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Provider 1356764898

NPI: 1356764898Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.1M

$8,127,100

Total Claims

132K

Beneficiaries

49K

2.7 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-1%
2019
$1.2M
-8%
2020
$1.1M
-7%
2021
$998K
+16%
2022
$1.2M
+10%
2023
$1.3M
+0%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 76% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$6.2M

81K claims · 75.9%

Your Cost: $76.50/claim|Median: $18.95
4.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$854K

31K claims · 10.5%

Your Cost: $27.78/claim|Median: $74.63
0.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$407K

8,678 claims · 5.0%

Your Cost: $46.89/claim|Median: $47.35
1.0× median
H0001Top 25%

Alcohol and/or drug assessment

$350K

2,027 claims · 4.3%

Your Cost: $172.67/claim|Median: $94.22
1.8× median
99213Top 10%

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

$137K

1,641 claims · 1.7%

Your Cost: $83.28/claim|Median: $37.81
2.2× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$58K

967 claims · 0.7%

Your Cost: $60.09/claim|Median: $81.37
0.7× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$53K

243 claims · 0.6%

Your Cost: $217.21/claim|Median: $182.66
1.2× median
W9520Normal range

$39K

3,718 claims · 0.5%

Your Cost: $10.55/claim|Median: $10.26
1.0× median
J0573Normal range

$32K

2,127 claims · 0.4%

Your Cost: $15.18/claim|Median: $12.82
1.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$20K

864 claims · 0.3%

Your Cost: $23.68/claim|Median: $12.93
1.8× median
99214Top 5%

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

$11K

91 claims · 0.1%

Your Cost: $121.29/claim|Median: $53.41
2.3× median