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Provider 1205360153

NPI: 1205360153Share
Active Billing Period:2019-02→2024-12(63 months)

Total Paid

$8.9M

$8,897,988

Total Claims

375K

Beneficiaries

45K

8.4 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2019
$5K
+15221%
2020
$780K
+231%
2021
$2.6M
-37%
2022
$1.6M
+26%
2023
$2.1M
-10%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H0016 (Alcohol or drug abuse services, prenatal)) accounts for 52% of total spending.

H0016Normal range

Alcohol or drug abuse services, prenatal

$4.6M

45K claims · 51.7%

Your Cost: $103.32/claim|Median: $182.66
0.6× median
H0020Normal range

Alcohol/drug services; methadone administration

$2.6M

230K claims · 29.4%

Your Cost: $11.36/claim|Median: $18.95
0.6× median
H2010Normal range

Comprehensive medication services, per 15 min

$947K

89K claims · 10.6%

Your Cost: $10.64/claim|Median: $62.69
0.2× median
90832Top 25%

Psychotherapy, 30 minutes

$404K

6,753 claims · 4.5%

Your Cost: $59.77/claim|Median: $41.28
1.4× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$219K

2,957 claims · 2.5%

Your Cost: $73.94/claim|Median: $35.43
2.1× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$57K

891 claims · 0.6%

Your Cost: $64.34/claim|Median: $94.63
0.7× median
99214Normal range

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

$49K

757 claims · 0.5%

Your Cost: $64.10/claim|Median: $53.41
1.2× median
H0001Normal range

Alcohol and/or drug assessment

$5K

40 claims · 0.1%

Your Cost: $133.85/claim|Median: $94.22
1.4× median
80305Top 5%

$833

28 claims · 0.0%

Your Cost: $29.75/claim|Median: $7.44
4.0× median
T1016Normal range

Case management, each 15 min

$120

177 claims · 0.0%

Your Cost: $0.68/claim|Median: $49.62
0.0× median
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