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Provider 1386888279

NPI: 1386888279Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.4M

$17,442,258

Total Claims

265K

Beneficiaries

99K

2.7 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+16%
2019
$2.3M
+12%
2020
$2.6M
+1%
2021
$2.6M
-5%
2022
$2.5M
+14%
2023
$2.8M
-7%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 59% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$10.2M

134K claims · 58.8%

Your Cost: $76.27/claim|Median: $18.95
4.0× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$5.1M

46K claims · 29.3%

Your Cost: $111.16/claim|Median: $73.29
1.5× median
90791Top 10%

Psychiatric diagnostic evaluation

$353K

2,124 claims · 2.0%

Your Cost: $166.25/claim|Median: $99.21
1.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$352K

13K claims · 2.0%

Your Cost: $26.94/claim|Median: $12.93
2.1× median
G2078Top 25%

$345K

9,029 claims · 2.0%

Your Cost: $38.22/claim|Median: $27.04
1.4× median
G2068Top 25%

$216K

1,076 claims · 1.2%

Your Cost: $201.01/claim|Median: $170.60
1.2× median
99214Top 5%

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

$129K

1,085 claims · 0.7%

Your Cost: $118.77/claim|Median: $53.41
2.2× median
99213Top 5%

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

$123K

1,379 claims · 0.7%

Your Cost: $88.87/claim|Median: $37.81
2.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$112K

960 claims · 0.6%

Your Cost: $116.70/claim|Median: $108.91
1.1× median
G2076Top 25%

$110K

253 claims · 0.6%

Your Cost: $436.30/claim|Median: $275.92
1.6× median
H0048Normal range

$85K

34K claims · 0.5%

Your Cost: $2.49/claim|Median: $13.25
0.2× median
H0003Normal range

$75K

17K claims · 0.4%

Your Cost: $4.50/claim|Median: $13.38
0.3× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$62K

570 claims · 0.4%

Your Cost: $109.48/claim|Median: $129.75
0.8× median
G2074Normal range

$44K

609 claims · 0.3%

Your Cost: $72.93/claim|Median: $82.20
0.9× median
G0434Normal range

$28K

1,770 claims · 0.2%

Your Cost: $15.83/claim|Median: $15.83
1.0× median
G2079Normal range

$16K

139 claims · 0.1%

Your Cost: $115.43/claim|Median: $108.54
1.1× median
H0033Top 25%

Oral medication administration, direct observation

$14K

78 claims · 0.1%

Your Cost: $176.16/claim|Median: $31.37
5.6× median
99212Top 25%

Office/outpatient visit, low complexity

$6K

119 claims · 0.0%

Your Cost: $53.75/claim|Median: $25.06
2.1× median
81025Normal range

Urine pregnancy test

$6K

1,931 claims · 0.0%

Your Cost: $3.00/claim|Median: $4.81
0.6× median
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