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

⚖️ Compare🖨️ Print Report

Provider 1598021917

NPI: 1598021917Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.7M

$14,726,597

Total Claims

367K

Beneficiaries

67K

5.5 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-6%
2019
$3.0M
-50%
2020
$1.5M
+36%
2021
$2.1M
-9%
2022
$1.9M
-15%
2023
$1.6M
-16%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 57% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$8.4M

114K claims · 56.8%

Your Cost: $73.35/claim|Median: $18.95
3.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.2M

31K claims · 14.8%

Your Cost: $69.57/claim|Median: $74.63
0.9× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$1.2M

19K claims · 8.3%

Your Cost: $64.95/claim|Median: $81.37
0.8× median
J0574Normal range

$1.1M

80K claims · 7.8%

Your Cost: $14.36/claim|Median: $15.76
0.9× median
J0572Normal range

$681K

78K claims · 4.6%

Your Cost: $8.70/claim|Median: $8.49
1.0× median
J0573Normal range

$611K

40K claims · 4.1%

Your Cost: $15.19/claim|Median: $12.82
1.2× median
H0001Top 25%

Alcohol and/or drug assessment

$251K

1,485 claims · 1.7%

Your Cost: $168.88/claim|Median: $94.22
1.8× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$148K

672 claims · 1.0%

Your Cost: $220.33/claim|Median: $182.66
1.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$109K

2,439 claims · 0.7%

Your Cost: $44.72/claim|Median: $47.35
0.9× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$9K

150 claims · 0.1%

Your Cost: $60.81/claim|Median: $73.29
0.8× median
99213Top 5%

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

$8K

80 claims · 0.1%

Your Cost: $98.58/claim|Median: $37.81
2.6× median
G2078Top 1%

$3K

14 claims · 0.0%

Your Cost: $215.07/claim|Median: $27.04
8.0× median
99212Top 10%

Office/outpatient visit, low complexity

$2K

39 claims · 0.0%

Your Cost: $55.85/claim|Median: $25.06
2.2× median
99214Top 10%

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

$1K

12 claims · 0.0%

Your Cost: $109.35/claim|Median: $53.41
2.0× median
← All providersHow we detect fraud →