Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

BIO-MED BEHAVIORAL HEALTH SERVICES

Counselor, Addiction (Substance Use Disorder)·ROSEVILLE, MI·NPI: 1417099417Share

Compared to Counselor, Addiction (Substance Use Disorder) Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.6M is at the 50th percentile among 20 Counselor, Addiction (Substance Use Disorder) providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$24.6M

$24,618,510

Total Claims

2.1M

Beneficiaries

215K

9.7 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$5.0M
-11%
2019
$4.5M
-48%
2020
$2.3M
+14%
2021
$2.6M
+28%
2022
$3.4M
-4%
2023
$3.2M
+13%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 52% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$12.7M

1.8M claims · 51.8%

Your Cost: $7.02/claim|Median: $18.95
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$3.7M

50K claims · 15.2%

Your Cost: $75.46/claim|Median: $63.65
1.2× median
H0003Normal range

$1.6M

122K claims · 6.6%

Your Cost: $13.26/claim|Median: $13.38
1.0× median
S0280Normal range

Medical home program, comprehensive care management

$1.4M

11K claims · 5.5%

Your Cost: $122.23/claim|Median: $48.38
2.5× median
99213Top 25%

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

$1.3M

18K claims · 5.1%

Your Cost: $68.08/claim|Median: $37.81
1.8× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$994K

14K claims · 4.0%

Your Cost: $68.60/claim|Median: $94.63
0.7× median
90853Normal range

Group psychotherapy

$889K

26K claims · 3.6%

Your Cost: $34.27/claim|Median: $25.02
1.4× median
99212Top 10%

Office/outpatient visit, low complexity

$572K

9,180 claims · 2.3%

Your Cost: $62.31/claim|Median: $25.06
2.5× median
99215Normal range

Office/outpatient visit, high complexity

$339K

3,274 claims · 1.4%

Your Cost: $103.40/claim|Median: $74.09
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$250K

1,788 claims · 1.0%

Your Cost: $139.95/claim|Median: $111.09
1.3× median
G2067Top 5%

Medication-assisted treatment, opioid use disorder, per month

$243K

1,146 claims · 1.0%

Your Cost: $211.87/claim|Median: $73.29
2.9× median
H0001Normal range

Alcohol and/or drug assessment

$238K

1,709 claims · 1.0%

Your Cost: $138.98/claim|Median: $94.22
1.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$189K

5,777 claims · 0.8%

Your Cost: $32.78/claim|Median: $47.35
0.7× median
G2078Normal range

$99K

2,796 claims · 0.4%

Your Cost: $35.43/claim|Median: $27.04
1.3× median
H2027Normal range

Psychoeducational service, per 15 minutes

$39K

1,952 claims · 0.2%

Your Cost: $20.15/claim|Median: $82.72
0.2× median
90837Top 25%

Psychotherapy, 60 minutes

$30K

280 claims · 0.1%

Your Cost: $107.59/claim|Median: $85.66
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$10K

301 claims · 0.0%

Your Cost: $33.83/claim|Median: $41.28
0.8× median
G2077Top 5%

$7K

61 claims · 0.0%

Your Cost: $111.43/claim|Median: $38.98
2.9× median
H0015Normal range

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

$5K

85 claims · 0.0%

Your Cost: $60.62/claim|Median: $129.75
0.5× median
97810Top 5%

$3K

43 claims · 0.0%

Your Cost: $70.00/claim|Median: $23.92
2.9× median
99241Normal range

Office consultation, straightforward

$3K

58 claims · 0.0%

Your Cost: $49.83/claim|Median: $36.49
1.4× median