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Provider 1235216532

NPI: 1235216532Share
Active Billing Period:2018-01→2024-04(76 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$10.7M

$10,741,769

Total Claims

454K

Beneficiaries

60K

7.6 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$442K
+149%
2019
$1.1M
+118%
2020
$2.4M
-56%
2021
$1.1M
+72%
2022
$1.8M
+82%
2023
$3.3M
-83%
2024
$555K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 62% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$6.6M

367K claims · 61.6%

Your Cost: $18.04/claim|Median: $18.95
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.1M

18K claims · 10.6%

Your Cost: $62.03/claim|Median: $74.63
0.8× median
82075Top 5%

Alcohol (ethanol) breath test

$925K

23K claims · 8.6%

Your Cost: $39.44/claim|Median: $16.59
2.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$923K

18K claims · 8.6%

Your Cost: $51.23/claim|Median: $47.35
1.1× median
99214Top 10%

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

$383K

3,823 claims · 3.6%

Your Cost: $100.06/claim|Median: $53.41
1.9× median
99213Top 25%

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

$167K

2,445 claims · 1.6%

Your Cost: $68.23/claim|Median: $37.81
1.8× median
H0001Normal range

Alcohol and/or drug assessment

$120K

1,151 claims · 1.1%

Your Cost: $104.26/claim|Median: $94.22
1.1× median
H0006Normal range

Alcohol and/or drug services, case management

$115K

4,010 claims · 1.1%

Your Cost: $28.55/claim|Median: $43.10
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$64K

1,380 claims · 0.6%

Your Cost: $46.51/claim|Median: $55.04
0.8× median
80305Top 25%

$60K

5,841 claims · 0.6%

Your Cost: $10.32/claim|Median: $7.44
1.4× median
H2036Top 10%

Alcohol/drug treatment, per hour

$56K

24 claims · 0.5%

Your Cost: $2,329.21/claim|Median: $253.79
9.2× median
J0574Top 25%

$51K

1,845 claims · 0.5%

Your Cost: $27.77/claim|Median: $15.76
1.8× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$41K

227 claims · 0.4%

Your Cost: $182.66/claim|Median: $111.09
1.6× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$35K

207 claims · 0.3%

Your Cost: $170.60/claim|Median: $84.03
2.0× median
H0033Normal range

Oral medication administration, direct observation

$21K

1,473 claims · 0.2%

Your Cost: $14.04/claim|Median: $31.37
0.4× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$8K

106 claims · 0.1%

Your Cost: $72.41/claim|Median: $73.29
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$7K

2,946 claims · 0.1%

Your Cost: $2.33/claim|Median: $1.57
1.5× median
81025Top 25%

Urine pregnancy test

$4K

592 claims · 0.0%

Your Cost: $6.88/claim|Median: $4.81
1.4× median
86580Normal range

Tuberculosis (TB) skin test

$4K

675 claims · 0.0%

Your Cost: $5.19/claim|Median: $4.46
1.2× median
90853Top 25%

Group psychotherapy

$3K

57 claims · 0.0%

Your Cost: $47.74/claim|Median: $25.02
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$3K

29 claims · 0.0%

Your Cost: $87.74/claim|Median: $74.09
1.2× median
81002Top 25%

Urinalysis, non-automated without microscopy

$2K

635 claims · 0.0%

Your Cost: $2.75/claim|Median: $2.00
1.4× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$1K

56 claims · 0.0%

Your Cost: $20.20/claim|Median: $9.70
2.1× median
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