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Provider 1457686230

NPI: 1457686230Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.5M

$13,463,214

Total Claims

134K

Beneficiaries

19K

7.2 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+3%
2019
$2.2M
-23%
2020
$1.7M
-8%
2021
$1.5M
+13%
2022
$1.7M
+24%
2023
$2.2M
-6%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 62% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$8.4M

51K claims · 62.1%

Your Cost: $163.57/claim|Median: $357.16
0.5× median
S9976Normal range

$1.7M

53K claims · 12.7%

Your Cost: $32.06/claim|Median: $64.43
0.5× median
H0012Top 5%

$814K

760 claims · 6.0%

Your Cost: $1,071.59/claim|Median: $295.95
3.6× median
H0005Normal range

Alcohol and/or drug services, group counseling

$703K

19K claims · 5.2%

Your Cost: $36.27/claim|Median: $47.35
0.8× median
H0018Top 10%

Behavioral health; short-term residential, per diem

$534K

152 claims · 4.0%

Your Cost: $3,511.89/claim|Median: $467.51
7.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$410K

4,680 claims · 3.0%

Your Cost: $87.69/claim|Median: $55.04
1.6× median
H2034Top 25%

Alcohol and/or drug abuse halfway house services, per hour

$400K

1,068 claims · 3.0%

Your Cost: $374.18/claim|Median: $164.03
2.3× median
H0001Top 25%

Alcohol and/or drug assessment

$302K

1,949 claims · 2.2%

Your Cost: $154.88/claim|Median: $94.22
1.6× median
H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$227K

1,560 claims · 1.7%

Your Cost: $145.38/claim|Median: $74.63
1.9× median
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