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Provider 1689733792

NPI: 1689733792Share
Active Billing Period:2018-012021-06(42 months)
Billing appears to have stoppedLast active: 2021-06

Total Paid

$17.3M

$17,299,390

Total Claims

2.9M

Beneficiaries

359K

8.2 claims/patient

Avg Cost/Claim

$6

Monthly Spending Trend

Yearly Spending

2018
$344K
+678%
2019
$2.7M
+300%
2020
$10.7M
-66%
2021
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 45% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$7.9M

2.3M claims · 45.5%

Your Cost: $3.39/claim|Median: $18.95
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$2.8M

73K claims · 16.4%

Your Cost: $38.74/claim|Median: $85.66
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$1.6M

57K claims · 9.0%

Your Cost: $27.35/claim|Median: $63.65
0.4× median
99213Normal range

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

$726K

26K claims · 4.2%

Your Cost: $28.48/claim|Median: $37.81
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$699K

34K claims · 4.0%

Your Cost: $20.84/claim|Median: $41.28
0.5× median
99214Normal range

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

$655K

17K claims · 3.8%

Your Cost: $38.42/claim|Median: $53.41
0.7× median
J0575Normal range

$554K

94K claims · 3.2%

Your Cost: $5.91/claim|Median: $14.96
0.4× median
H0048Normal range

$353K

121K claims · 2.0%

Your Cost: $2.93/claim|Median: $13.25
0.2× median
90853Normal range

Group psychotherapy

$337K

51K claims · 1.9%

Your Cost: $6.65/claim|Median: $25.02
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$332K

8,083 claims · 1.9%

Your Cost: $41.10/claim|Median: $99.21
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$241K

3,421 claims · 1.4%

Your Cost: $70.41/claim|Median: $74.09
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$172K

10K claims · 1.0%

Your Cost: $16.92/claim|Median: $25.06
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$154K

4,466 claims · 0.9%

Your Cost: $34.54/claim|Median: $108.91
0.3× median
J0574Normal range

$124K

37K claims · 0.7%

Your Cost: $3.35/claim|Median: $15.76
0.2× median
H0012Normal range

$119K

424 claims · 0.7%

Your Cost: $280.75/claim|Median: $295.95
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$106K

13K claims · 0.6%

Your Cost: $8.27/claim|Median: $55.04
0.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$60K

1,768 claims · 0.3%

Your Cost: $33.68/claim|Median: $72.71
0.5× median
Q3014Normal range

Telehealth originating site facility fee

$59K

8,500 claims · 0.3%

Your Cost: $6.88/claim|Median: $15.37
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$57K

1,477 claims · 0.3%

Your Cost: $38.60/claim|Median: $74.63
0.5× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$53K

47K claims · 0.3%

Your Cost: $1.13/claim|Median: $7.86
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$39K

813 claims · 0.2%

Your Cost: $47.68/claim|Median: $76.06
0.6× median
99204Normal range

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

$29K

466 claims · 0.2%

Your Cost: $62.25/claim|Median: $84.03
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$26K

2,080 claims · 0.1%

Your Cost: $12.37/claim|Median: $12.93
1.0× median
J0573Normal range

$24K

4,939 claims · 0.1%

Your Cost: $4.86/claim|Median: $12.82
0.4× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$22K

617 claims · 0.1%

Your Cost: $36.11/claim|Median: $76.22
0.5× median
H0001Normal range

Alcohol and/or drug assessment

$19K

264 claims · 0.1%

Your Cost: $70.32/claim|Median: $94.22
0.7× median
H2036Normal range

Alcohol/drug treatment, per hour

$17K

162 claims · 0.1%

Your Cost: $105.56/claim|Median: $253.79
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$14K

600 claims · 0.1%

Your Cost: $23.53/claim|Median: $40.11
0.6× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$14K

191 claims · 0.1%

Your Cost: $72.25/claim|Median: $129.75
0.6× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$11K

213 claims · 0.1%

Your Cost: $52.33/claim|Median: $87.82
0.6× median