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Bradford Evolve Treatment Services, LLC

Preventive Medicine, Addiction Medicine·Knoxville, TN·NPI: 1629646336SharePrint ReportML Risk: 88%

Total Paid

$758K

$757,986

Total Claims

6,230

Beneficiaries

825

7.6 claims/patient

Avg Cost/Claim

$122

🔍 Analysis

Provider Overview

Bradford Evolve Treatment Services, LLC is a Preventive Medicine, Addiction Medicine provider based in Knoxville, TN. From 2024-07 through 2024-12, this provider received $758K in Medicaid payments across 6K claims serving 825 beneficiaries, billing 7 distinct procedure codes.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (H0035 (Mental health partial hospitalization, treatment, per hour)) accounts for 73% of total spending.

H0035Normal range

Mental health partial hospitalization, treatment, per hour

$556K

3,244 claims · 73.4%

Your Cost: $171.51/claim|Median: $148.53
1.2× median
H0015Normal range

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

$187K

2,721 claims · 24.6%

Your Cost: $68.63/claim|Median: $129.75
0.5× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$8K

47 claims · 1.0%

Your Cost: $162.47/claim|Median: $182.66
0.9× median
99213Normal range

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

$4K

151 claims · 0.5%

Your Cost: $27.07/claim|Median: $37.81
0.7× median
H0033Normal range

Oral medication administration, direct observation

$2K

23 claims · 0.3%

Your Cost: $85.13/claim|Median: $31.37
2.7× median
99214Normal range

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

$933

32 claims · 0.1%

Your Cost: $29.15/claim|Median: $53.41
0.5× median
99204Normal range

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

$254

12 claims · 0.0%

Your Cost: $21.15/claim|Median: $84.03
0.3× median

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