Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1386159176

NPI: 1386159176Share
Active Billing Period:2018-062024-11(78 months)

Total Paid

$14.5M

$14,539,445

Total Claims

605K

Beneficiaries

32K

19.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$228K
+448%
2019
$1.2M
+86%
2020
$2.3M
+10%
2021
$2.6M
-1%
2022
$2.5M
+21%
2023
$3.1M
-17%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 69% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$10.1M

573K claims · 69.3%

Your Cost: $17.60/claim|Median: $18.95
0.9× median
G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$4.2M

25K claims · 28.6%

Your Cost: $165.74/claim|Median: $73.29
2.3× median
G2078Normal range

$178K

6,110 claims · 1.2%

Your Cost: $29.15/claim|Median: $27.04
1.1× median
G2077Top 25%

$60K

649 claims · 0.4%

Your Cost: $92.57/claim|Median: $38.98
2.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$41K

490 claims · 0.3%

Your Cost: $84.45/claim|Median: $111.09
0.8× median
G2076Normal range

$20K

121 claims · 0.1%

Your Cost: $163.36/claim|Median: $275.92
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

27 claims · 0.0%

Your Cost: $87.63/claim|Median: $99.21
0.9× median
99214Top 25%

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

$1K

15 claims · 0.0%

Your Cost: $79.86/claim|Median: $53.41
1.5× median