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Provider 1407870827

NPI: 1407870827Share
Active Billing Period:2019-04→2024-12(67 months)

Total Paid

$13.6M

$13,560,641

Total Claims

185K

Beneficiaries

54K

3.4 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2019
$678K
+203%
2020
$2.1M
+18%
2021
$2.4M
+33%
2022
$3.2M
-11%
2023
$2.9M
-18%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 39% of total spending.

G2067Top 10%

Medication-assisted treatment, opioid use disorder, per month

$5.3M

26K claims · 38.9%

Your Cost: $200.02/claim|Median: $73.29
2.7× median
G0397Normal range

$2.0M

16K claims · 14.9%

Your Cost: $127.61/claim|Median: $142.31
0.9× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.8M

78K claims · 13.4%

Your Cost: $23.26/claim|Median: $18.95
1.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.6M

32K claims · 11.6%

Your Cost: $48.95/claim|Median: $47.35
1.0× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$1.1M

12K claims · 8.0%

Your Cost: $92.76/claim|Median: $40.58
2.3× median
99213Top 5%

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

$492K

4,280 claims · 3.6%

Your Cost: $114.93/claim|Median: $37.81
3.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$302K

4,768 claims · 2.2%

Your Cost: $63.30/claim|Median: $55.04
1.2× median
H0001Normal range

Alcohol and/or drug assessment

$163K

1,153 claims · 1.2%

Your Cost: $141.20/claim|Median: $94.22
1.5× median
99214Top 10%

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

$153K

1,359 claims · 1.1%

Your Cost: $112.58/claim|Median: $53.41
2.1× median
H0002Top 10%

Behavioral health screening

$116K

710 claims · 0.9%

Your Cost: $163.79/claim|Median: $38.77
4.2× median
G2068Top 10%

$113K

438 claims · 0.8%

Your Cost: $258.63/claim|Median: $170.60
1.5× median
90834Top 10%

Psychotherapy, 45 minutes

$99K

711 claims · 0.7%

Your Cost: $138.58/claim|Median: $63.65
2.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$89K

2,155 claims · 0.7%

Your Cost: $41.41/claim|Median: $74.63
0.6× median
90853Top 25%

Group psychotherapy

$84K

1,598 claims · 0.6%

Your Cost: $52.85/claim|Median: $25.02
2.1× median
99215Normal range

Office/outpatient visit, high complexity

$60K

584 claims · 0.4%

Your Cost: $102.81/claim|Median: $74.09
1.4× median
G2078Top 25%

$33K

874 claims · 0.2%

Your Cost: $37.57/claim|Median: $27.04
1.4× median
H0033Normal range

Oral medication administration, direct observation

$28K

1,189 claims · 0.2%

Your Cost: $23.82/claim|Median: $31.37
0.8× median
90832Top 10%

Psychotherapy, 30 minutes

$21K

200 claims · 0.2%

Your Cost: $102.96/claim|Median: $41.28
2.5× median
H0014Normal range

$14K

111 claims · 0.1%

Your Cost: $129.35/claim|Median: $137.81
0.9× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$10K

84 claims · 0.1%

Your Cost: $124.96/claim|Median: $72.71
1.7× median
J0574Normal range

$8K

701 claims · 0.1%

Your Cost: $10.90/claim|Median: $15.76
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$3K

28 claims · 0.0%

Your Cost: $99.93/claim|Median: $111.09
0.9× median
99212Top 5%

Office/outpatient visit, low complexity

$2K

19 claims · 0.0%

Your Cost: $107.73/claim|Median: $25.06
4.3× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$2K

14 claims · 0.0%

Your Cost: $107.43/claim|Median: $76.22
1.4× median
A0160Normal range

$691

66 claims · 0.0%

Your Cost: $10.46/claim|Median: $12.60
0.8× median
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