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Provider 1225115439

NPI: 1225115439Share
Active Billing Period:2018-012022-11(55 months)
Billing appears to have stoppedLast active: 2022-11

Total Paid

$10.3M

$10,292,709

Total Claims

119K

Beneficiaries

27K

4.4 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-13%
2019
$2.5M
-14%
2020
$2.1M
-9%
2021
$1.9M
-55%
2022
$883K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 85% of total spending.

H0020Top 1%

Alcohol/drug services; methadone administration

$8.7M

20K claims · 84.6%

Your Cost: $425.07/claim|Median: $18.95
22.4× median
J0574Normal range

$698K

42K claims · 6.8%

Your Cost: $16.65/claim|Median: $15.76
1.1× median
J0575Top 25%

$607K

25K claims · 5.9%

Your Cost: $24.01/claim|Median: $14.96
1.6× median
J0572Normal range

$170K

23K claims · 1.7%

Your Cost: $7.39/claim|Median: $8.49
0.9× median
J0573Normal range

$113K

8,515 claims · 1.1%

Your Cost: $13.25/claim|Median: $12.82
1.0× median
99213Normal range

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

$0

212 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81