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Provider 1285175273

NPI: 1285175273Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$17,009,227

Total Claims

173K

Beneficiaries

19K

8.9 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+23%
2019
$2.6M
-24%
2020
$2.0M
+12%
2021
$2.2M
+19%
2022
$2.7M
-4%
2023
$2.6M
+7%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 74% of total spending.

H0015Normal range

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

$12.5M

84K claims · 73.7%

Your Cost: $150.13/claim|Median: $129.75
1.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$2.5M

51K claims · 14.9%

Your Cost: $49.44/claim|Median: $47.35
1.0× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.5M

30K claims · 9.0%

Your Cost: $50.65/claim|Median: $35.43
1.4× median
H0001Top 25%

Alcohol and/or drug assessment

$176K

1,040 claims · 1.0%

Your Cost: $169.48/claim|Median: $94.22
1.8× median
H0024Normal range

$101K

3,876 claims · 0.6%

Your Cost: $26.05/claim|Median: $27.14
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$71K

2,019 claims · 0.4%

Your Cost: $35.10/claim|Median: $74.63
0.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$34K

523 claims · 0.2%

Your Cost: $65.71/claim|Median: $55.04
1.2× median
80305Top 25%

$3K

273 claims · 0.0%

Your Cost: $10.70/claim|Median: $7.44
1.4× median
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