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Provider 1487185153

NPI: 1487185153Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,109,563

Total Claims

163K

Beneficiaries

112K

1.5 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$129K
+250%
2019
$452K
+109%
2020
$946K
+261%
2021
$3.4M
-33%
2022
$2.3M
-22%
2023
$1.8M
-38%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0016 (Alcohol or drug abuse services, prenatal)) accounts for 65% of total spending.

H0016Normal range

Alcohol or drug abuse services, prenatal

$6.6M

34K claims · 65.3%

Your Cost: $193.97/claim|Median: $182.66
1.1× median
H0033Top 25%

Oral medication administration, direct observation

$776K

5,229 claims · 7.7%

Your Cost: $148.37/claim|Median: $31.37
4.7× median
H0047Top 25%

Alcohol and/or drug abuse, not otherwise specified

$742K

2,053 claims · 7.3%

Your Cost: $361.43/claim|Median: $81.37
4.4× median
99484Top 25%

$471K

20K claims · 4.7%

Your Cost: $24.09/claim|Median: $7.13
3.4× median
H0014Normal range

$434K

1,922 claims · 4.3%

Your Cost: $225.56/claim|Median: $137.81
1.6× median
80305Normal range

$234K

48K claims · 2.3%

Your Cost: $4.89/claim|Median: $7.44
0.7× median
H0049Normal range

$187K

11K claims · 1.9%

Your Cost: $16.44/claim|Median: $9.27
1.8× median
G2087Normal range

$158K

5,552 claims · 1.6%

Your Cost: $28.54/claim|Median: $48.10
0.6× median
99214Normal range

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

$154K

11K claims · 1.5%

Your Cost: $14.56/claim|Median: $53.41
0.3× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$128K

3,131 claims · 1.3%

Your Cost: $40.86/claim|Median: $90.89
0.4× median
H2010Normal range

Comprehensive medication services, per 15 min

$92K

2,029 claims · 0.9%

Your Cost: $45.50/claim|Median: $62.69
0.7× median
81025Normal range

Urine pregnancy test

$34K

9,931 claims · 0.3%

Your Cost: $3.47/claim|Median: $4.81
0.7× median
G2086Normal range

$31K

163 claims · 0.3%

Your Cost: $192.81/claim|Median: $147.44
1.3× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$14K

648 claims · 0.1%

Your Cost: $22.01/claim|Median: $64.72
0.3× median
99213Normal range

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

$12K

2,847 claims · 0.1%

Your Cost: $4.34/claim|Median: $37.81
0.1× median
G0444Normal range

Annual depression screening, fifteen minutes

$9K

1,187 claims · 0.1%

Your Cost: $7.75/claim|Median: $4.23
1.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$8K

133 claims · 0.1%

Your Cost: $57.00/claim|Median: $111.09
0.5× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$7K

171 claims · 0.1%

Your Cost: $38.73/claim|Median: $37.56
1.0× median
99492Normal range

$6K

76 claims · 0.1%

Your Cost: $78.13/claim|Median: $68.72
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$5K

560 claims · 0.0%

Your Cost: $8.85/claim|Median: $9.56
0.9× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$3K

77 claims · 0.0%

Your Cost: $37.00/claim|Median: $75.26
0.5× median
99406Normal range

$2K

705 claims · 0.0%

Your Cost: $2.81/claim|Median: $6.53
0.4× median
99401Normal range

$2K

182 claims · 0.0%

Your Cost: $9.55/claim|Median: $16.53
0.6× median
36415Normal range

Collection of venous blood by venipuncture

$820

618 claims · 0.0%

Your Cost: $1.33/claim|Median: $1.57
0.8× median
90853Normal range

Group psychotherapy

$592

498 claims · 0.0%

Your Cost: $1.19/claim|Median: $25.02
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$364

496 claims · 0.0%

Your Cost: $0.73/claim|Median: $41.28
0.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$146

80 claims · 0.0%

Your Cost: $1.83/claim|Median: $35.43
0.1× median
G0472Normal range

$97

15 claims · 0.0%

Your Cost: $6.49/claim|Median: $14.24
0.5× median
80074Normal range

$59

18 claims · 0.0%

Your Cost: $3.29/claim|Median: $27.54
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$43

46 claims · 0.0%

Your Cost: $0.94/claim|Median: $5.50
0.2× median
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