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Provider 1174132542

NPI: 1174132542Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$16.7M

$16,714,673

Total Claims

118K

Beneficiaries

22K

5.5 claims/patient

Avg Cost/Claim

$142

Monthly Spending Trend

Yearly Spending

2021
$1.1M
+196%
2022
$3.2M
+46%
2023
$4.6M
+72%
2024
$7.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 77% of total spending.

H0015Normal range

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

$12.9M

92K claims · 77.4%

Your Cost: $140.42/claim|Median: $129.75
1.1× median
H0014Top 5%

$2.9M

8,475 claims · 17.3%

Your Cost: $341.01/claim|Median: $137.81
2.5× median
99214Top 10%

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

$359K

3,109 claims · 2.1%

Your Cost: $115.54/claim|Median: $53.41
2.2× median
99213Top 10%

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

$220K

2,834 claims · 1.3%

Your Cost: $77.65/claim|Median: $37.81
2.1× median
H0048Normal range

$89K

6,338 claims · 0.5%

Your Cost: $14.02/claim|Median: $13.25
1.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$60K

2,847 claims · 0.4%

Your Cost: $21.22/claim|Median: $24.24
0.9× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$48K

301 claims · 0.3%

Your Cost: $160.81/claim|Median: $84.03
1.9× median
H0006Normal range

Alcohol and/or drug services, case management

$41K

861 claims · 0.2%

Your Cost: $47.25/claim|Median: $43.10
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$19K

216 claims · 0.1%

Your Cost: $85.94/claim|Median: $85.66
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$18K

313 claims · 0.1%

Your Cost: $57.06/claim|Median: $47.35
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$11K

104 claims · 0.1%

Your Cost: $107.58/claim|Median: $99.21
1.1× median
99215Top 10%

Office/outpatient visit, high complexity

$8K

50 claims · 0.0%

Your Cost: $160.74/claim|Median: $74.09
2.2× median
90832Normal range

Psychotherapy, 30 minutes

$3K

69 claims · 0.0%

Your Cost: $49.31/claim|Median: $41.28
1.2× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$2K

18 claims · 0.0%

Your Cost: $116.10/claim|Median: $57.85
2.0× median
80305Normal range

$384

46 claims · 0.0%

Your Cost: $8.34/claim|Median: $7.44
1.1× median
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