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Provider 1366853954

NPI: 1366853954Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.5M

$11,523,863

Total Claims

1.3M

Beneficiaries

87K

14.9 claims/patient

Avg Cost/Claim

$9

Monthly Spending Trend

Yearly Spending

2018
$478K
+189%
2019
$1.4M
+52%
2020
$2.1M
+19%
2021
$2.5M
-18%
2022
$2.0M
-27%
2023
$1.5M
+5%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (S0109) accounts for 36% of total spending.

S0109Normal range

$4.2M

732K claims · 36.1%

Your Cost: $5.69/claim|Median: $4.67
1.2× median
H0020Normal range

Alcohol/drug services; methadone administration

$3.9M

505K claims · 34.1%

Your Cost: $7.78/claim|Median: $18.95
0.4× median
G9012Normal range

Other specified case management service, per 15 minutes

$1.5M

6,364 claims · 12.8%

Your Cost: $232.50/claim|Median: $137.85
1.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.2M

22K claims · 10.5%

Your Cost: $55.62/claim|Median: $74.63
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$308K

4,059 claims · 2.7%

Your Cost: $75.94/claim|Median: $74.09
1.0× median
J0574Normal range

$184K

9,435 claims · 1.6%

Your Cost: $19.46/claim|Median: $15.76
1.2× median
H0014Normal range

$104K

809 claims · 0.9%

Your Cost: $128.66/claim|Median: $137.81
0.9× median
80305Normal range

$70K

11K claims · 0.6%

Your Cost: $6.60/claim|Median: $7.44
0.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$36K

1,448 claims · 0.3%

Your Cost: $24.96/claim|Median: $47.35
0.5× median
99214Normal range

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

$13K

302 claims · 0.1%

Your Cost: $42.65/claim|Median: $53.41
0.8× median
86580Normal range

Tuberculosis (TB) skin test

$8K

1,272 claims · 0.1%

Your Cost: $6.08/claim|Median: $4.46
1.4× median
99213Normal range

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

$7K

195 claims · 0.1%

Your Cost: $37.69/claim|Median: $37.81
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$5K

217 claims · 0.0%

Your Cost: $22.84/claim|Median: $25.06
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

255 claims · 0.0%

Your Cost: $9.16/claim|Median: $12.93
0.7× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$2K

1,001 claims · 0.0%

Your Cost: $1.97/claim|Median: $73.29
0.0× median
81025Normal range

Urine pregnancy test

$2K

331 claims · 0.0%

Your Cost: $5.57/claim|Median: $4.81
1.2× median
82075Normal range

Alcohol (ethanol) breath test

$966

320 claims · 0.0%

Your Cost: $3.02/claim|Median: $16.59
0.2× median
G2078Normal range

$16

31 claims · 0.0%

Your Cost: $0.53/claim|Median: $27.04
0.0× median