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Provider 1497818595

NPI: 1497818595Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.4M

$18,391,700

Total Claims

2.0M

Beneficiaries

343K

5.9 claims/patient

Avg Cost/Claim

$9

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+141%
2019
$3.7M
+6%
2020
$3.9M
-20%
2021
$3.1M
-27%
2022
$2.3M
-4%
2023
$2.2M
-18%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H2010 (Comprehensive medication services, per 15 min)) accounts for 45% of total spending.

H2010Normal range

Comprehensive medication services, per 15 min

$8.3M

944K claims · 45.2%

Your Cost: $8.80/claim|Median: $62.69
0.1× median
T1016Normal range

Case management, each 15 min

$2.4M

175K claims · 12.8%

Your Cost: $13.52/claim|Median: $49.62
0.3× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.6M

620K claims · 8.4%

Your Cost: $2.51/claim|Median: $18.95
0.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.3M

28K claims · 7.2%

Your Cost: $47.11/claim|Median: $35.43
1.3× median
99214Normal range

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

$1.2M

33K claims · 6.8%

Your Cost: $37.84/claim|Median: $53.41
0.7× median
J0574Normal range

$1.0M

43K claims · 5.7%

Your Cost: $24.25/claim|Median: $15.76
1.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$856K

46K claims · 4.7%

Your Cost: $18.48/claim|Median: $74.63
0.2× median
H0031Normal range

Mental health assessment by non-physician

$582K

6,752 claims · 3.2%

Your Cost: $86.18/claim|Median: $96.18
0.9× median
T1003Normal range

LPN/LVN services, per 15 minutes

$474K

59K claims · 2.6%

Your Cost: $8.03/claim|Median: $24.24
0.3× median
J0573Normal range

$173K

17K claims · 0.9%

Your Cost: $10.31/claim|Median: $12.82
0.8× median
T1002Normal range

RN services, per 15 minutes

$157K

9,331 claims · 0.9%

Your Cost: $16.84/claim|Median: $37.42
0.5× median
H0033Normal range

Oral medication administration, direct observation

$70K

5,665 claims · 0.4%

Your Cost: $12.28/claim|Median: $31.37
0.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$56K

11K claims · 0.3%

Your Cost: $5.17/claim|Median: $55.04
0.1× median
J0572Normal range

$51K

6,190 claims · 0.3%

Your Cost: $8.23/claim|Median: $8.49
1.0× median
99204Normal range

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

$46K

2,546 claims · 0.3%

Your Cost: $18.21/claim|Median: $84.03
0.2× median
99213Normal range

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

$39K

1,092 claims · 0.2%

Your Cost: $36.12/claim|Median: $37.81
1.0× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$15K

2,943 claims · 0.1%

Your Cost: $4.95/claim|Median: $73.29
0.1× median
80305Normal range

$11K

1,754 claims · 0.1%

Your Cost: $6.44/claim|Median: $7.44
0.9× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$7K

712 claims · 0.0%

Your Cost: $10.35/claim|Median: $53.97
0.2× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$802

273 claims · 0.0%

Your Cost: $2.94/claim|Median: $21.33
0.1× median
A0120Normal range

Non-emergency mini-bus transport

$103

212 claims · 0.0%

Your Cost: $0.49/claim|Median: $16.09
0.0× median
86580Normal range

Tuberculosis (TB) skin test

$81

227 claims · 0.0%

Your Cost: $0.36/claim|Median: $4.46
0.1× median
86593Normal range

$0

224 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.84
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