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Provider 1184701906

NPI: 1184701906Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,533,090

Total Claims

785K

Beneficiaries

171K

4.6 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$481K
+333%
2019
$2.1M
+29%
2020
$2.7M
-48%
2021
$1.4M
-45%
2022
$770K
+87%
2023
$1.4M
+16%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2010 (Comprehensive medication services, per 15 min)) accounts for 28% of total spending.

H2010Normal range

Comprehensive medication services, per 15 min

$2.9M

385K claims · 28.0%

Your Cost: $7.66/claim|Median: $62.69
0.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.1M

41K claims · 19.9%

Your Cost: $50.72/claim|Median: $74.63
0.7× median
H0031Normal range

Mental health assessment by non-physician

$808K

6,110 claims · 7.7%

Your Cost: $132.25/claim|Median: $96.18
1.4× median
T1003Normal range

LPN/LVN services, per 15 minutes

$597K

53K claims · 5.7%

Your Cost: $11.25/claim|Median: $24.24
0.5× median
99214Normal range

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

$583K

12K claims · 5.5%

Your Cost: $50.08/claim|Median: $53.41
0.9× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$579K

40K claims · 5.5%

Your Cost: $14.54/claim|Median: $21.33
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$489K

18K claims · 4.6%

Your Cost: $27.69/claim|Median: $55.04
0.5× median
T1016Normal range

Case management, each 15 min

$476K

27K claims · 4.5%

Your Cost: $17.59/claim|Median: $49.62
0.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$445K

22K claims · 4.2%

Your Cost: $19.87/claim|Median: $35.43
0.6× median
G0481Top 5%

Drug test, definitive, 8-14 drug classes

$367K

2,638 claims · 3.5%

Your Cost: $139.30/claim|Median: $64.72
2.2× median
H0020Normal range

Alcohol/drug services; methadone administration

$338K

96K claims · 3.2%

Your Cost: $3.53/claim|Median: $18.95
0.2× median
A0120Normal range

Non-emergency mini-bus transport

$249K

37K claims · 2.4%

Your Cost: $6.72/claim|Median: $16.09
0.4× median
82075Normal range

Alcohol (ethanol) breath test

$180K

22K claims · 1.7%

Your Cost: $8.34/claim|Median: $16.59
0.5× median
99204Normal range

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

$113K

1,868 claims · 1.1%

Your Cost: $60.56/claim|Median: $84.03
0.7× median
99213Normal range

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

$83K

3,718 claims · 0.8%

Your Cost: $22.23/claim|Median: $37.81
0.6× median
H0015Normal range

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

$50K

306 claims · 0.5%

Your Cost: $163.95/claim|Median: $129.75
1.3× median
T1002Normal range

RN services, per 15 minutes

$35K

4,457 claims · 0.3%

Your Cost: $7.76/claim|Median: $37.42
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$28K

397 claims · 0.3%

Your Cost: $70.15/claim|Median: $111.09
0.6× median
A0110Normal range

Non-emergency taxi transport

$17K

864 claims · 0.2%

Your Cost: $19.28/claim|Median: $9.27
2.1× median
H0002Normal range

Behavioral health screening

$14K

974 claims · 0.1%

Your Cost: $14.32/claim|Median: $38.77
0.4× median
81025Normal range

Urine pregnancy test

$14K

4,643 claims · 0.1%

Your Cost: $2.93/claim|Median: $4.81
0.6× median
G0482Top 5%

Drug test, definitive, 15-21 drug classes

$13K

71 claims · 0.1%

Your Cost: $182.54/claim|Median: $75.26
2.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$5K

90 claims · 0.0%

Your Cost: $51.38/claim|Median: $37.56
1.4× median
H2016Normal range

Comprehensive community support services, per 15 min

$3K

19 claims · 0.0%

Your Cost: $152.76/claim|Median: $321.53
0.5× median
86580Normal range

Tuberculosis (TB) skin test

$3K

1,063 claims · 0.0%

Your Cost: $2.44/claim|Median: $4.46
0.5× median
80305Normal range

$2K

5,027 claims · 0.0%

Your Cost: $0.41/claim|Median: $7.44
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

13 claims · 0.0%

Your Cost: $150.27/claim|Median: $108.91
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$611

12 claims · 0.0%

Your Cost: $50.95/claim|Median: $74.09
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$296

57 claims · 0.0%

Your Cost: $5.19/claim|Median: $12.93
0.4× median
36415Normal range

Collection of venous blood by venipuncture

$97

67 claims · 0.0%

Your Cost: $1.45/claim|Median: $1.57
0.9× median
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