Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1588045462

NPI: 1588045462Share
Active Billing Period:2018-07→2024-12(78 months)

Total Paid

$8.2M

$8,209,339

Total Claims

544K

Beneficiaries

29K

18.7 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$433K
+42%
2019
$615K
+23%
2020
$758K
+27%
2021
$965K
+33%
2022
$1.3M
+124%
2023
$2.9M
-55%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 87% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$7.2M

499K claims · 87.1%

Your Cost: $14.33/claim|Median: $18.95
0.8× median
J0571Top 25%

$329K

17K claims · 4.0%

Your Cost: $19.77/claim|Median: $7.96
2.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$187K

5,325 claims · 2.3%

Your Cost: $35.14/claim|Median: $74.63
0.5× median
99214Top 25%

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

$180K

2,041 claims · 2.2%

Your Cost: $88.13/claim|Median: $53.41
1.7× median
H0001Normal range

Alcohol and/or drug assessment

$109K

1,239 claims · 1.3%

Your Cost: $87.84/claim|Median: $94.22
0.9× median
H0033Normal range

Oral medication administration, direct observation

$52K

7,233 claims · 0.6%

Your Cost: $7.20/claim|Median: $31.37
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$38K

952 claims · 0.5%

Your Cost: $40.03/claim|Median: $41.28
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$35K

334 claims · 0.4%

Your Cost: $103.89/claim|Median: $74.09
1.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$34K

1,877 claims · 0.4%

Your Cost: $18.16/claim|Median: $12.93
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$20K

285 claims · 0.2%

Your Cost: $69.25/claim|Median: $63.65
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$19K

214 claims · 0.2%

Your Cost: $88.84/claim|Median: $85.66
1.0× median
S9445Normal range

$13K

1,311 claims · 0.2%

Your Cost: $10.29/claim|Median: $12.72
0.8× median
H0006Normal range

Alcohol and/or drug services, case management

$10K

987 claims · 0.1%

Your Cost: $9.77/claim|Median: $43.10
0.2× median
J0575Normal range

$9K

4,312 claims · 0.1%

Your Cost: $2.12/claim|Median: $14.96
0.1× median
T1007Normal range

Alcohol/drug services, treatment plan review

$6K

629 claims · 0.1%

Your Cost: $9.34/claim|Median: $64.10
0.1× median
99213Normal range

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

$3K

278 claims · 0.0%

Your Cost: $12.35/claim|Median: $37.81
0.3× median
H0025Normal range

Behavioral health prevention education, per session

$3K

44 claims · 0.0%

Your Cost: $76.74/claim|Median: $36.25
2.1× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$3K

19 claims · 0.0%

Your Cost: $163.17/claim|Median: $111.09
1.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$2K

110 claims · 0.0%

Your Cost: $15.00/claim|Median: $47.35
0.3× median
86580Normal range

Tuberculosis (TB) skin test

$1K

200 claims · 0.0%

Your Cost: $6.46/claim|Median: $4.46
1.4× median
H0002Normal range

Behavioral health screening

$1K

84 claims · 0.0%

Your Cost: $13.19/claim|Median: $38.77
0.3× median
H0032Normal range

Mental health service plan development

$682

47 claims · 0.0%

Your Cost: $14.52/claim|Median: $80.64
0.2× median
H0048Normal range

$0

168 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.25
← All providersHow we detect fraud →