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Provider 1417000233

NPI: 1417000233Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,616,669

Total Claims

283K

Beneficiaries

43K

6.5 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-40%
2019
$868K
+25%
2020
$1.1M
+23%
2021
$1.3M
+40%
2022
$1.9M
+81%
2023
$3.4M
+6%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 27% of total spending.

H2036Top 25%

Alcohol/drug treatment, per hour

$3.7M

6,163 claims · 27.1%

Your Cost: $599.64/claim|Median: $253.79
2.4× median
S0201Normal range

Partial hospitalization services, per diem

$2.2M

5,549 claims · 16.1%

Your Cost: $395.92/claim|Median: $445.16
0.9× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.3M

129K claims · 9.4%

Your Cost: $9.97/claim|Median: $18.95
0.5× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$1.2M

16K claims · 8.6%

Your Cost: $71.73/claim|Median: $182.66
0.4× median
S9475Normal range

$918K

2,228 claims · 6.7%

Your Cost: $412.01/claim|Median: $410.41
1.0× median
H0015Top 25%

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

$730K

3,308 claims · 5.4%

Your Cost: $220.78/claim|Median: $129.75
1.7× median
H2010Normal range

Comprehensive medication services, per 15 min

$647K

82K claims · 4.8%

Your Cost: $7.89/claim|Median: $62.69
0.1× median
99213Top 5%

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

$594K

5,729 claims · 4.4%

Your Cost: $103.72/claim|Median: $37.81
2.7× median
99214Top 5%

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

$418K

2,558 claims · 3.1%

Your Cost: $163.32/claim|Median: $53.41
3.1× median
82075Top 5%

Alcohol (ethanol) breath test

$304K

6,899 claims · 2.2%

Your Cost: $44.10/claim|Median: $16.59
2.7× median
90853Top 5%

Group psychotherapy

$295K

1,534 claims · 2.2%

Your Cost: $192.47/claim|Median: $25.02
7.7× median
90832Top 25%

Psychotherapy, 30 minutes

$251K

3,399 claims · 1.8%

Your Cost: $73.97/claim|Median: $41.28
1.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$208K

4,339 claims · 1.5%

Your Cost: $47.83/claim|Median: $47.35
1.0× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$183K

835 claims · 1.3%

Your Cost: $218.75/claim|Median: $135.70
1.6× median
90837Top 5%

Psychotherapy, 60 minutes

$165K

832 claims · 1.2%

Your Cost: $198.68/claim|Median: $85.66
2.3× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$156K

738 claims · 1.1%

Your Cost: $211.74/claim|Median: $108.91
1.9× median
80305Top 5%

$145K

7,386 claims · 1.1%

Your Cost: $19.60/claim|Median: $7.44
2.6× median
H0017Normal range

$78K

1,064 claims · 0.6%

Your Cost: $73.36/claim|Median: $470.95
0.2× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$64K

1,372 claims · 0.5%

Your Cost: $46.48/claim|Median: $38.83
1.2× median
90834Top 10%

Psychotherapy, 45 minutes

$43K

339 claims · 0.3%

Your Cost: $127.21/claim|Median: $63.65
2.0× median
90791Top 25%

Psychiatric diagnostic evaluation

$37K

237 claims · 0.3%

Your Cost: $154.65/claim|Median: $99.21
1.6× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$10K

272 claims · 0.1%

Your Cost: $36.65/claim|Median: $94.63
0.4× median
H0001Normal range

Alcohol and/or drug assessment

$7K

90 claims · 0.0%

Your Cost: $75.40/claim|Median: $94.22
0.8× median
99407Normal range

$3K

494 claims · 0.0%

Your Cost: $7.05/claim|Median: $13.29
0.5× median
96156Top 25%

$3K

34 claims · 0.0%

Your Cost: $86.00/claim|Median: $22.36
3.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$137

15 claims · 0.0%

Your Cost: $9.17/claim|Median: $7.50
1.2× median
99406Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.53
1000

$0

49 claims · 0.0%

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