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Provider 1265888697

NPI: 1265888697Share
Active Billing Period:2018-012020-10(34 months)
Billing appears to have stoppedLast active: 2020-10

Total Paid

$10.4M

$10,414,012

Total Claims

42K

Beneficiaries

3,831

11.0 claims/patient

Avg Cost/Claim

$247

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-2%
2019
$3.8M
-25%
2020
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 50% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$5.3M

17K claims · 50.5%

Your Cost: $308.51/claim|Median: $467.51
0.7× median
H0015Normal range

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

$2.2M

14K claims · 21.5%

Your Cost: $157.61/claim|Median: $129.75
1.2× median
H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$1.7M

5,771 claims · 16.5%

Your Cost: $298.28/claim|Median: $317.54
0.9× median
H0009Top 25%

$617K

1,728 claims · 5.9%

Your Cost: $357.31/claim|Median: $300.57
1.2× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$332K

2,386 claims · 3.2%

Your Cost: $138.94/claim|Median: $148.53
0.9× median
H0019Normal range

Behavioral health; residential, per diem

$153K

721 claims · 1.5%

Your Cost: $212.55/claim|Median: $357.16
0.6× median
H2036Normal range

Alcohol/drug treatment, per hour

$91K

256 claims · 0.9%

Your Cost: $354.49/claim|Median: $253.79
1.4× median