: $38.98/claim|Median: $38.98
1.0× median
W9520Normal range

$143

15 claims · 0.0%

Your Cost: $9.50/claim|Median: $10.26
0.9× median