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Provider 1689937260

NPI: 1689937260Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,382,117

Total Claims

233K

Beneficiaries

63K

3.7 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-6%
2019
$1.4M
+293%
2020
$5.7M
-83%
2021
$980K
-4%
2022
$938K
+12%
2023
$1.1M
-31%
2024
$729K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 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

$8.3M

116K claims · 67.2%

Your Cost: $71.48/claim|Median: $18.95
3.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.9M

32K claims · 15.7%

Your Cost: $60.91/claim|Median: $74.63
0.8× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$780K

12K claims · 6.3%

Your Cost: $63.40/claim|Median: $81.37
0.8× median
J0573Top 25%

$478K

26K claims · 3.9%

Your Cost: $18.40/claim|Median: $12.82
1.4× median
J0574Normal range

$343K

19K claims · 2.8%

Your Cost: $17.96/claim|Median: $15.76
1.1× median
J0572Normal range

$191K

24K claims · 1.5%

Your Cost: $7.86/claim|Median: $8.49
0.9× median
H0001Top 25%

Alcohol and/or drug assessment

$189K

1,194 claims · 1.5%

Your Cost: $158.00/claim|Median: $94.22
1.7× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$85K

381 claims · 0.7%

Your Cost: $222.07/claim|Median: $182.66
1.2× median
99214Top 5%

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

$34K

287 claims · 0.3%

Your Cost: $117.87/claim|Median: $53.41
2.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$14K

316 claims · 0.1%

Your Cost: $45.27/claim|Median: $47.35
1.0× median
W9520Normal range

$11K

1,107 claims · 0.1%

Your Cost: $9.83/claim|Median: $10.26
1.0× median
99213Top 5%

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

$2K

16 claims · 0.0%

Your Cost: $98.58/claim|Median: $37.81
2.6× median
99212Top 25%

Office/outpatient visit, low complexity

$640

14 claims · 0.0%

Your Cost: $45.72/claim|Median: $25.06
1.8× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$461

13 claims · 0.0%

Your Cost: $35.49/claim|Median: $73.29
0.5× median
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