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GALAX TREATMENT CENTER, LLC

Clinic/Center, Methadone Clinic·CEDAR BLUFF, VA·NPI: 1386783314Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.7M is at the 25th percentile among 5 Clinic/Center, Methadone Clinic providers.

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

Total Paid

$18.7M

$18,742,665

Total Claims

1.6M

Beneficiaries

154K

10.4 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+67%
2019
$2.7M
+19%
2020
$3.2M
-9%
2021
$2.9M
+1%
2022
$2.9M
-6%
2023
$2.8M
-6%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 32% of total spending.

G9012Normal range

Other specified case management service, per 15 minutes

$6.0M

28K claims · 31.9%

Your Cost: $214.56/claim|Median: $137.85
1.6× median
H0020Normal range

Alcohol/drug services; methadone administration

$5.6M

577K claims · 29.8%

Your Cost: $9.67/claim|Median: $18.95
0.5× median
S0109Normal range

$2.7M

698K claims · 14.5%

Your Cost: $3.88/claim|Median: $4.67
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.9M

50K claims · 9.9%

Your Cost: $37.55/claim|Median: $74.63
0.5× median
J0574Normal range

$883K

75K claims · 4.7%

Your Cost: $11.79/claim|Median: $15.76
0.7× median
80305Top 25%

$532K

52K claims · 2.8%

Your Cost: $10.19/claim|Median: $7.44
1.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$367K

18K claims · 2.0%

Your Cost: $20.14/claim|Median: $47.35
0.4× median
J0572Normal range

$325K

42K claims · 1.7%

Your Cost: $7.81/claim|Median: $8.49
0.9× median
J0571Normal range

$251K

38K claims · 1.3%

Your Cost: $6.56/claim|Median: $7.96
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$119K

1,616 claims · 0.6%

Your Cost: $73.59/claim|Median: $74.09
1.0× median
H0014Normal range

$51K

458 claims · 0.3%

Your Cost: $112.17/claim|Median: $137.81
0.8× median
81025Top 25%

Urine pregnancy test

$23K

3,375 claims · 0.1%

Your Cost: $6.72/claim|Median: $4.81
1.4× median
82075Normal range

Alcohol (ethanol) breath test

$21K

5,308 claims · 0.1%

Your Cost: $4.04/claim|Median: $16.59
0.2× median
J0573Normal range

$16K

1,233 claims · 0.1%

Your Cost: $12.70/claim|Median: $12.82
1.0× median
86580Normal range

Tuberculosis (TB) skin test

$16K

2,887 claims · 0.1%

Your Cost: $5.41/claim|Median: $4.46
1.2× median
J0575Normal range

$4K

229 claims · 0.0%

Your Cost: $18.60/claim|Median: $14.96
1.2× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$2K

1,530 claims · 0.0%

Your Cost: $1.02/claim|Median: $73.29
0.0× median
99213Normal range

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

$641

14 claims · 0.0%

Your Cost: $45.81/claim|Median: $37.81
1.2× median

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