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Provider 1164989091

NPI: 1164989091Share
Active Billing Period:2020-06→2024-12(55 months)

Total Paid

$16.0M

$16,022,368

Total Claims

147K

Beneficiaries

33K

4.4 claims/patient

Avg Cost/Claim

$109

Monthly Spending Trend

Yearly Spending

2020
$266K
+434%
2021
$1.4M
+174%
2022
$3.9M
+23%
2023
$4.8M
+18%
2024
$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 53% of total spending.

H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$8.4M

72K claims · 52.6%

Your Cost: $116.70/claim|Median: $129.75
0.9× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$5.8M

51K claims · 36.2%

Your Cost: $113.68/claim|Median: $73.29
1.6× median
H0020Top 25%

Alcohol/drug services; methadone administration

$737K

8,160 claims · 4.6%

Your Cost: $90.30/claim|Median: $18.95
4.8× median
G2076Top 25%

$393K

905 claims · 2.5%

Your Cost: $434.47/claim|Median: $275.92
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$215K

8,878 claims · 1.3%

Your Cost: $24.17/claim|Median: $12.93
1.9× median
90791Top 10%

Psychiatric diagnostic evaluation

$192K

1,102 claims · 1.2%

Your Cost: $174.67/claim|Median: $99.21
1.8× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$118K

271 claims · 0.7%

Your Cost: $436.02/claim|Median: $108.91
4.0× median
G2078Normal range

$66K

3,490 claims · 0.4%

Your Cost: $18.90/claim|Median: $27.04
0.7× median
90834Top 25%

Psychotherapy, 45 minutes

$52K

543 claims · 0.3%

Your Cost: $95.55/claim|Median: $63.65
1.5× median
G2068Normal range

$29K

154 claims · 0.2%

Your Cost: $190.15/claim|Median: $170.60
1.1× median
99213Top 10%

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

$4K

43 claims · 0.0%

Your Cost: $83.80/claim|Median: $37.81
2.2× median
82075Normal range

Alcohol (ethanol) breath test

$106

12 claims · 0.0%

Your Cost: $8.80/claim|Median: $16.59
0.5× median
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