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Provider 1538630009

NPI: 1538630009Share
Active Billing Period:2019-08→2024-12(65 months)

Total Paid

$16.1M

$16,127,107

Total Claims

1.1M

Beneficiaries

209K

5.3 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2019
$224K
+615%
2020
$1.6M
+75%
2021
$2.8M
+31%
2022
$3.7M
+7%
2023
$3.9M
-2%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2010 (Comprehensive medication services, per 15 min)) accounts for 35% of total spending.

H2010Normal range

Comprehensive medication services, per 15 min

$5.6M

488K claims · 34.6%

Your Cost: $11.45/claim|Median: $62.69
0.2× median
T1016Normal range

Case management, each 15 min

$2.4M

144K claims · 15.0%

Your Cost: $16.87/claim|Median: $49.62
0.3× median
H0031Normal range

Mental health assessment by non-physician

$1.4M

9,499 claims · 8.6%

Your Cost: $145.91/claim|Median: $96.18
1.5× median
J0574Top 25%

$1.4M

38K claims · 8.4%

Your Cost: $35.63/claim|Median: $15.76
2.3× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.2M

20K claims · 7.5%

Your Cost: $60.28/claim|Median: $35.43
1.7× median
99214Normal range

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

$1.1M

16K claims · 7.1%

Your Cost: $69.68/claim|Median: $53.41
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$901K

30K claims · 5.6%

Your Cost: $30.10/claim|Median: $74.63
0.4× median
H0020Normal range

Alcohol/drug services; methadone administration

$871K

279K claims · 5.4%

Your Cost: $3.12/claim|Median: $18.95
0.2× median
T1003Normal range

LPN/LVN services, per 15 minutes

$342K

25K claims · 2.1%

Your Cost: $13.46/claim|Median: $24.24
0.6× median
T1002Normal range

RN services, per 15 minutes

$307K

17K claims · 1.9%

Your Cost: $17.90/claim|Median: $37.42
0.5× median
J0572Normal range

$212K

23K claims · 1.3%

Your Cost: $9.42/claim|Median: $8.49
1.1× median
99204Normal range

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

$134K

1,437 claims · 0.8%

Your Cost: $93.17/claim|Median: $84.03
1.1× median
H0033Normal range

Oral medication administration, direct observation

$123K

8,428 claims · 0.8%

Your Cost: $14.54/claim|Median: $31.37
0.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$54K

2,506 claims · 0.3%

Your Cost: $21.51/claim|Median: $55.04
0.4× median
99213Normal range

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

$39K

846 claims · 0.2%

Your Cost: $45.95/claim|Median: $37.81
1.2× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$28K

2,428 claims · 0.2%

Your Cost: $11.64/claim|Median: $53.97
0.2× median
80305Top 25%

$5K

504 claims · 0.0%

Your Cost: $10.39/claim|Median: $7.44
1.4× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$3K

480 claims · 0.0%

Your Cost: $5.90/claim|Median: $73.29
0.1× median
93042Top 25%

$91

12 claims · 0.0%

Your Cost: $7.62/claim|Median: $2.53
3.0× median
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