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VIRGINIA CENTER FOR ADDICTION MEDICINE

Internal Medicine, Addiction Medicine·GLEN ALLEN, VA·NPI: 1477091247Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$19.7M

$19,721,902

Total Claims

344K

Beneficiaries

210K

1.6 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+76%
2019
$2.3M
+12%
2020
$2.6M
+14%
2021
$3.0M
+11%
2022
$3.3M
+8%
2023
$3.6M
-1%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 45% of total spending.

G9012Normal range

Other specified case management service, per 15 minutes

$9.0M

38K claims · 45.4%

Your Cost: $233.70/claim|Median: $137.85
1.7× median
99214Normal range

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

$3.5M

47K claims · 17.8%

Your Cost: $73.84/claim|Median: $53.41
1.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.0M

53K claims · 10.2%

Your Cost: $37.93/claim|Median: $74.63
0.5× median
99213Normal range

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

$1.3M

24K claims · 6.5%

Your Cost: $52.82/claim|Median: $37.81
1.4× median
H0015Top 10%

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

$1.1M

4,851 claims · 5.8%

Your Cost: $235.37/claim|Median: $129.75
1.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.0M

36K claims · 5.1%

Your Cost: $28.40/claim|Median: $47.35
0.6× median
80305Top 25%

$618K

55K claims · 3.1%

Your Cost: $11.30/claim|Median: $7.44
1.5× median
T1012Normal range

Alcohol/drug services, skills development

$586K

58K claims · 3.0%

Your Cost: $10.05/claim|Median: $40.78
0.2× median
H0014Normal range

$345K

2,674 claims · 1.8%

Your Cost: $129.08/claim|Median: $137.81
0.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$97K

737 claims · 0.5%

Your Cost: $132.19/claim|Median: $99.21
1.3× median
82075Normal range

Alcohol (ethanol) breath test

$77K

17K claims · 0.4%

Your Cost: $4.50/claim|Median: $16.59
0.3× median
90833Normal range

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

$26K

1,641 claims · 0.1%

Your Cost: $15.92/claim|Median: $38.83
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$20K

254 claims · 0.1%

Your Cost: $80.35/claim|Median: $74.09
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$15K

1,337 claims · 0.1%

Your Cost: $11.05/claim|Median: $9.56
1.2× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$13K

82 claims · 0.1%

Your Cost: $163.55/claim|Median: $108.91
1.5× median
90853Normal range

Group psychotherapy

$13K

2,223 claims · 0.1%

Your Cost: $5.83/claim|Median: $25.02
0.2× median
81025Normal range

Urine pregnancy test

$8K

1,168 claims · 0.0%

Your Cost: $6.49/claim|Median: $4.81
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$7K

97 claims · 0.0%

Your Cost: $72.44/claim|Median: $85.66
0.8× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$2K

45 claims · 0.0%

Your Cost: $33.81/claim|Median: $56.18
0.6× median
99204Normal range

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

$870

12 claims · 0.0%

Your Cost: $72.50/claim|Median: $84.03
0.9× median
86580Top 25%

Tuberculosis (TB) skin test

$92

13 claims · 0.0%

Your Cost: $7.04/claim|Median: $4.46
1.6× median

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