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Provider 1316486954

NPI: 1316486954Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.9M

$10,885,404

Total Claims

165K

Beneficiaries

59K

2.8 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$524K
+129%
2019
$1.2M
+10%
2020
$1.3M
+25%
2021
$1.6M
+37%
2022
$2.2M
+0%
2023
$2.3M
-25%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 53% of total spending.

H0015Normal range

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

$5.8M

49K claims · 53.0%

Your Cost: $117.62/claim|Median: $129.75
0.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.9M

38K claims · 17.6%

Your Cost: $50.64/claim|Median: $35.43
1.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$783K

42K claims · 7.2%

Your Cost: $18.75/claim|Median: $55.04
0.3× median
T1007Normal range

Alcohol/drug services, treatment plan review

$694K

11K claims · 6.4%

Your Cost: $61.38/claim|Median: $64.10
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$614K

7,098 claims · 5.6%

Your Cost: $86.53/claim|Median: $99.21
0.9× median
H2027Normal range

Psychoeducational service, per 15 minutes

$290K

4,253 claims · 2.7%

Your Cost: $68.29/claim|Median: $82.72
0.8× median
H0001Normal range

Alcohol and/or drug assessment

$241K

3,759 claims · 2.2%

Your Cost: $64.20/claim|Median: $94.22
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$152K

1,522 claims · 1.4%

Your Cost: $99.80/claim|Median: $108.91
0.9× median
99213Normal range

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

$146K

3,010 claims · 1.3%

Your Cost: $48.39/claim|Median: $37.81
1.3× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$80K

1,401 claims · 0.7%

Your Cost: $57.15/claim|Median: $57.85
1.0× median
H0002Normal range

Behavioral health screening

$72K

1,292 claims · 0.7%

Your Cost: $56.08/claim|Median: $38.77
1.4× median
T2023Normal range

Community transition, waiver; per service

$71K

232 claims · 0.7%

Your Cost: $308.18/claim|Median: $300.13
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$37K

498 claims · 0.3%

Your Cost: $73.60/claim|Median: $85.66
0.9× median
99406Normal range

$8K

1,049 claims · 0.1%

Your Cost: $7.33/claim|Median: $6.53
1.1× median
90853Normal range

Group psychotherapy

$2K

186 claims · 0.0%

Your Cost: $11.76/claim|Median: $25.02
0.5× median
99408Normal range

$930

292 claims · 0.0%

Your Cost: $3.19/claim|Median: $9.32
0.3× median
99214Normal range

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

$914

13 claims · 0.0%

Your Cost: $70.32/claim|Median: $53.41
1.3× median
80306Top 25%

$269

15 claims · 0.0%

Your Cost: $17.96/claim|Median: $10.29
1.7× median