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Provider 1528325420

NPI: 1528325420Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,721,976

Total Claims

154K

Beneficiaries

42K

3.6 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-6%
2019
$1.7M
-51%
2020
$843K
+62%
2021
$1.4M
-17%
2022
$1.1M
-8%
2023
$1.0M
-24%
2024
$798K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 73% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$6.4M

92K claims · 73.3%

Your Cost: $69.38/claim|Median: $18.95
3.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.4M

23K claims · 16.2%

Your Cost: $60.39/claim|Median: $74.63
0.8× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$208K

2,127 claims · 2.4%

Your Cost: $97.65/claim|Median: $121.16
0.8× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$199K

3,292 claims · 2.3%

Your Cost: $60.58/claim|Median: $81.37
0.7× median
J0572Normal range

$169K

20K claims · 1.9%

Your Cost: $8.55/claim|Median: $8.49
1.0× median
H0001Top 25%

Alcohol and/or drug assessment

$142K

891 claims · 1.6%

Your Cost: $159.16/claim|Median: $94.22
1.7× median
J0573Normal range

$99K

7,864 claims · 1.1%

Your Cost: $12.57/claim|Median: $12.82
1.0× median
J0574Normal range

$47K

4,049 claims · 0.5%

Your Cost: $11.67/claim|Median: $15.76
0.7× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$31K

144 claims · 0.4%

Your Cost: $216.11/claim|Median: $182.66
1.2× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$7K

125 claims · 0.1%

Your Cost: $53.15/claim|Median: $73.29
0.7× median
G2078Top 1%

$6K

30 claims · 0.1%

Your Cost: $202.98/claim|Median: $27.04
7.5× median
99212Top 25%

Office/outpatient visit, low complexity

$686

15 claims · 0.0%

Your Cost: $45.72/claim|Median: $25.06
1.8× median
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