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

Provider 1316372899

NPI: 1316372899Share
Active Billing Period:2018-012023-04(64 months)
Billing appears to have stoppedLast active: 2023-04

Total Paid

$17.7M

$17,656,129

Total Claims

74K

Beneficiaries

6,466

11.4 claims/patient

Avg Cost/Claim

$240

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-1%
2019
$3.3M
-2%
2020
$3.2M
+18%
2021
$3.8M
-15%
2022
$3.2M
-71%
2023
$916K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H0011 (Alcohol and/or drug services, acute detoxification, per diem)) accounts for 49% of total spending.

H0011Normal range

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

$8.7M

32K claims · 49.3%

Your Cost: $270.76/claim|Median: $317.54
0.9× median
H0018Normal range

Behavioral health; short-term residential, per diem

$5.1M

18K claims · 28.8%

Your Cost: $284.98/claim|Median: $467.51
0.6× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$1.6M

9,882 claims · 9.2%

Your Cost: $164.09/claim|Median: $148.53
1.1× median
H0015Normal range

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

$1.6M

11K claims · 8.9%

Your Cost: $147.73/claim|Median: $129.75
1.1× median
H0009Top 25%

$354K

1,013 claims · 2.0%

Your Cost: $349.11/claim|Median: $300.57
1.2× median
H0019Normal range

Behavioral health; residential, per diem

$192K

441 claims · 1.1%

Your Cost: $436.01/claim|Median: $357.16
1.2× median
H2036Normal range

Alcohol/drug treatment, per hour

$93K

275 claims · 0.5%

Your Cost: $339.55/claim|Median: $253.79
1.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$27K

1,304 claims · 0.2%

Your Cost: $20.36/claim|Median: $55.04
0.4× median
T2023Normal range

Community transition, waiver; per service

$16K

60 claims · 0.1%

Your Cost: $261.08/claim|Median: $300.13
0.9× median