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Provider 1679807150

NPI: 1679807150Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$10.7M

$10,695,289

Total Claims

136K

Beneficiaries

62K

2.2 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+21%
2019
$1.7M
+3%
2020
$1.7M
-2%
2021
$1.7M
-14%
2022
$1.4M
+2%
2023
$1.5M
-8%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 60% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$6.5M

86K claims · 60.3%

Your Cost: $75.24/claim|Median: $18.95
4.0× median
W1761Normal range

$1.1M

9,383 claims · 10.6%

Your Cost: $121.07/claim|Median: $116.75
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$919K

17K claims · 8.6%

Your Cost: $52.58/claim|Median: $74.63
0.7× median
99213Top 10%

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

$793K

10K claims · 7.4%

Your Cost: $79.04/claim|Median: $37.81
2.1× median
H0001Top 25%

Alcohol and/or drug assessment

$453K

2,600 claims · 4.2%

Your Cost: $174.04/claim|Median: $94.22
1.8× median
99214Top 10%

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

$326K

2,949 claims · 3.0%

Your Cost: $110.39/claim|Median: $53.41
2.1× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$304K

1,233 claims · 2.8%

Your Cost: $246.38/claim|Median: $182.66
1.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$127K

3,010 claims · 1.2%

Your Cost: $42.24/claim|Median: $47.35
0.9× median
W1760Normal range

$91K

809 claims · 0.8%

Your Cost: $111.95/claim|Median: $106.40
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$64K

1,442 claims · 0.6%

Your Cost: $44.62/claim|Median: $25.06
1.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$27K

1,214 claims · 0.3%

Your Cost: $22.43/claim|Median: $12.93
1.7× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$2K

64 claims · 0.0%

Your Cost: $24.93/claim|Median: $73.29
0.3× median
W9520Normal range

$200

20 claims · 0.0%

Your Cost: $10.00/claim|Median: $10.26
1.0× median