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LAFAYETTE MEDICAL APPROACH LLC

Clinic/Center, Methadone Clinic·NEW YORK, NY·NPI: 1366789158Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.1M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

Active Billing Period:2019-012024-12(72 months)

Total Paid

$21.1M

$21,111,959

Total Claims

152K

Beneficiaries

39K

3.9 claims/patient

Avg Cost/Claim

$139

Monthly Spending Trend

Yearly Spending

2019
$1.1M
+309%
2020
$4.3M
+7%
2021
$4.7M
-11%
2022
$4.1M
-4%
2023
$4.0M
-25%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 87% of total spending.

G2067Top 5%

Medication-assisted treatment, opioid use disorder, per month

$18.3M

83K claims · 86.8%

Your Cost: $221.82/claim|Median: $73.29
3.0× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.5M

55K claims · 7.3%

Your Cost: $28.04/claim|Median: $18.95
1.5× median
G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$389K

3,654 claims · 1.8%

Your Cost: $106.45/claim|Median: $40.58
2.6× median
99212Top 5%

Office/outpatient visit, low complexity

$341K

2,758 claims · 1.6%

Your Cost: $123.70/claim|Median: $25.06
4.9× median
G2078Top 25%

$196K

4,909 claims · 0.9%

Your Cost: $39.93/claim|Median: $27.04
1.5× median
G0397Normal range

$181K

1,343 claims · 0.9%

Your Cost: $135.07/claim|Median: $142.31
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$62K

1,276 claims · 0.3%

Your Cost: $48.91/claim|Median: $74.63
0.7× median
99213Top 5%

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

$22K

186 claims · 0.1%

Your Cost: $118.54/claim|Median: $37.81
3.1× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$21K

168 claims · 0.1%

Your Cost: $125.35/claim|Median: $76.06
1.6× median
H0014Normal range

$19K

144 claims · 0.1%

Your Cost: $131.58/claim|Median: $137.81
1.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$7K

359 claims · 0.0%

Your Cost: $20.46/claim|Median: $12.93
1.6× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$6K

72 claims · 0.0%

Your Cost: $86.94/claim|Median: $87.82
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$2K

37 claims · 0.0%

Your Cost: $51.50/claim|Median: $47.35
1.1× median
H0001Normal range

Alcohol and/or drug assessment

$2K

12 claims · 0.0%

Your Cost: $135.40/claim|Median: $94.22
1.4× median

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