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Provider 1245758135

NPI: 1245758135Share
Active Billing Period:2018-07→2024-11(77 months)

Total Paid

$7.7M

$7,678,146

Total Claims

707K

Beneficiaries

54K

13.0 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2018
$32K
+2594%
2019
$861K
+104%
2020
$1.8M
-10%
2021
$1.6M
-25%
2022
$1.2M
+5%
2023
$1.2M
-19%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 28% of total spending.

G9012Normal range

Other specified case management service, per 15 minutes

$2.1M

9,682 claims · 27.8%

Your Cost: $220.46/claim|Median: $137.85
1.6× median
H0020Normal range

Alcohol/drug services; methadone administration

$2.0M

216K claims · 25.5%

Your Cost: $9.07/claim|Median: $18.95
0.5× median
S0109Normal range

$1.7M

305K claims · 22.0%

Your Cost: $5.55/claim|Median: $4.67
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$1.1M

115K claims · 14.7%

Your Cost: $9.88/claim|Median: $12.93
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$336K

14K claims · 4.4%

Your Cost: $24.25/claim|Median: $74.63
0.3× median
99408Normal range

$257K

32K claims · 3.3%

Your Cost: $7.96/claim|Median: $9.32
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$58K

737 claims · 0.8%

Your Cost: $79.10/claim|Median: $99.21
0.8× median
82075Normal range

Alcohol (ethanol) breath test

$52K

11K claims · 0.7%

Your Cost: $4.77/claim|Median: $16.59
0.3× median
H0014Normal range

$32K

268 claims · 0.4%

Your Cost: $120.16/claim|Median: $137.81
0.9× median
80305Normal range

$18K

1,980 claims · 0.2%

Your Cost: $9.09/claim|Median: $7.44
1.2× median
86580Normal range

Tuberculosis (TB) skin test

$5K

779 claims · 0.1%

Your Cost: $6.20/claim|Median: $4.46
1.4× median
99213Normal range

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

$3K

155 claims · 0.0%

Your Cost: $21.85/claim|Median: $37.81
0.6× median
81025Normal range

Urine pregnancy test

$3K

480 claims · 0.0%

Your Cost: $5.92/claim|Median: $4.81
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$511

544 claims · 0.0%

Your Cost: $0.94/claim|Median: $1.57
0.6× median
99214Normal range

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

$376

14 claims · 0.0%

Your Cost: $26.86/claim|Median: $53.41
0.5× median
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