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Provider 1255312203

NPI: 1255312203Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,939,561

Total Claims

210K

Beneficiaries

71K

3.0 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+2%
2019
$2.0M
+1%
2020
$2.0M
-8%
2021
$1.9M
+2%
2022
$1.9M
-8%
2023
$1.7M
-19%
2024
$1.4M

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 65% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$8.4M

113K claims · 64.9%

Your Cost: $74.21/claim|Median: $18.95
3.9× median
W1761Normal range

$1.5M

14K claims · 11.8%

Your Cost: $110.75/claim|Median: $116.75
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$904K

24K claims · 7.0%

Your Cost: $38.05/claim|Median: $74.63
0.5× median
J0574Top 25%

$757K

29K claims · 5.9%

Your Cost: $26.33/claim|Median: $15.76
1.7× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$478K

6,757 claims · 3.7%

Your Cost: $70.74/claim|Median: $81.37
0.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$426K

9,742 claims · 3.3%

Your Cost: $43.74/claim|Median: $47.35
0.9× median
J0572Top 25%

$158K

11K claims · 1.2%

Your Cost: $14.46/claim|Median: $8.49
1.7× median
99213Top 10%

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

$138K

1,838 claims · 1.1%

Your Cost: $74.95/claim|Median: $37.81
2.0× median
H0001Top 25%

Alcohol and/or drug assessment

$67K

423 claims · 0.5%

Your Cost: $158.33/claim|Median: $94.22
1.7× median
G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$37K

233 claims · 0.3%

Your Cost: $160.58/claim|Median: $73.29
2.2× median
99214Top 5%

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

$14K

98 claims · 0.1%

Your Cost: $138.62/claim|Median: $53.41
2.6× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$10K

46 claims · 0.1%

Your Cost: $220.61/claim|Median: $182.66
1.2× median
W1760Normal range

$9K

86 claims · 0.1%

Your Cost: $99.64/claim|Median: $106.40
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$8K

157 claims · 0.1%

Your Cost: $52.16/claim|Median: $25.06
2.1× median
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