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Provider 1154722361

NPI: 1154722361Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.2M

$16,193,630

Total Claims

198K

Beneficiaries

70K

2.9 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+12%
2019
$2.4M
-11%
2020
$2.2M
+1%
2021
$2.2M
+11%
2022
$2.4M
+2%
2023
$2.5M
-10%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (S0109) accounts for 62% of total spending.

S0109Top 5%

$10.1M

56K claims · 62.5%

Your Cost: $181.03/claim|Median: $4.67
38.8× median
J0572Top 1%

$2.5M

19K claims · 15.7%

Your Cost: $136.13/claim|Median: $8.49
16.0× median
H0020Normal range

Alcohol/drug services; methadone administration

$945K

48K claims · 5.8%

Your Cost: $19.86/claim|Median: $18.95
1.0× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$833K

9,593 claims · 5.1%

Your Cost: $86.87/claim|Median: $182.66
0.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$624K

13K claims · 3.9%

Your Cost: $48.52/claim|Median: $74.63
0.7× median
J3490Top 25%

Unclassified drugs

$393K

6,767 claims · 2.4%

Your Cost: $58.14/claim|Median: $5.70
10.2× median
H0033Normal range

Oral medication administration, direct observation

$263K

12K claims · 1.6%

Your Cost: $22.16/claim|Median: $31.37
0.7× median
H0048Normal range

$228K

17K claims · 1.4%

Your Cost: $13.20/claim|Median: $13.25
1.0× median
H0001Normal range

Alcohol and/or drug assessment

$143K

928 claims · 0.9%

Your Cost: $153.71/claim|Median: $94.22
1.6× median
H0006Normal range

Alcohol and/or drug services, case management

$54K

2,668 claims · 0.3%

Your Cost: $20.25/claim|Median: $43.10
0.5× median
H0032Normal range

Mental health service plan development

$17K

144 claims · 0.1%

Your Cost: $120.72/claim|Median: $80.64
1.5× median
80305Normal range

$11K

1,280 claims · 0.1%

Your Cost: $8.59/claim|Median: $7.44
1.2× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$6K

8,543 claims · 0.0%

Your Cost: $0.66/claim|Median: $73.29
0.0× median
81025Normal range

Urine pregnancy test

$5K

774 claims · 0.0%

Your Cost: $5.94/claim|Median: $4.81
1.2× median
86580Top 25%

Tuberculosis (TB) skin test

$3K

455 claims · 0.0%

Your Cost: $6.79/claim|Median: $4.46
1.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$2K

251 claims · 0.0%

Your Cost: $9.81/claim|Median: $9.70
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$2K

58 claims · 0.0%

Your Cost: $41.96/claim|Median: $25.06
1.7× median
H0002Normal range

Behavioral health screening

$2K

59 claims · 0.0%

Your Cost: $38.56/claim|Median: $38.77
1.0× median
84702Normal range

$766

85 claims · 0.0%

Your Cost: $9.01/claim|Median: $8.25
1.1× median
98966Normal range

$179

20 claims · 0.0%

Your Cost: $8.96/claim|Median: $6.84
1.3× median
G2077Normal range

$37

711 claims · 0.0%

Your Cost: $0.05/claim|Median: $38.98
0.0× median
G1028Normal range

$0

35 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.89
G2078Normal range

$0

1,929 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.04
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