Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1225241441

NPI: 1225241441Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$13,036,983

Total Claims

1.0M

Beneficiaries

176K

5.7 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-15%
2019
$1.3M
+65%
2020
$2.2M
-24%
2021
$1.7M
+7%
2022
$1.8M
+28%
2023
$2.3M
-1%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0005 (Alcohol and/or drug services, group counseling)) accounts for 35% of total spending.

H0005Normal range

Alcohol and/or drug services, group counseling

$4.5M

128K claims · 34.8%

Your Cost: $35.56/claim|Median: $47.35
0.8× median
H0020Normal range

Alcohol/drug services; methadone administration

$4.5M

578K claims · 34.2%

Your Cost: $7.72/claim|Median: $18.95
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.3M

37K claims · 10.1%

Your Cost: $35.25/claim|Median: $74.63
0.5× median
J0571Normal range

$1.3M

137K claims · 9.7%

Your Cost: $9.21/claim|Median: $7.96
1.2× median
H0048Normal range

$1.2M

86K claims · 8.8%

Your Cost: $13.46/claim|Median: $13.25
1.0× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$157K

18K claims · 1.2%

Your Cost: $8.63/claim|Median: $7.86
1.1× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$132K

2,340 claims · 1.0%

Your Cost: $56.26/claim|Median: $182.66
0.3× median
H0001Normal range

Alcohol and/or drug assessment

$8K

84 claims · 0.1%

Your Cost: $93.13/claim|Median: $94.22
1.0× median
J3490Normal range

Unclassified drugs

$5K

12K claims · 0.0%

Your Cost: $0.44/claim|Median: $5.70
0.1× median
H0034Normal range

Medication training and management, per 15 min

$5K

294 claims · 0.0%

Your Cost: $15.95/claim|Median: $56.90
0.3× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$2K

4,724 claims · 0.0%

Your Cost: $0.32/claim|Median: $73.29
0.0× median
G2078Normal range

$223

2,400 claims · 0.0%

Your Cost: $0.09/claim|Median: $27.04
0.0× median
G2074Normal range

$168

256 claims · 0.0%

Your Cost: $0.66/claim|Median: $82.20
0.0× median
J2310Normal range

$162

345 claims · 0.0%

Your Cost: $0.47/claim|Median: $8.59
0.1× median
← All providersHow we detect fraud →