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Provider 1568947497

NPI: 1568947497Share
Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$10.8M

$10,841,633

Total Claims

783K

Beneficiaries

168K

4.6 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$4K
+48725%
2019
$1.9M
+29%
2020
$2.5M
-49%
2021
$1.3M
+31%
2022
$1.6M
-1%
2023
$1.6M
+18%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 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

$3.8M

348K claims · 35.5%

Your Cost: $11.04/claim|Median: $62.69
0.2× median
J0574Normal range

$1.5M

62K claims · 13.8%

Your Cost: $24.20/claim|Median: $15.76
1.5× median
99214Normal range

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

$1.0M

20K claims · 9.5%

Your Cost: $50.76/claim|Median: $53.41
1.0× median
T1016Normal range

Case management, each 15 min

$938K

68K claims · 8.7%

Your Cost: $13.84/claim|Median: $49.62
0.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$787K

21K claims · 7.3%

Your Cost: $37.31/claim|Median: $35.43
1.1× median
H0031Normal range

Mental health assessment by non-physician

$734K

6,599 claims · 6.8%

Your Cost: $111.24/claim|Median: $96.18
1.2× median
H0020Normal range

Alcohol/drug services; methadone administration

$444K

153K claims · 4.1%

Your Cost: $2.90/claim|Median: $18.95
0.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$442K

19K claims · 4.1%

Your Cost: $22.87/claim|Median: $74.63
0.3× median
J0572Normal range

$361K

40K claims · 3.3%

Your Cost: $8.96/claim|Median: $8.49
1.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$263K

22K claims · 2.4%

Your Cost: $12.11/claim|Median: $24.24
0.5× median
99204Normal range

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

$234K

3,628 claims · 2.2%

Your Cost: $64.46/claim|Median: $84.03
0.8× median
99213Normal range

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

$91K

2,007 claims · 0.8%

Your Cost: $45.11/claim|Median: $37.81
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$83K

6,843 claims · 0.8%

Your Cost: $12.16/claim|Median: $55.04
0.2× median
J0573Normal range

$29K

3,245 claims · 0.3%

Your Cost: $8.93/claim|Median: $12.82
0.7× median
80305Normal range

$28K

4,095 claims · 0.3%

Your Cost: $6.91/claim|Median: $7.44
0.9× median
T1002Normal range

RN services, per 15 minutes

$21K

1,279 claims · 0.2%

Your Cost: $16.31/claim|Median: $37.42
0.4× median
H0033Normal range

Oral medication administration, direct observation

$13K

1,062 claims · 0.1%

Your Cost: $12.02/claim|Median: $31.37
0.4× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$4K

357 claims · 0.0%

Your Cost: $11.44/claim|Median: $53.97
0.2× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$2K

216 claims · 0.0%

Your Cost: $8.24/claim|Median: $21.33
0.4× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$365

39 claims · 0.0%

Your Cost: $9.37/claim|Median: $73.29
0.1× median
A0120Normal range

Non-emergency mini-bus transport

$205

74 claims · 0.0%

Your Cost: $2.77/claim|Median: $16.09
0.2× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$146

15 claims · 0.0%

Your Cost: $9.71/claim|Median: $21.08
0.5× median
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