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Unknown Provider 1234567811

NPI: 1234567811Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$42.9M

$42,918,410

Total Claims

248K

Beneficiaries

55K

4.5 claims/patient

Avg Cost/Claim

$173

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-31%
2019
$1.5M
+2%
2020
$1.6M
+344%
2021
$6.9M
+30%
2022
$9.0M
+22%
2023
$11.0M
-2%
2024
$10.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 55% of total spending.

H2036Top 1%

Alcohol/drug treatment, per hour

$23.7M

3,891 claims · 55.1%

Your Cost: $6,078.29/claim|Median: $253.79
24.0× median
H0019Normal range

Behavioral health; residential, per diem

$3.4M

22K claims · 7.8%

Your Cost: $154.20/claim|Median: $357.16
0.4× median
G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$3.3M

17K claims · 7.7%

Your Cost: $190.84/claim|Median: $73.29
2.6× median
90834Normal range

Psychotherapy, 45 minutes

$2.6M

34K claims · 5.9%

Your Cost: $75.32/claim|Median: $63.65
1.2× median
T1040Top 25%

Medicaid certified CCBHC services

$2.4M

10K claims · 5.6%

Your Cost: $237.36/claim|Median: $130.29
1.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.9M

100K claims · 4.4%

Your Cost: $18.92/claim|Median: $321.53
0.1× median
T1027Top 5%

Family training and counseling, per 15 minutes

$1.8M

13K claims · 4.1%

Your Cost: $132.72/claim|Median: $53.00
2.5× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.3M

17K claims · 3.0%

Your Cost: $75.86/claim|Median: $96.24
0.8× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$881K

6,121 claims · 2.1%

Your Cost: $143.96/claim|Median: $84.12
1.7× median
S9485Top 25%

Crisis intervention mental health services, per diem

$674K

792 claims · 1.6%

Your Cost: $850.93/claim|Median: $501.33
1.7× median
90882Normal range

Environmental intervention

$411K

8,768 claims · 1.0%

Your Cost: $46.90/claim|Median: $45.05
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$152K

1,339 claims · 0.4%

Your Cost: $113.87/claim|Median: $99.21
1.1× median
99214Normal range

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

$116K

2,298 claims · 0.3%

Your Cost: $50.67/claim|Median: $53.41
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$83K

2,315 claims · 0.2%

Your Cost: $35.90/claim|Median: $41.28
0.9× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$73K

988 claims · 0.2%

Your Cost: $73.90/claim|Median: $129.75
0.6× median
99213Normal range

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

$56K

1,463 claims · 0.1%

Your Cost: $38.62/claim|Median: $37.81
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$56K

1,200 claims · 0.1%

Your Cost: $46.36/claim|Median: $85.66
0.5× median
90853Normal range

Group psychotherapy

$51K

1,778 claims · 0.1%

Your Cost: $28.46/claim|Median: $25.02
1.1× median
99404Normal range

$39K

255 claims · 0.1%

Your Cost: $151.72/claim|Median: $104.92
1.4× median
H0020Normal range

Alcohol/drug services; methadone administration

$33K

1,493 claims · 0.1%

Your Cost: $22.04/claim|Median: $18.95
1.2× median
G2078Top 25%

$28K

698 claims · 0.1%

Your Cost: $40.70/claim|Median: $27.04
1.5× median
G2074Top 10%

$28K

189 claims · 0.1%

Your Cost: $149.34/claim|Median: $82.20
1.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$22K

267 claims · 0.1%

Your Cost: $82.86/claim|Median: $215.80
0.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$10K

121 claims · 0.0%

Your Cost: $82.02/claim|Median: $77.33
1.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$8K

237 claims · 0.0%

Your Cost: $33.94/claim|Median: $38.83
0.9× median
98968Normal range

$8K

320 claims · 0.0%

Your Cost: $25.08/claim|Median: $28.39
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$3K

51 claims · 0.0%

Your Cost: $50.81/claim|Median: $108.91
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$2K

41 claims · 0.0%

Your Cost: $36.89/claim|Median: $25.06
1.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$589

30 claims · 0.0%

Your Cost: $19.63/claim|Median: $22.44
0.9× median
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