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COMMUNITY MEDICAL SERVICES MONTANA-PRIVATE, LLC

Counselor, Addiction (Substance Use Disorder)·SCOTTSDALE, AZ·NPI: 1679926745Share

Compared to Counselor, Addiction (Substance Use Disorder) Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.3M is at the 50th percentile among 20 Counselor, Addiction (Substance Use Disorder) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$43.3M

$43,250,412

Total Claims

2.1M

Beneficiaries

171K

12.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+28%
2019
$3.2M
+132%
2020
$7.3M
+36%
2021
$10.0M
-28%
2022
$7.2M
-1%
2023
$7.1M
-16%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (H0016 (Alcohol or drug abuse services, prenatal)) accounts for 49% of total spending.

H0016Normal range

Alcohol or drug abuse services, prenatal

$21.2M

165K claims · 49.0%

Your Cost: $128.65/claim|Median: $182.66
0.7× median
S0109Top 25%

$10.3M

1.5M claims · 23.8%

Your Cost: $6.98/claim|Median: $4.67
1.5× median
H0033Normal range

Oral medication administration, direct observation

$4.1M

69K claims · 9.6%

Your Cost: $60.12/claim|Median: $31.37
1.9× median
J0574Normal range

$2.4M

196K claims · 5.6%

Your Cost: $12.40/claim|Median: $15.76
0.8× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.1M

28K claims · 2.6%

Your Cost: $40.00/claim|Median: $18.95
2.1× median
99214Top 25%

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

$958K

9,885 claims · 2.2%

Your Cost: $96.88/claim|Median: $53.41
1.8× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$821K

14K claims · 1.9%

Your Cost: $59.69/claim|Median: $35.43
1.7× median
J0572Normal range

$705K

75K claims · 1.6%

Your Cost: $9.36/claim|Median: $8.49
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$551K

14K claims · 1.3%

Your Cost: $40.44/claim|Median: $41.28
1.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$548K

22K claims · 1.3%

Your Cost: $25.38/claim|Median: $12.93
2.0× median
J0573Normal range

$196K

14K claims · 0.5%

Your Cost: $13.78/claim|Median: $12.82
1.1× median
T1016Normal range

Case management, each 15 min

$55K

3,379 claims · 0.1%

Your Cost: $16.41/claim|Median: $49.62
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$40K

647 claims · 0.1%

Your Cost: $61.36/claim|Median: $63.65
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$36K

1,440 claims · 0.1%

Your Cost: $24.82/claim|Median: $96.24
0.3× median
H0001Top 10%

Alcohol and/or drug assessment

$35K

174 claims · 0.1%

Your Cost: $203.39/claim|Median: $94.22
2.2× median
J0575Normal range

$28K

1,594 claims · 0.1%

Your Cost: $17.46/claim|Median: $14.96
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$25K

231 claims · 0.1%

Your Cost: $108.48/claim|Median: $99.21
1.1× median
99204Top 25%

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

$25K

194 claims · 0.1%

Your Cost: $128.72/claim|Median: $84.03
1.5× median
H0002Top 1%

Behavioral health screening

$15K

34 claims · 0.0%

Your Cost: $450.00/claim|Median: $38.77
11.6× median
99213Top 25%

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

$10K

149 claims · 0.0%

Your Cost: $65.07/claim|Median: $37.81
1.7× median
J0571Normal range

$9K

660 claims · 0.0%

Your Cost: $13.40/claim|Median: $7.96
1.7× median
80305Normal range

$6K

635 claims · 0.0%

Your Cost: $8.86/claim|Median: $7.44
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$5K

53 claims · 0.0%

Your Cost: $88.33/claim|Median: $85.66
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$4K

285 claims · 0.0%

Your Cost: $13.42/claim|Median: $91.63
0.1× median
H2010Normal range

Comprehensive medication services, per 15 min

$2K

4,944 claims · 0.0%

Your Cost: $0.48/claim|Median: $62.69
0.0× median
86580Top 25%

Tuberculosis (TB) skin test

$2K

241 claims · 0.0%

Your Cost: $8.36/claim|Median: $4.46
1.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$317

235 claims · 0.0%

Your Cost: $1.35/claim|Median: $74.63
0.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$201

231 claims · 0.0%

Your Cost: $0.87/claim|Median: $24.24
0.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$24

55 claims · 0.0%

Your Cost: $0.44/claim|Median: $55.04
0.0× median
H0046Normal range

Mental health services, not otherwise specified

$0

111 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.02
H0031Normal range

Mental health assessment by non-physician

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.18
93041Normal range

$0

141 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.36
86593Normal range

$0

415 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.84
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$0

6,783 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.29

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$271.6M

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