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Provider 1225182215

NPI: 1225182215Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,021,072

Total Claims

156K

Beneficiaries

52K

3.0 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-4%
2019
$1.2M
-1%
2020
$1.2M
+2%
2021
$1.2M
+5%
2022
$1.3M
-8%
2023
$1.2M
+26%
2024
$1.5M

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 68% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$6.1M

86K claims · 67.7%

Your Cost: $71.19/claim|Median: $18.95
3.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.5M

47K claims · 17.2%

Your Cost: $32.67/claim|Median: $74.63
0.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$613K

13K claims · 6.8%

Your Cost: $47.55/claim|Median: $47.35
1.0× median
H0001Top 25%

Alcohol and/or drug assessment

$319K

1,829 claims · 3.5%

Your Cost: $174.27/claim|Median: $94.22
1.8× median
99214Top 5%

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

$134K

1,083 claims · 1.5%

Your Cost: $123.44/claim|Median: $53.41
2.3× median
99213Top 10%

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

$114K

1,329 claims · 1.3%

Your Cost: $85.46/claim|Median: $37.81
2.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$52K

2,303 claims · 0.6%

Your Cost: $22.45/claim|Median: $12.93
1.7× median
W1761Top 10%

$36K

261 claims · 0.4%

Your Cost: $136.27/claim|Median: $116.75
1.2× median
W1760Normal range

$29K

341 claims · 0.3%

Your Cost: $83.78/claim|Median: $106.40
0.8× median
H0016Top 5%

Alcohol or drug abuse services, prenatal

$20K

69 claims · 0.2%

Your Cost: $285.80/claim|Median: $182.66
1.6× median
W9520Normal range

$17K

1,585 claims · 0.2%

Your Cost: $10.89/claim|Median: $10.26
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$15K

349 claims · 0.2%

Your Cost: $43.61/claim|Median: $25.06
1.7× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$10K

118 claims · 0.1%

Your Cost: $83.08/claim|Median: $73.29
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$5K

114 claims · 0.1%

Your Cost: $41.05/claim|Median: $41.28
1.0× median
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