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CODA, INC.

Substance Abuse Rehabilitation Facility·PORTLAND, OR·NPI: 1437213865Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $81.0M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

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

Total Paid

$81.0M

$81,031,950

Total Claims

2.9M

Beneficiaries

480K

6.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$12.5M
+15%
2019
$14.4M
-18%
2020
$11.9M
-17%
2021
$9.8M
+35%
2022
$13.3M
-1%
2023
$13.2M
-55%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 40 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 34% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$27.6M

117K claims · 34.1%

Your Cost: $236.26/claim|Median: $357.16
0.7× median
H0033Normal range

Oral medication administration, direct observation

$8.9M

856K claims · 11.0%

Your Cost: $10.44/claim|Median: $31.37
0.3× median
H0020Normal range

Alcohol/drug services; methadone administration

$7.2M

863K claims · 8.9%

Your Cost: $8.32/claim|Median: $18.95
0.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$6.7M

143K claims · 8.2%

Your Cost: $46.46/claim|Median: $47.35
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$5.8M

105K claims · 7.1%

Your Cost: $55.06/claim|Median: $74.63
0.7× median
H0048Top 5%

$5.1M

220K claims · 6.3%

Your Cost: $23.17/claim|Median: $13.25
1.7× median
J0574Normal range

$3.2M

232K claims · 4.0%

Your Cost: $13.79/claim|Median: $15.76
0.9× median
T1020Top 5%

Personal care services, per diem

$3.2M

834 claims · 4.0%

Your Cost: $3,838.81/claim|Median: $296.27
13.0× median
H0010Top 25%

Alcohol and/or drug services, sub-acute detoxification, per diem

$2.5M

2,518 claims · 3.1%

Your Cost: $1,002.78/claim|Median: $369.55
2.7× median
99214Top 5%

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

$1.5M

12K claims · 1.9%

Your Cost: $123.01/claim|Median: $53.41
2.3× median
H0001Normal range

Alcohol and/or drug assessment

$1.4M

9,495 claims · 1.8%

Your Cost: $151.92/claim|Median: $94.22
1.6× median
J2315Top 1%

$1.2M

776 claims · 1.4%

Your Cost: $1,501.17/claim|Median: $1,045.36
1.4× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$899K

162K claims · 1.1%

Your Cost: $5.55/claim|Median: $7.86
0.7× median
J0572Normal range

$865K

106K claims · 1.1%

Your Cost: $8.16/claim|Median: $8.49
1.0× median
T1007Normal range

Alcohol/drug services, treatment plan review

$824K

8,053 claims · 1.0%

Your Cost: $102.27/claim|Median: $64.10
1.6× median
90887Top 25%

Interpretation/explanation of results

$786K

9,994 claims · 1.0%

Your Cost: $78.64/claim|Median: $47.55
1.7× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$669K

2,893 claims · 0.8%

Your Cost: $231.21/claim|Median: $111.09
2.1× median
99213Top 10%

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

$590K

7,959 claims · 0.7%

Your Cost: $74.14/claim|Median: $37.81
2.0× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$406K

4,196 claims · 0.5%

Your Cost: $96.83/claim|Median: $182.66
0.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$266K

4,214 claims · 0.3%

Your Cost: $63.16/claim|Median: $55.04
1.1× median
H0006Normal range

Alcohol and/or drug services, case management

$241K

4,620 claims · 0.3%

Your Cost: $52.22/claim|Median: $43.10
1.2× median
H2010Normal range

Comprehensive medication services, per 15 min

$237K

10K claims · 0.3%

Your Cost: $22.92/claim|Median: $62.69
0.4× median
99215Top 5%

Office/outpatient visit, high complexity

$223K

1,242 claims · 0.3%

Your Cost: $179.16/claim|Median: $74.09
2.4× median
97810Normal range

$139K

11K claims · 0.2%

Your Cost: $12.66/claim|Median: $23.92
0.5× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$139K

12K claims · 0.2%

Your Cost: $11.61/claim|Median: $73.29
0.2× median
J0575Normal range

$101K

5,765 claims · 0.1%

Your Cost: $17.48/claim|Median: $14.96
1.2× median
90853Top 25%

Group psychotherapy

$90K

2,060 claims · 0.1%

Your Cost: $43.56/claim|Median: $25.02
1.7× median
J3490Normal range

Unclassified drugs

$85K

11K claims · 0.1%

Your Cost: $7.51/claim|Median: $5.70
1.3× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$56K

254 claims · 0.1%

Your Cost: $219.43/claim|Median: $84.03
2.6× median
H0002Normal range

Behavioral health screening

$32K

981 claims · 0.0%

Your Cost: $32.94/claim|Median: $38.77
0.8× median
97811Normal range

$32K

2,877 claims · 0.0%

Your Cost: $11.13/claim|Median: $19.71
0.6× median
T1016Normal range

Case management, each 15 min

$17K

221 claims · 0.0%

Your Cost: $78.19/claim|Median: $49.62
1.6× median
G2215Top 1%

$12K

140 claims · 0.0%

Your Cost: $89.15/claim|Median: $28.31
3.1× median
H2014Normal range

Skills training & development, per 15 min

$9K

267 claims · 0.0%

Your Cost: $33.02/claim|Median: $83.88
0.4× median
H0034Normal range

Medication training and management, per 15 min

$5K

198 claims · 0.0%

Your Cost: $23.99/claim|Median: $56.90
0.4× median
G2078Normal range

$3K

3,172 claims · 0.0%

Your Cost: $0.87/claim|Median: $27.04
0.0× median
J0573Normal range

$2K

1,063 claims · 0.0%

Your Cost: $1.77/claim|Median: $12.82
0.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$601

26 claims · 0.0%

Your Cost: $23.10/claim|Median: $137.85
0.2× median
G2077Normal range

$145

72 claims · 0.0%

Your Cost: $2.01/claim|Median: $38.98
0.1× median
G2172

$0

28 claims · 0.0%

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Minneapolis, MN

$200.3M

Samaritan Daytop Village Inc.

Richmond Hill, NY

$191.8M

Helio Health Inc.

Syracuse, NY

$162.9M

Pyramid Health Care Inc.

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$128.8M

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