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Provider 1356854277

NPI: 1356854277Share
Active Billing Period:2018-03→2024-12(82 months)

Total Paid

$15.6M

$15,626,867

Total Claims

1.9M

Beneficiaries

141K

13.4 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$187K
+797%
2019
$1.7M
+58%
2020
$2.6M
+2%
2021
$2.7M
+4%
2022
$2.8M
-1%
2023
$2.8M
+4%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 44% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$6.9M

804K claims · 44.4%

Your Cost: $8.63/claim|Median: $18.95
0.5× median
S0109Normal range

$3.9M

936K claims · 24.7%

Your Cost: $4.12/claim|Median: $4.67
0.9× median
G9012Normal range

Other specified case management service, per 15 minutes

$2.7M

13K claims · 17.2%

Your Cost: $215.24/claim|Median: $137.85
1.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$982K

28K claims · 6.3%

Your Cost: $35.11/claim|Median: $74.63
0.5× median
80305Normal range

$721K

78K claims · 4.6%

Your Cost: $9.21/claim|Median: $7.44
1.2× median
H0014Normal range

$184K

1,405 claims · 1.2%

Your Cost: $131.19/claim|Median: $137.81
1.0× median
J0574Normal range

$142K

9,414 claims · 0.9%

Your Cost: $15.08/claim|Median: $15.76
1.0× median
99213Normal range

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

$33K

1,076 claims · 0.2%

Your Cost: $30.93/claim|Median: $37.81
0.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$21K

1,291 claims · 0.1%

Your Cost: $16.62/claim|Median: $47.35
0.4× median
81025Normal range

Urine pregnancy test

$20K

3,186 claims · 0.1%

Your Cost: $6.26/claim|Median: $4.81
1.3× median
82075Normal range

Alcohol (ethanol) breath test

$11K

2,408 claims · 0.1%

Your Cost: $4.49/claim|Median: $16.59
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$11K

567 claims · 0.1%

Your Cost: $18.56/claim|Median: $25.06
0.7× median
J0572Normal range

$6K

678 claims · 0.0%

Your Cost: $8.51/claim|Median: $8.49
1.0× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$4K

613 claims · 0.0%

Your Cost: $7.05/claim|Median: $73.29
0.1× median
J0575Normal range

$4K

230 claims · 0.0%

Your Cost: $15.86/claim|Median: $14.96
1.1× median
86580Normal range

Tuberculosis (TB) skin test

$3K

694 claims · 0.0%

Your Cost: $5.01/claim|Median: $4.46
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$239

35 claims · 0.0%

Your Cost: $6.82/claim|Median: $9.70
0.7× median
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