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Provider 1598099061

NPI: 1598099061Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$16.6M

$16,576,878

Total Claims

229K

Beneficiaries

101K

2.3 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-5%
2019
$2.5M
-4%
2020
$2.4M
-2%
2021
$2.4M
-1%
2022
$2.4M
-4%
2023
$2.3M
-14%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 61% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$10.1M

136K claims · 61.0%

Your Cost: $74.46/claim|Median: $18.95
3.9× median
W1761Normal range

$2.5M

22K claims · 15.2%

Your Cost: $116.49/claim|Median: $116.75
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.6M

43K claims · 10.0%

Your Cost: $38.17/claim|Median: $74.63
0.5× median
99213Top 10%

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

$951K

11K claims · 5.7%

Your Cost: $83.29/claim|Median: $37.81
2.2× median
H0001Top 25%

Alcohol and/or drug assessment

$481K

2,818 claims · 2.9%

Your Cost: $170.76/claim|Median: $94.22
1.8× median
99214Top 10%

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

$355K

3,248 claims · 2.1%

Your Cost: $109.16/claim|Median: $53.41
2.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$172K

4,065 claims · 1.0%

Your Cost: $42.31/claim|Median: $47.35
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$151K

3,332 claims · 0.9%

Your Cost: $45.35/claim|Median: $25.06
1.8× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$79K

343 claims · 0.5%

Your Cost: $228.87/claim|Median: $182.66
1.3× median
W1760Normal range

$51K

473 claims · 0.3%

Your Cost: $107.48/claim|Median: $106.40
1.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$49K

2,219 claims · 0.3%

Your Cost: $22.12/claim|Median: $12.93
1.7× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$6K

151 claims · 0.0%

Your Cost: $42.29/claim|Median: $73.29
0.6× median
W9520Normal range

$3K

292 claims · 0.0%

Your Cost: $11.01/claim|Median: $10.26
1.1× median