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THRIVE WELLNESS AND RECOVERY, INC

Clinic/Center, Rehabilitation, Substance Use Disorder·WATERTOWN, NY·NPI: 1659389021Share

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 $20.4M is at the 50th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2018-04→2024-12(81 months)

Total Paid

$20.4M

$20,424,074

Total Claims

323K

Beneficiaries

87K

3.7 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$224K
+390%
2019
$1.1M
+201%
2020
$3.3M
-6%
2021
$3.1M
+24%
2022
$3.8M
+34%
2023
$5.1M
-27%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 17% of total spending.

90834Top 10%

Psychotherapy, 45 minutes

$3.4M

27K claims · 16.5%

Your Cost: $125.02/claim|Median: $63.65
2.0× median
H0020Normal range

Alcohol/drug services; methadone administration

$3.1M

130K claims · 15.3%

Your Cost: $24.16/claim|Median: $18.95
1.3× median
H2036Normal range

Alcohol/drug treatment, per hour

$2.9M

17K claims · 14.4%

Your Cost: $175.53/claim|Median: $253.79
0.7× median
G2067Top 10%

Medication-assisted treatment, opioid use disorder, per month

$2.8M

14K claims · 13.6%

Your Cost: $198.10/claim|Median: $73.29
2.7× median
90832Top 10%

Psychotherapy, 30 minutes

$2.7M

29K claims · 13.4%

Your Cost: $93.46/claim|Median: $41.28
2.3× median
90853Top 25%

Group psychotherapy

$1.5M

30K claims · 7.2%

Your Cost: $49.41/claim|Median: $25.02
2.0× median
99214Top 5%

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

$881K

7,289 claims · 4.3%

Your Cost: $120.89/claim|Median: $53.41
2.3× median
99213Top 5%

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

$717K

6,393 claims · 3.5%

Your Cost: $112.12/claim|Median: $37.81
3.0× median
H0001Top 25%

Alcohol and/or drug assessment

$715K

4,167 claims · 3.5%

Your Cost: $171.58/claim|Median: $94.22
1.8× median
H0033Normal range

Oral medication administration, direct observation

$396K

17K claims · 1.9%

Your Cost: $23.49/claim|Median: $31.37
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$342K

7,948 claims · 1.7%

Your Cost: $43.02/claim|Median: $74.63
0.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$330K

8,838 claims · 1.6%

Your Cost: $37.33/claim|Median: $55.04
0.7× median
J0592Normal range

$131K

11K claims · 0.6%

Your Cost: $11.99/claim|Median: $11.48
1.0× median
J0574Normal range

$79K

6,751 claims · 0.4%

Your Cost: $11.64/claim|Median: $15.76
0.7× median
H0014Normal range

$76K

610 claims · 0.4%

Your Cost: $124.34/claim|Median: $137.81
0.9× median
G2068Top 10%

$74K

285 claims · 0.4%

Your Cost: $258.29/claim|Median: $170.60
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$50K

410 claims · 0.2%

Your Cost: $121.99/claim|Median: $111.09
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$44K

405 claims · 0.2%

Your Cost: $108.42/claim|Median: $74.09
1.5× median
90791Top 5%

Psychiatric diagnostic evaluation

$25K

115 claims · 0.1%

Your Cost: $220.00/claim|Median: $99.21
2.2× median
99212Top 5%

Office/outpatient visit, low complexity

$24K

215 claims · 0.1%

Your Cost: $112.08/claim|Median: $25.06
4.5× median
J0572Normal range

$23K

3,225 claims · 0.1%

Your Cost: $7.06/claim|Median: $8.49
0.8× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$21K

478 claims · 0.1%

Your Cost: $43.96/claim|Median: $106.70
0.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$12K

884 claims · 0.1%

Your Cost: $14.00/claim|Median: $9.56
1.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$11K

529 claims · 0.1%

Your Cost: $19.99/claim|Median: $12.93
1.5× median
G0397Normal range

$10K

87 claims · 0.0%

Your Cost: $114.45/claim|Median: $142.31
0.8× median
90882Normal range

Environmental intervention

$5K

110 claims · 0.0%

Your Cost: $42.10/claim|Median: $45.05
0.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$5K

80 claims · 0.0%

Your Cost: $56.28/claim|Median: $47.35
1.2× median
93000Top 1%

Electrocardiogram, complete, with interpretation and report

$2K

51 claims · 0.0%

Your Cost: $38.44/claim|Median: $9.70
4.0× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$2K

18 claims · 0.0%

Your Cost: $108.27/claim|Median: $27.38
4.0× median
99204Normal range

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

$2K

15 claims · 0.0%

Your Cost: $101.85/claim|Median: $84.03
1.2× median
86580Normal range

Tuberculosis (TB) skin test

$241

48 claims · 0.0%

Your Cost: $5.02/claim|Median: $4.46
1.1× median

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