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NATIONAL CAPITAL TREATMENT AND RECOVERY

Substance Abuse Rehabilitation Facility·ARLINGTON, VA·NPI: 1558415968Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $80.2M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

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

Total Paid

$80.2M

$80,224,961

Total Claims

219K

Beneficiaries

63K

3.5 claims/patient

Avg Cost/Claim

$367

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+646%
2019
$8.3M
+25%
2020
$10.4M
+10%
2021
$11.4M
+34%
2022
$15.3M
+18%
2023
$18.1M
-14%
2024
$15.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0010 (Alcohol and/or drug services, sub-acute detoxification, per diem)) accounts for 86% of total spending.

H0010Top 25%

Alcohol and/or drug services, sub-acute detoxification, per diem

$68.8M

104K claims · 85.8%

Your Cost: $663.97/claim|Median: $369.55
1.8× median
S0201Normal range

Partial hospitalization services, per diem

$4.7M

10K claims · 5.9%

Your Cost: $460.21/claim|Median: $445.16
1.0× median
H0015Top 10%

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

$1.9M

7,761 claims · 2.3%

Your Cost: $241.36/claim|Median: $129.75
1.9× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$1.8M

9,233 claims · 2.2%

Your Cost: $191.26/claim|Median: $164.03
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$899K

8,262 claims · 1.1%

Your Cost: $108.85/claim|Median: $99.21
1.1× median
80305Normal range

$340K

38K claims · 0.4%

Your Cost: $9.04/claim|Median: $7.44
1.2× median
99214Normal range

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

$294K

4,317 claims · 0.4%

Your Cost: $68.13/claim|Median: $53.41
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$242K

8,905 claims · 0.3%

Your Cost: $27.20/claim|Median: $25.06
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$232K

7,508 claims · 0.3%

Your Cost: $30.96/claim|Median: $39.70
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$231K

2,215 claims · 0.3%

Your Cost: $104.46/claim|Median: $74.09
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$206K

2,021 claims · 0.3%

Your Cost: $101.97/claim|Median: $111.09
0.9× median
H2036Top 25%

Alcohol/drug treatment, per hour

$189K

317 claims · 0.2%

Your Cost: $596.55/claim|Median: $253.79
2.4× median
90853Normal range

Group psychotherapy

$87K

4,633 claims · 0.1%

Your Cost: $18.84/claim|Median: $25.02
0.8× median
H0006Top 10%

Alcohol and/or drug services, case management

$69K

367 claims · 0.1%

Your Cost: $187.38/claim|Median: $43.10
4.3× median
99204Normal range

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

$64K

1,235 claims · 0.1%

Your Cost: $51.75/claim|Median: $84.03
0.6× median
99203Normal range

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

$34K

793 claims · 0.0%

Your Cost: $43.34/claim|Median: $57.85
0.7× median
99213Normal range

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

$31K

1,038 claims · 0.0%

Your Cost: $29.64/claim|Median: $37.81
0.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$24K

849 claims · 0.0%

Your Cost: $28.02/claim|Median: $30.04
0.9× median
82075Normal range

Alcohol (ethanol) breath test

$17K

3,664 claims · 0.0%

Your Cost: $4.72/claim|Median: $16.59
0.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$11K

1,668 claims · 0.0%

Your Cost: $6.61/claim|Median: $12.93
0.5× median
90833Normal range

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

$10K

350 claims · 0.0%

Your Cost: $29.84/claim|Median: $38.83
0.8× median
99417Normal range

$8K

346 claims · 0.0%

Your Cost: $22.29/claim|Median: $34.90
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$8K

55 claims · 0.0%

Your Cost: $137.93/claim|Median: $108.91
1.3× median
81025Normal range

Urine pregnancy test

$4K

914 claims · 0.0%

Your Cost: $4.68/claim|Median: $4.81
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$4K

77 claims · 0.0%

Your Cost: $52.82/claim|Median: $41.28
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$2K

27 claims · 0.0%

Your Cost: $66.35/claim|Median: $85.66
0.8× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$1K

136 claims · 0.0%

Your Cost: $9.93/claim|Median: $25.93
0.4× median
T1012Normal range

Alcohol/drug services, skills development

$375

156 claims · 0.0%

Your Cost: $2.41/claim|Median: $40.78
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$249

22 claims · 0.0%

Your Cost: $11.31/claim|Median: $33.85
0.3× median
J0571Normal range

$0

63 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.96

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Similar Providers

Other top providers in Substance Abuse Rehabilitation Facility

Nu-way House INC

Minneapolis, MN

$200.3M

Samaritan Daytop Village Inc.

Richmond Hill, NY

$191.8M

Helio Health Inc.

Syracuse, NY

$162.9M

Pyramid Health Care Inc.

Wilkinsburg, PA

$128.8M

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