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MIDWEST RECOVERY CENTER LLC

Clinic/Center, Rehabilitation, Substance Use Disorder·TOLEDO, OH·NPI: 1598242281Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.7M is at the 75th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2018-122024-12(73 months)

Total Paid

$45.7M

$45,680,417

Total Claims

387K

Beneficiaries

144K

2.7 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$58K
+5244%
2019
$3.1M
+96%
2020
$6.0M
+60%
2021
$9.7M
-4%
2022
$9.3M
+7%
2023
$9.9M
-22%
2024
$7.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 82% of total spending.

H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$37.7M

213K claims · 82.4%

Your Cost: $176.42/claim|Median: $129.75
1.4× median
H0006Normal range

Alcohol and/or drug services, case management

$1.7M

38K claims · 3.8%

Your Cost: $45.30/claim|Median: $43.10
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.4M

33K claims · 3.1%

Your Cost: $42.08/claim|Median: $35.43
1.2× median
99214Top 10%

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

$812K

7,630 claims · 1.8%

Your Cost: $106.40/claim|Median: $53.41
2.0× median
90837Normal range

Psychotherapy, 60 minutes

$601K

6,098 claims · 1.3%

Your Cost: $98.48/claim|Median: $85.66
1.1× median
99213Top 10%

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

$595K

7,614 claims · 1.3%

Your Cost: $78.15/claim|Median: $37.81
2.1× median
H0005Normal range

Alcohol and/or drug services, group counseling

$541K

15K claims · 1.2%

Your Cost: $35.00/claim|Median: $47.35
0.7× median
T1003Normal range

LPN/LVN services, per 15 minutes

$473K

19K claims · 1.0%

Your Cost: $24.74/claim|Median: $24.24
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$430K

8,517 claims · 0.9%

Your Cost: $50.50/claim|Median: $41.28
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$351K

5,248 claims · 0.8%

Your Cost: $66.87/claim|Median: $63.65
1.1× median
T1002Normal range

RN services, per 15 minutes

$245K

7,287 claims · 0.5%

Your Cost: $33.61/claim|Median: $37.42
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$244K

2,438 claims · 0.5%

Your Cost: $100.22/claim|Median: $99.21
1.0× median
H0048Normal range

$178K

14K claims · 0.4%

Your Cost: $13.11/claim|Median: $13.25
1.0× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$150K

998 claims · 0.3%

Your Cost: $150.66/claim|Median: $144.05
1.0× median
99204Top 10%

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

$102K

646 claims · 0.2%

Your Cost: $157.58/claim|Median: $84.03
1.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$32K

927 claims · 0.1%

Your Cost: $34.51/claim|Median: $84.12
0.4× median
99215Top 10%

Office/outpatient visit, high complexity

$30K

190 claims · 0.1%

Your Cost: $157.13/claim|Median: $74.09
2.1× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$29K

156 claims · 0.1%

Your Cost: $187.51/claim|Median: $111.09
1.7× median
H2036Normal range

Alcohol/drug treatment, per hour

$26K

188 claims · 0.1%

Your Cost: $139.70/claim|Median: $253.79
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

102 claims · 0.0%

Your Cost: $134.44/claim|Median: $108.91
1.2× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$10K

154 claims · 0.0%

Your Cost: $62.82/claim|Median: $38.83
1.6× median
J0571Normal range

$5K

4,113 claims · 0.0%

Your Cost: $1.28/claim|Median: $7.96
0.2× median
90853Normal range

Group psychotherapy

$5K

137 claims · 0.0%

Your Cost: $33.53/claim|Median: $25.02
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$4K

103 claims · 0.0%

Your Cost: $42.36/claim|Median: $25.06
1.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$4K

304 claims · 0.0%

Your Cost: $13.04/claim|Median: $91.63
0.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$3K

211 claims · 0.0%

Your Cost: $13.71/claim|Median: $9.70
1.4× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$2K

167 claims · 0.0%

Your Cost: $11.99/claim|Median: $76.05
0.2× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$2K

124 claims · 0.0%

Your Cost: $14.79/claim|Median: $7.86
1.9× median
99203Top 25%

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

$1K

14 claims · 0.0%

Your Cost: $87.81/claim|Median: $57.85
1.5× median
H2012Normal range

Behavioral health day treatment, per hour

$621

25 claims · 0.0%

Your Cost: $24.84/claim|Median: $137.86
0.2× median

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