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Provider 1568568962

NPI: 1568568962Share
Active Billing Period:2019-01→2024-12(65 months)

Total Paid

$8.3M

$8,272,790

Total Claims

88K

Beneficiaries

34K

2.5 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2019
$431K
+278%
2020
$1.6M
-3%
2021
$1.6M
+6%
2022
$1.7M
-2%
2023
$1.6M
-20%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 30% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$2.5M

17K claims · 30.4%

Your Cost: $152.15/claim|Median: $253.79
0.6× median
G0397Normal range

$1.8M

14K claims · 21.9%

Your Cost: $126.02/claim|Median: $142.31
0.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.4M

29K claims · 17.5%

Your Cost: $50.08/claim|Median: $47.35
1.1× median
99213Top 5%

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

$640K

5,464 claims · 7.7%

Your Cost: $117.11/claim|Median: $37.81
3.1× median
H0001Normal range

Alcohol and/or drug assessment

$421K

2,898 claims · 5.1%

Your Cost: $145.14/claim|Median: $94.22
1.5× median
90832Top 10%

Psychotherapy, 30 minutes

$415K

4,279 claims · 5.0%

Your Cost: $97.00/claim|Median: $41.28
2.3× median
90834Top 10%

Psychotherapy, 45 minutes

$351K

2,932 claims · 4.2%

Your Cost: $119.87/claim|Median: $63.65
1.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$192K

4,355 claims · 2.3%

Your Cost: $44.16/claim|Median: $74.63
0.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$189K

4,196 claims · 2.3%

Your Cost: $45.13/claim|Median: $55.04
0.8× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$92K

972 claims · 1.1%

Your Cost: $94.25/claim|Median: $40.58
2.3× median
90853Top 25%

Group psychotherapy

$88K

1,798 claims · 1.1%

Your Cost: $48.74/claim|Median: $25.02
1.9× median
99212Top 5%

Office/outpatient visit, low complexity

$76K

560 claims · 0.9%

Your Cost: $136.07/claim|Median: $25.06
5.4× median
99214Top 5%

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

$23K

185 claims · 0.3%

Your Cost: $124.00/claim|Median: $53.41
2.3× median
99204Top 25%

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

$15K

126 claims · 0.2%

Your Cost: $119.51/claim|Median: $84.03
1.4× median
99409Normal range

$894

21 claims · 0.0%

Your Cost: $42.55/claim|Median: $34.77
1.2× median
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