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Provider 1578685822

NPI: 1578685822Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$11,958,574

Total Claims

1.4M

Beneficiaries

174K

8.1 claims/patient

Avg Cost/Claim

$9

Monthly Spending Trend

Yearly Spending

2018
$618K
+239%
2019
$2.1M
+1%
2020
$2.1M
-13%
2021
$1.8M
-1%
2022
$1.8M
+6%
2023
$1.9M
-18%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (H2010 (Comprehensive medication services, per 15 min)) accounts for 31% of total spending.

H2010Normal range

Comprehensive medication services, per 15 min

$3.7M

395K claims · 31.0%

Your Cost: $9.40/claim|Median: $62.69
0.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$3.3M

309K claims · 27.5%

Your Cost: $10.67/claim|Median: $24.24
0.4× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.2M

487K claims · 10.0%

Your Cost: $2.47/claim|Median: $18.95
0.1× median
T1002Normal range

RN services, per 15 minutes

$945K

72K claims · 7.9%

Your Cost: $13.08/claim|Median: $37.42
0.3× median
T1016Normal range

Case management, each 15 min

$887K

76K claims · 7.4%

Your Cost: $11.72/claim|Median: $49.62
0.2× median
H0031Normal range

Mental health assessment by non-physician

$657K

5,143 claims · 5.5%

Your Cost: $127.76/claim|Median: $96.18
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$475K

24K claims · 4.0%

Your Cost: $19.58/claim|Median: $74.63
0.3× median
J0574Top 25%

$320K

11K claims · 2.7%

Your Cost: $30.37/claim|Median: $15.76
1.9× median
J0575Top 25%

$240K

6,698 claims · 2.0%

Your Cost: $35.83/claim|Median: $14.96
2.4× median
99213Normal range

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

$113K

3,489 claims · 0.9%

Your Cost: $32.42/claim|Median: $37.81
0.9× median
H0002Normal range

Behavioral health screening

$27K

1,442 claims · 0.2%

Your Cost: $18.48/claim|Median: $38.77
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$23K

746 claims · 0.2%

Your Cost: $30.46/claim|Median: $40.11
0.8× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$16K

1,416 claims · 0.1%

Your Cost: $11.09/claim|Median: $73.29
0.2× median
80305Normal range

$14K

1,840 claims · 0.1%

Your Cost: $7.69/claim|Median: $7.44
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$11K

326 claims · 0.1%

Your Cost: $33.59/claim|Median: $55.04
0.6× median
J0573Normal range

$9K

655 claims · 0.1%

Your Cost: $14.34/claim|Median: $12.82
1.1× median
A0110Normal range

Non-emergency taxi transport

$5K

6,024 claims · 0.0%

Your Cost: $0.91/claim|Median: $9.27
0.1× median
J0572Normal range

$2K

471 claims · 0.0%

Your Cost: $4.96/claim|Median: $8.49
0.6× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$2K

158 claims · 0.0%

Your Cost: $14.60/claim|Median: $9.70
1.5× median
99203Normal range

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

$2K

42 claims · 0.0%

Your Cost: $49.84/claim|Median: $57.85
0.9× median
86803Top 25%

Hepatitis C antibody

$2K

107 claims · 0.0%

Your Cost: $14.85/claim|Median: $10.17
1.5× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$1K

162 claims · 0.0%

Your Cost: $7.62/claim|Median: $53.97
0.1× median
86701Top 25%

$990

107 claims · 0.0%

Your Cost: $9.26/claim|Median: $8.03
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$378

19 claims · 0.0%

Your Cost: $19.87/claim|Median: $25.06
0.8× median
81025Top 25%

Urine pregnancy test

$106

14 claims · 0.0%

Your Cost: $7.60/claim|Median: $4.81
1.6× median
G2078Normal range

$83

33 claims · 0.0%

Your Cost: $2.52/claim|Median: $27.04
0.1× median
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