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Provider 1295280451

NPI: 1295280451Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.5M

$9,455,691

Total Claims

249K

Beneficiaries

101K

2.5 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-94%
2019
$90K
+29%
2020
$116K
+109%
2021
$243K
+886%
2022
$2.4M
-6%
2023
$2.2M
+30%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 77% of total spending.

H2036Top 25%

Alcohol/drug treatment, per hour

$7.3M

8,257 claims · 76.7%

Your Cost: $878.46/claim|Median: $253.79
3.5× median
S0109Top 25%

$1.0M

48K claims · 10.6%

Your Cost: $20.94/claim|Median: $4.67
4.5× median
H0020Normal range

Alcohol/drug services; methadone administration

$367K

72K claims · 3.9%

Your Cost: $5.07/claim|Median: $18.95
0.3× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$194K

15K claims · 2.1%

Your Cost: $12.82/claim|Median: $182.66
0.1× median
J0572Normal range

$158K

15K claims · 1.7%

Your Cost: $10.36/claim|Median: $8.49
1.2× median
J3490Top 25%

Unclassified drugs

$150K

3,660 claims · 1.6%

Your Cost: $40.87/claim|Median: $5.70
7.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$127K

21K claims · 1.3%

Your Cost: $5.94/claim|Median: $74.63
0.1× median
H0033Normal range

Oral medication administration, direct observation

$56K

13K claims · 0.6%

Your Cost: $4.20/claim|Median: $31.37
0.1× median
H0001Normal range

Alcohol and/or drug assessment

$45K

1,544 claims · 0.5%

Your Cost: $29.24/claim|Median: $94.22
0.3× median
H0048Normal range

$45K

27K claims · 0.5%

Your Cost: $1.67/claim|Median: $13.25
0.1× median
H0032Normal range

Mental health service plan development

$24K

2,362 claims · 0.3%

Your Cost: $10.23/claim|Median: $80.64
0.1× median
H0005Normal range

Alcohol and/or drug services, group counseling

$19K

3,959 claims · 0.2%

Your Cost: $4.73/claim|Median: $47.35
0.1× median
H0006Normal range

Alcohol and/or drug services, case management

$8K

3,656 claims · 0.1%

Your Cost: $2.29/claim|Median: $43.10
0.1× median
80305Normal range

$4K

7,409 claims · 0.0%

Your Cost: $0.48/claim|Median: $7.44
0.1× median
H0002Normal range

Behavioral health screening

$1K

358 claims · 0.0%

Your Cost: $3.46/claim|Median: $38.77
0.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$883

764 claims · 0.0%

Your Cost: $1.16/claim|Median: $9.70
0.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$833

1,417 claims · 0.0%

Your Cost: $0.59/claim|Median: $35.43
0.0× median
86580Normal range

Tuberculosis (TB) skin test

$321

914 claims · 0.0%

Your Cost: $0.35/claim|Median: $4.46
0.1× median
81025Normal range

Urine pregnancy test

$285

1,661 claims · 0.0%

Your Cost: $0.17/claim|Median: $4.81
0.0× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$222

147 claims · 0.0%

Your Cost: $1.51/claim|Median: $73.29
0.0× median
G1028Normal range

$102

28 claims · 0.0%

Your Cost: $3.66/claim|Median: $37.89
0.1× median
84702Normal range

$42

263 claims · 0.0%

Your Cost: $0.16/claim|Median: $8.25
0.0× median
98966Normal range

$10

32 claims · 0.0%

Your Cost: $0.31/claim|Median: $6.84
0.0× median
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