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Provider 1467416206

NPI: 1467416206Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.3M

$13,336,122

Total Claims

69K

Beneficiaries

44K

1.6 claims/patient

Avg Cost/Claim

$194

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-8%
2019
$2.2M
-19%
2020
$1.8M
+7%
2021
$1.9M
-3%
2022
$1.9M
-11%
2023
$1.7M
-17%
2024
$1.4M

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 87% of total spending.

H0020Top 1%

Alcohol/drug services; methadone administration

$11.6M

25K claims · 86.8%

Your Cost: $466.13/claim|Median: $18.95
24.6× median
J0575Top 5%

$674K

5,009 claims · 5.1%

Your Cost: $134.65/claim|Median: $14.96
9.0× median
J0573Top 5%

$181K

3,887 claims · 1.4%

Your Cost: $46.55/claim|Median: $12.82
3.6× median
90837Normal range

Psychotherapy, 60 minutes

$174K

4,842 claims · 1.3%

Your Cost: $35.95/claim|Median: $85.66
0.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$150K

9,268 claims · 1.1%

Your Cost: $16.19/claim|Median: $23.99
0.7× median
99214Normal range

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

$148K

4,698 claims · 1.1%

Your Cost: $31.46/claim|Median: $53.41
0.6× median
J0574Top 25%

$122K

3,035 claims · 0.9%

Your Cost: $40.12/claim|Median: $15.76
2.5× median
J0572Top 25%

$118K

4,776 claims · 0.9%

Your Cost: $24.64/claim|Median: $8.49
2.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$43K

843 claims · 0.3%

Your Cost: $51.12/claim|Median: $108.91
0.5× median
99213Normal range

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

$42K

1,628 claims · 0.3%

Your Cost: $25.51/claim|Median: $37.81
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$36K

1,742 claims · 0.3%

Your Cost: $20.39/claim|Median: $63.65
0.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$30K

2,852 claims · 0.2%

Your Cost: $10.63/claim|Median: $16.77
0.6× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$11K

289 claims · 0.1%

Your Cost: $38.23/claim|Median: $73.29
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$11K

428 claims · 0.1%

Your Cost: $25.62/claim|Median: $37.22
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$8K

290 claims · 0.1%

Your Cost: $28.16/claim|Median: $35.30
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$3K

107 claims · 0.0%

Your Cost: $30.17/claim|Median: $43.85
0.7× median
99221Normal range

Initial hospital care, straightforward/low

$2K

42 claims · 0.0%

Your Cost: $52.16/claim|Median: $39.96
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$856

17 claims · 0.0%

Your Cost: $50.37/claim|Median: $74.09
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$808

85 claims · 0.0%

Your Cost: $9.51/claim|Median: $41.28
0.2× median
99223Normal range

Initial hospital care, per day, high complexity

$567

15 claims · 0.0%

Your Cost: $37.79/claim|Median: $67.32
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.60
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