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Provider 1285042911

NPI: 1285042911Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.6M

$8,630,231

Total Claims

137K

Beneficiaries

47K

2.9 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+17%
2019
$1.3M
+3%
2020
$1.3M
+5%
2021
$1.4M
-2%
2022
$1.3M
-11%
2023
$1.2M
-7%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 74% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$6.4M

84K claims · 73.8%

Your Cost: $76.08/claim|Median: $18.95
4.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.3M

30K claims · 15.5%

Your Cost: $43.84/claim|Median: $74.63
0.6× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$233K

969 claims · 2.7%

Your Cost: $240.19/claim|Median: $182.66
1.3× median
H0001Top 25%

Alcohol and/or drug assessment

$183K

1,077 claims · 2.1%

Your Cost: $169.64/claim|Median: $94.22
1.8× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$176K

2,736 claims · 2.0%

Your Cost: $64.45/claim|Median: $81.37
0.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$173K

7,291 claims · 2.0%

Your Cost: $23.77/claim|Median: $12.93
1.8× median
J0574Normal range

$123K

9,136 claims · 1.4%

Your Cost: $13.45/claim|Median: $15.76
0.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$14K

309 claims · 0.2%

Your Cost: $44.22/claim|Median: $47.35
0.9× median
99212Top 10%

Office/outpatient visit, low complexity

$13K

220 claims · 0.2%

Your Cost: $60.72/claim|Median: $25.06
2.4× median
W9520Normal range

$7K

657 claims · 0.1%

Your Cost: $10.76/claim|Median: $10.26
1.0× median
99213Top 5%

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

$5K

46 claims · 0.1%

Your Cost: $98.58/claim|Median: $37.81
2.6× median
J0572Normal range

$2K

217 claims · 0.0%

Your Cost: $9.41/claim|Median: $8.49
1.1× median