Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1306969787

NPI: 1306969787Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,197,727

Total Claims

159K

Beneficiaries

42K

3.8 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-3%
2019
$2.0M
-10%
2020
$1.8M
-8%
2021
$1.6M
-13%
2022
$1.4M
-14%
2023
$1.2M
-16%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 42% of total spending.

H0015Normal range

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

$4.7M

42K claims · 42.0%

Your Cost: $112.32/claim|Median: $129.75
0.9× median
H0020Top 25%

Alcohol/drug services; methadone administration

$3.4M

37K claims · 30.2%

Your Cost: $90.31/claim|Median: $18.95
4.8× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$1.1M

9,103 claims · 10.2%

Your Cost: $125.31/claim|Median: $73.29
1.7× median
90834Top 25%

Psychotherapy, 45 minutes

$654K

7,276 claims · 5.8%

Your Cost: $89.95/claim|Median: $63.65
1.4× median
90853Normal range

Group psychotherapy

$299K

11K claims · 2.7%

Your Cost: $27.50/claim|Median: $25.02
1.1× median
G0434Normal range

$213K

13K claims · 1.9%

Your Cost: $15.83/claim|Median: $15.83
1.0× median
A0090Normal range

Non-emergency transport, per mile

$193K

21K claims · 1.7%

Your Cost: $8.96/claim|Median: $10.45
0.9× median
99213Top 10%

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

$145K

1,898 claims · 1.3%

Your Cost: $76.42/claim|Median: $37.81
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$95K

2,018 claims · 0.8%

Your Cost: $46.99/claim|Median: $25.06
1.9× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$81K

237 claims · 0.7%

Your Cost: $339.90/claim|Median: $108.91
3.1× median
80305Normal range

$73K

7,300 claims · 0.7%

Your Cost: $9.99/claim|Median: $7.44
1.3× median
90832Top 25%

Psychotherapy, 30 minutes

$57K

824 claims · 0.5%

Your Cost: $69.30/claim|Median: $41.28
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$44K

2,602 claims · 0.4%

Your Cost: $16.73/claim|Median: $12.93
1.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$41K

254 claims · 0.4%

Your Cost: $162.54/claim|Median: $99.21
1.6× median
G2078Top 25%

$34K

711 claims · 0.3%

Your Cost: $47.76/claim|Median: $27.04
1.8× median
G2076Normal range

$21K

68 claims · 0.2%

Your Cost: $309.59/claim|Median: $275.92
1.1× median
99214Normal range

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

$10K

253 claims · 0.1%

Your Cost: $37.88/claim|Median: $53.41
0.7× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$4K

224 claims · 0.0%

Your Cost: $15.63/claim|Median: $9.70
1.6× median
94060Top 25%

$2K

43 claims · 0.0%

Your Cost: $44.91/claim|Median: $25.18
1.8× median
86580Normal range

Tuberculosis (TB) skin test

$1K

314 claims · 0.0%

Your Cost: $3.99/claim|Median: $4.46
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

24 claims · 0.0%

Your Cost: $42.00/claim|Median: $40.11
1.0× median
G0397Normal range

$503

17 claims · 0.0%

Your Cost: $29.58/claim|Median: $142.31
0.2× median
36415Normal range

Collection of venous blood by venipuncture

$423

274 claims · 0.0%

Your Cost: $1.54/claim|Median: $1.57
1.0× median
82075Normal range

Alcohol (ethanol) breath test

$238

27 claims · 0.0%

Your Cost: $8.80/claim|Median: $16.59
0.5× median
G0473Normal range

$177

32 claims · 0.0%

Your Cost: $5.52/claim|Median: $5.52
1.0× median
← All providersHow we detect fraud →