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COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC

Clinic/Center, Methadone Clinic·WASILLA, AK·NPI: 1659722114Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.9M is at the 25th percentile among 5 Clinic/Center, Methadone Clinic providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.9M

$18,900,470

Total Claims

383K

Beneficiaries

72K

5.3 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+277%
2019
$4.2M
-53%
2020
$2.0M
-78%
2021
$430K
+740%
2022
$3.6M
+18%
2023
$4.3M
-23%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H0033 (Oral medication administration, direct observation)) accounts for 65% of total spending.

H0033Normal range

Oral medication administration, direct observation

$12.4M

224K claims · 65.4%

Your Cost: $55.19/claim|Median: $31.37
1.8× median
H0020Normal range

Alcohol/drug services; methadone administration

$3.0M

89K claims · 16.1%

Your Cost: $34.08/claim|Median: $18.95
1.8× median
99214Top 10%

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

$1.6M

15K claims · 8.3%

Your Cost: $102.79/claim|Median: $53.41
1.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.2M

37K claims · 6.3%

Your Cost: $31.76/claim|Median: $35.43
0.9× median
T1016Normal range

Case management, each 15 min

$224K

7,885 claims · 1.2%

Your Cost: $28.39/claim|Median: $49.62
0.6× median
H0002Top 1%

Behavioral health screening

$204K

557 claims · 1.1%

Your Cost: $366.66/claim|Median: $38.77
9.5× median
H0001Top 25%

Alcohol and/or drug assessment

$134K

720 claims · 0.7%

Your Cost: $186.45/claim|Median: $94.22
2.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$123K

4,578 claims · 0.7%

Your Cost: $26.85/claim|Median: $96.24
0.3× median
H0046Normal range

Mental health services, not otherwise specified

$25K

656 claims · 0.1%

Your Cost: $38.36/claim|Median: $85.02
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$14K

284 claims · 0.1%

Your Cost: $47.72/claim|Median: $41.28
1.2× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$9K

249 claims · 0.0%

Your Cost: $37.28/claim|Median: $106.70
0.3× median
H0031Top 5%

Mental health assessment by non-physician

$8K

22 claims · 0.0%

Your Cost: $361.05/claim|Median: $96.18
3.8× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$4K

357 claims · 0.0%

Your Cost: $10.38/claim|Median: $91.63
0.1× median
99213Normal range

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

$2K

51 claims · 0.0%

Your Cost: $35.12/claim|Median: $37.81
0.9× median
80305Normal range

$1K

519 claims · 0.0%

Your Cost: $2.74/claim|Median: $7.44
0.4× median
86580Normal range

Tuberculosis (TB) skin test

$769

275 claims · 0.0%

Your Cost: $2.80/claim|Median: $4.46
0.6× median
93042Top 25%

$699

143 claims · 0.0%

Your Cost: $4.89/claim|Median: $2.53
1.9× median
86780Normal range

$678

61 claims · 0.0%

Your Cost: $11.11/claim|Median: $9.83
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$613

987 claims · 0.0%

Your Cost: $0.62/claim|Median: $84.12
0.0× median
86593Normal range

$402

375 claims · 0.0%

Your Cost: $1.07/claim|Median: $2.84
0.4× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.29
93041Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.36
G0481Normal range

Drug test, definitive, 8-14 drug classes

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $64.72

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