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Provider 1194878587

NPI: 1194878587Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.5M

$13,531,371

Total Claims

530K

Beneficiaries

33K

16.3 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$379K
+275%
2019
$1.4M
+19%
2020
$1.7M
-1%
2021
$1.7M
+11%
2022
$1.9M
+68%
2023
$3.1M
+5%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 59% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$8.0M

495K claims · 59.4%

Your Cost: $16.26/claim|Median: $18.95
0.9× median
G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$5.0M

27K claims · 36.7%

Your Cost: $181.84/claim|Median: $73.29
2.5× median
G2074Top 1%

$184K

1,041 claims · 1.4%

Your Cost: $176.37/claim|Median: $82.20
2.1× median
G2068Top 25%

$87K

337 claims · 0.6%

Your Cost: $257.27/claim|Median: $170.60
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$75K

664 claims · 0.6%

Your Cost: $112.93/claim|Median: $108.91
1.0× median
99213Normal range

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

$62K

1,881 claims · 0.5%

Your Cost: $32.98/claim|Median: $37.81
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$48K

605 claims · 0.4%

Your Cost: $79.96/claim|Median: $85.66
0.9× median
G2078Normal range

$34K

1,016 claims · 0.3%

Your Cost: $33.71/claim|Median: $27.04
1.2× median
90853Normal range

Group psychotherapy

$11K

704 claims · 0.1%

Your Cost: $16.20/claim|Median: $25.02
0.6× median
G2076Normal range

$9K

129 claims · 0.1%

Your Cost: $65.91/claim|Median: $275.92
0.2× median
80305Normal range

$7K

1,531 claims · 0.0%

Your Cost: $4.41/claim|Median: $7.44
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$2K

139 claims · 0.0%

Your Cost: $16.84/claim|Median: $25.06
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$2K

34 claims · 0.0%

Your Cost: $45.55/claim|Median: $63.65
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$721

19 claims · 0.0%

Your Cost: $37.93/claim|Median: $41.28
0.9× median
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