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Provider 1376759936

NPI: 1376759936Share
Active Billing Period:2018-072024-12(78 months)

Total Paid

$15.0M

$15,030,230

Total Claims

1.5M

Beneficiaries

87K

17.2 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$58K
+1279%
2019
$805K
+170%
2020
$2.2M
+40%
2021
$3.0M
+13%
2022
$3.4M
-16%
2023
$2.9M
-9%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 39% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$5.9M

751K claims · 39.1%

Your Cost: $7.82/claim|Median: $18.95
0.4× median
S0109Normal range

$4.2M

700K claims · 27.7%

Your Cost: $5.95/claim|Median: $4.67
1.3× median
G9012Normal range

Other specified case management service, per 15 minutes

$3.6M

15K claims · 23.7%

Your Cost: $231.64/claim|Median: $137.85
1.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.2M

22K claims · 8.0%

Your Cost: $53.86/claim|Median: $74.63
0.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$125K

839 claims · 0.8%

Your Cost: $149.38/claim|Median: $99.21
1.5× median
99214Normal range

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

$67K

1,725 claims · 0.4%

Your Cost: $38.98/claim|Median: $53.41
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$15K

196 claims · 0.1%

Your Cost: $76.78/claim|Median: $111.09
0.7× median
H0005Normal range

Alcohol and/or drug services, group counseling

$12K

750 claims · 0.1%

Your Cost: $16.38/claim|Median: $47.35
0.3× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$4K

1,836 claims · 0.0%

Your Cost: $2.18/claim|Median: $73.29
0.0× median
86580Top 25%

Tuberculosis (TB) skin test

$1K

130 claims · 0.0%

Your Cost: $8.47/claim|Median: $4.46
1.9× median