Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PHOENIX HEALTH CENTER LLC

Clinic/Center, Methadone Clinic·HAGERSTOWN, MD·NPI: 1679971097Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.4M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

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

Total Paid

$21.4M

$21,411,097

Total Claims

463K

Beneficiaries

114K

4.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-5%
2019
$2.8M
+2%
2020
$2.9M
+7%
2021
$3.1M
+7%
2022
$3.3M
-2%
2023
$3.2M
-3%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 67% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$14.4M

187K claims · 67.2%

Your Cost: $76.92/claim|Median: $18.95
4.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.6M

77K claims · 12.2%

Your Cost: $33.93/claim|Median: $74.63
0.5× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$1.4M

21K claims · 6.3%

Your Cost: $65.86/claim|Median: $81.37
0.8× median
99214Top 10%

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

$679K

6,161 claims · 3.2%

Your Cost: $110.26/claim|Median: $53.41
2.1× median
99213Top 5%

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

$498K

5,259 claims · 2.3%

Your Cost: $94.71/claim|Median: $37.81
2.5× median
J0574Normal range

$491K

43K claims · 2.3%

Your Cost: $11.35/claim|Median: $15.76
0.7× median
H0016Top 10%

Alcohol or drug abuse services, prenatal

$268K

1,059 claims · 1.2%

Your Cost: $252.61/claim|Median: $182.66
1.4× median
H0001Top 25%

Alcohol and/or drug assessment

$258K

1,415 claims · 1.2%

Your Cost: $182.00/claim|Median: $94.22
1.9× median
J0572Normal range

$244K

29K claims · 1.1%

Your Cost: $8.47/claim|Median: $8.49
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$225K

5,374 claims · 1.1%

Your Cost: $41.84/claim|Median: $47.35
0.9× median
J0571Normal range

$161K

79K claims · 0.8%

Your Cost: $2.05/claim|Median: $7.96
0.3× median
99215Top 10%

Office/outpatient visit, high complexity

$118K

806 claims · 0.5%

Your Cost: $145.90/claim|Median: $74.09
2.0× median
J0573Normal range

$55K

4,944 claims · 0.3%

Your Cost: $11.10/claim|Median: $12.82
0.9× median
99212Top 10%

Office/outpatient visit, low complexity

$36K

622 claims · 0.2%

Your Cost: $57.93/claim|Median: $25.06
2.3× median
W9520Normal range

$15K

1,548 claims · 0.1%

Your Cost: $9.63/claim|Median: $10.26
0.9× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$13K

126 claims · 0.1%

Your Cost: $104.19/claim|Median: $73.29
1.4× median
W1761Normal range

$10K

121 claims · 0.0%

Your Cost: $86.73/claim|Median: $116.75
0.7× median
W1760Normal range

$2K

34 claims · 0.0%

Your Cost: $70.27/claim|Median: $106.40
0.7× median
G2078Top 5%

$2K

17 claims · 0.0%

Your Cost: $114.10/claim|Median: $27.04
4.2× median

Other Top Providers in Maryland

View all →

Mid Atlantic Pemanente Medical Group

Health Maintenance Organization

$317.6M

Genedx LLC

Medical Genetics, Ph.D. Medical Genetics

$215.3M

Quest Diagnostics Incorporated MD

Clinical Medical Laboratory

$121.8M

Baltimore Medical System INC

Clinic/Center Federally Qualified Health Center (

$121.2M

Similar Providers

Other top providers in Clinic/Center, Methadone Clinic

Galax Treatment Center, LLC

Galax, VA

$164.2M

Hartford Dispensary

Hartford, CT

$122.8M

← All providersAll providers in Maryland →How we detect fraud →