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

⚖️ Compare🖨️ Print Report

Provider 1609386135

NPI: 1609386135Share
Active Billing Period:2019-04→2024-12(69 months)

Total Paid

$10.8M

$10,841,438

Total Claims

119K

Beneficiaries

34K

3.5 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2019
$410K
+259%
2020
$1.5M
+41%
2021
$2.1M
+1%
2022
$2.1M
+16%
2023
$2.4M
-3%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 59% of total spending.

G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$6.4M

61K claims · 58.9%

Your Cost: $105.51/claim|Median: $73.29
1.4× median
H0020Top 25%

Alcohol/drug services; methadone administration

$3.0M

45K claims · 27.8%

Your Cost: $67.08/claim|Median: $18.95
3.5× median
G2068Normal range

$509K

2,621 claims · 4.7%

Your Cost: $194.12/claim|Median: $170.60
1.1× median
H0033Top 25%

Oral medication administration, direct observation

$350K

2,410 claims · 3.2%

Your Cost: $145.05/claim|Median: $31.37
4.6× median
G2078Top 10%

$160K

2,885 claims · 1.5%

Your Cost: $55.37/claim|Median: $27.04
2.0× median
G2076Normal range

$138K

348 claims · 1.3%

Your Cost: $397.70/claim|Median: $275.92
1.4× median
99203Top 25%

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

$75K

800 claims · 0.7%

Your Cost: $93.85/claim|Median: $57.85
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$56K

1,136 claims · 0.5%

Your Cost: $49.57/claim|Median: $25.06
2.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$48K

1,311 claims · 0.4%

Your Cost: $36.72/claim|Median: $55.04
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$46K

634 claims · 0.4%

Your Cost: $71.93/claim|Median: $99.21
0.7× median
90832Top 25%

Psychotherapy, 30 minutes

$45K

647 claims · 0.4%

Your Cost: $70.04/claim|Median: $41.28
1.7× median
H0001Normal range

Alcohol and/or drug assessment

$12K

245 claims · 0.1%

Your Cost: $49.00/claim|Median: $94.22
0.5× median
G2079Normal range

$2K

20 claims · 0.0%

Your Cost: $109.42/claim|Median: $108.54
1.0× median
H0015Normal range

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

$2K

14 claims · 0.0%

Your Cost: $114.95/claim|Median: $129.75
0.9× median
86580Normal range

Tuberculosis (TB) skin test

$1K

268 claims · 0.0%

Your Cost: $3.94/claim|Median: $4.46
0.9× median
← All providersHow we detect fraud →