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Provider 1598274300

NPI: 1598274300Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$12.0M

$11,972,406

Total Claims

141K

Beneficiaries

49K

2.9 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+1%
2019
$1.6M
-8%
2020
$1.5M
+12%
2021
$1.7M
+11%
2022
$1.9M
-5%
2023
$1.8M
+1%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 41% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$4.9M

57K claims · 41.3%

Your Cost: $86.06/claim|Median: $18.95
4.5× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$3.4M

33K claims · 28.6%

Your Cost: $105.15/claim|Median: $73.29
1.4× median
H0015Normal range

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

$721K

6,555 claims · 6.0%

Your Cost: $110.06/claim|Median: $129.75
0.8× median
99214Top 10%

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

$637K

5,730 claims · 5.3%

Your Cost: $111.13/claim|Median: $53.41
2.1× median
G2078Normal range

$357K

11K claims · 3.0%

Your Cost: $32.29/claim|Median: $27.04
1.2× median
87426Top 5%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$319K

7,054 claims · 2.7%

Your Cost: $45.23/claim|Median: $30.04
1.5× median
99213Top 10%

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

$266K

3,306 claims · 2.2%

Your Cost: $80.32/claim|Median: $37.81
2.1× median
G2076Top 10%

$244K

554 claims · 2.0%

Your Cost: $439.89/claim|Median: $275.92
1.6× median
90832Top 25%

Psychotherapy, 30 minutes

$241K

3,463 claims · 2.0%

Your Cost: $69.58/claim|Median: $41.28
1.7× median
90834Top 25%

Psychotherapy, 45 minutes

$235K

2,692 claims · 2.0%

Your Cost: $87.12/claim|Median: $63.65
1.4× median
99215Top 10%

Office/outpatient visit, high complexity

$146K

968 claims · 1.2%

Your Cost: $151.26/claim|Median: $74.09
2.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$143K

806 claims · 1.2%

Your Cost: $177.86/claim|Median: $99.21
1.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$118K

4,879 claims · 1.0%

Your Cost: $24.12/claim|Median: $12.93
1.9× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$89K

215 claims · 0.7%

Your Cost: $416.19/claim|Median: $108.91
3.8× median
90853Normal range

Group psychotherapy

$61K

2,213 claims · 0.5%

Your Cost: $27.73/claim|Median: $25.02
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$15K

615 claims · 0.1%

Your Cost: $24.54/claim|Median: $55.04
0.4× median
90836Top 25%

Psychotherapy, 45 min, add-on to E/M

$11K

134 claims · 0.1%

Your Cost: $84.48/claim|Median: $56.18
1.5× median
G2074Normal range

$5K

57 claims · 0.0%

Your Cost: $82.20/claim|Median: $82.20
1.0× median
86580Normal range

Tuberculosis (TB) skin test

$836

209 claims · 0.0%

Your Cost: $4.00/claim|Median: $4.46
0.9× median
H0003Normal range

$528

125 claims · 0.0%

Your Cost: $4.23/claim|Median: $13.38
0.3× median
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