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

Unknown Provider 1700987591

NPI: 1700987591Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$46.6M

$46,647,163

Total Claims

513K

Beneficiaries

82K

6.2 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+40%
2019
$8.5M
-8%
2020
$7.8M
-11%
2021
$7.0M
+13%
2022
$7.9M
-3%
2023
$7.6M
-77%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 53% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$24.7M

24K claims · 52.9%

Your Cost: $1,039.16/claim|Median: $467.51
2.2× median
H0010Top 25%

Alcohol and/or drug services, sub-acute detoxification, per diem

$10.0M

11K claims · 21.4%

Your Cost: $938.11/claim|Median: $369.55
2.5× median
H0020Normal range

Alcohol/drug services; methadone administration

$4.8M

375K claims · 10.4%

Your Cost: $12.88/claim|Median: $18.95
0.7× median
S9976Normal range

$4.2M

32K claims · 9.0%

Your Cost: $129.36/claim|Median: $64.43
2.0× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$1.6M

20K claims · 3.5%

Your Cost: $82.77/claim|Median: $94.63
0.9× median
H0001Normal range

Alcohol and/or drug assessment

$419K

5,422 claims · 0.9%

Your Cost: $77.27/claim|Median: $94.22
0.8× median
H0033Normal range

Oral medication administration, direct observation

$364K

36K claims · 0.8%

Your Cost: $10.08/claim|Median: $31.37
0.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$215K

6,159 claims · 0.5%

Your Cost: $34.99/claim|Median: $47.35
0.7× median
99213Top 10%

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

$121K

1,617 claims · 0.3%

Your Cost: $74.69/claim|Median: $37.81
2.0× median
99215Top 25%

Office/outpatient visit, high complexity

$85K

592 claims · 0.2%

Your Cost: $143.37/claim|Median: $74.09
1.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$81K

680 claims · 0.2%

Your Cost: $119.15/claim|Median: $111.09
1.1× median
S0280Top 25%

Medical home program, comprehensive care management

$68K

351 claims · 0.1%

Your Cost: $193.56/claim|Median: $48.38
4.0× median
H0006Normal range

Alcohol and/or drug services, case management

$1K

260 claims · 0.0%

Your Cost: $5.66/claim|Median: $43.10
0.1× median