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Provider 1720356314

NPI: 1720356314Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$17.3M

$17,268,376

Total Claims

932K

Beneficiaries

103K

9.1 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-1%
2019
$2.8M
-24%
2020
$2.1M
+3%
2021
$2.2M
+1%
2022
$2.2M
+23%
2023
$2.7M
-5%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 48% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$8.2M

750K claims · 47.6%

Your Cost: $10.96/claim|Median: $18.95
0.6× median
H0003Normal range

$3.4M

112K claims · 19.8%

Your Cost: $30.41/claim|Median: $13.38
2.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$3.0M

36K claims · 17.6%

Your Cost: $84.43/claim|Median: $74.63
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$1.2M

17K claims · 7.2%

Your Cost: $74.85/claim|Median: $85.66
0.9× median
99213Top 25%

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

$744K

11K claims · 4.3%

Your Cost: $65.40/claim|Median: $37.81
1.7× median
S0280Top 10%

Medical home program, comprehensive care management

$311K

1,075 claims · 1.8%

Your Cost: $289.41/claim|Median: $48.38
6.0× median
H0001Normal range

Alcohol and/or drug assessment

$103K

840 claims · 0.6%

Your Cost: $122.60/claim|Median: $94.22
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$84K

658 claims · 0.5%

Your Cost: $127.66/claim|Median: $111.09
1.1× median
T1012Top 25%

Alcohol/drug services, skills development

$66K

659 claims · 0.4%

Your Cost: $99.84/claim|Median: $40.78
2.4× median
90853Normal range

Group psychotherapy

$26K

1,089 claims · 0.2%

Your Cost: $24.25/claim|Median: $25.02
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$13K

655 claims · 0.1%

Your Cost: $19.72/claim|Median: $47.35
0.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$5K

455 claims · 0.0%

Your Cost: $9.91/claim|Median: $55.04
0.2× median