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Provider 1154338861

NPI: 1154338861Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,858,236

Total Claims

294K

Beneficiaries

64K

4.6 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-33%
2019
$1.5M
-27%
2020
$1.1M
+46%
2021
$1.6M
+9%
2022
$1.7M
+15%
2023
$2.0M
-14%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 57% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$6.7M

91K claims · 56.8%

Your Cost: $73.84/claim|Median: $18.95
3.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.8M

30K claims · 15.1%

Your Cost: $59.11/claim|Median: $74.63
0.8× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$999K

16K claims · 8.4%

Your Cost: $63.71/claim|Median: $81.37
0.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$660K

14K claims · 5.6%

Your Cost: $47.44/claim|Median: $47.35
1.0× median
H0001Top 25%

Alcohol and/or drug assessment

$504K

2,990 claims · 4.2%

Your Cost: $168.49/claim|Median: $94.22
1.8× median
J0573Normal range

$366K

29K claims · 3.1%

Your Cost: $12.82/claim|Median: $12.82
1.0× median
J0574Normal range

$195K

13K claims · 1.6%

Your Cost: $15.15/claim|Median: $15.76
1.0× median
J0571Normal range

$163K

73K claims · 1.4%

Your Cost: $2.22/claim|Median: $7.96
0.3× median
J0572Normal range

$132K

20K claims · 1.1%

Your Cost: $6.67/claim|Median: $8.49
0.8× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$95K

418 claims · 0.8%

Your Cost: $228.30/claim|Median: $182.66
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$85K

1,742 claims · 0.7%

Your Cost: $48.76/claim|Median: $25.06
1.9× median
99214Top 10%

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

$54K

498 claims · 0.5%

Your Cost: $108.23/claim|Median: $53.41
2.0× median
99213Top 10%

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

$38K

515 claims · 0.3%

Your Cost: $73.59/claim|Median: $37.81
1.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$27K

1,213 claims · 0.2%

Your Cost: $22.51/claim|Median: $12.93
1.7× median
W9520Top 25%

$3K

290 claims · 0.0%

Your Cost: $11.62/claim|Median: $10.26
1.1× median
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