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Provider 1407177447

NPI: 1407177447Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.5M

$16,537,956

Total Claims

216K

Beneficiaries

87K

2.5 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+6%
2019
$2.5M
-0%
2020
$2.4M
+4%
2021
$2.6M
-3%
2022
$2.5M
-10%
2023
$2.2M
-10%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 69% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$11.3M

151K claims · 68.5%

Your Cost: $75.16/claim|Median: $18.95
4.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.9M

32K claims · 11.8%

Your Cost: $59.93/claim|Median: $74.63
0.8× median
W1761Normal range

$1.3M

11K claims · 7.9%

Your Cost: $118.95/claim|Median: $116.75
1.0× median
99213Top 10%

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

$491K

6,057 claims · 3.0%

Your Cost: $81.14/claim|Median: $37.81
2.1× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$383K

1,560 claims · 2.3%

Your Cost: $245.28/claim|Median: $182.66
1.3× median
H0001Top 25%

Alcohol and/or drug assessment

$330K

1,942 claims · 2.0%

Your Cost: $170.16/claim|Median: $94.22
1.8× median
99214Top 5%

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

$329K

2,492 claims · 2.0%

Your Cost: $131.99/claim|Median: $53.41
2.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$203K

4,799 claims · 1.2%

Your Cost: $42.37/claim|Median: $47.35
0.9× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$114K

1,694 claims · 0.7%

Your Cost: $67.22/claim|Median: $81.37
0.8× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$43K

1,661 claims · 0.3%

Your Cost: $25.79/claim|Median: $73.29
0.4× median
W1760Top 25%

$30K

255 claims · 0.2%

Your Cost: $117.93/claim|Median: $106.40
1.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$18K

833 claims · 0.1%

Your Cost: $21.56/claim|Median: $12.93
1.7× median
G2078Top 25%

$15K

313 claims · 0.1%

Your Cost: $49.48/claim|Median: $27.04
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$732

16 claims · 0.0%

Your Cost: $45.72/claim|Median: $25.06
1.8× median