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Provider 1750823043

NPI: 1750823043Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.1M

$14,074,141

Total Claims

1.1M

Beneficiaries

116K

9.1 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$630K
+241%
2019
$2.1M
+41%
2020
$3.0M
-9%
2021
$2.8M
-19%
2022
$2.2M
-14%
2023
$1.9M
-27%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 29% of total spending.

G9012Normal range

Other specified case management service, per 15 minutes

$4.1M

18K claims · 29.2%

Your Cost: $229.23/claim|Median: $137.85
1.7× median
S0109Top 25%

$3.6M

520K claims · 25.4%

Your Cost: $6.86/claim|Median: $4.67
1.5× median
H0020Normal range

Alcohol/drug services; methadone administration

$3.2M

275K claims · 22.9%

Your Cost: $11.74/claim|Median: $18.95
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$1.2M

111K claims · 8.6%

Your Cost: $10.94/claim|Median: $12.93
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$672K

29K claims · 4.8%

Your Cost: $23.51/claim|Median: $74.63
0.3× median
99408Normal range

$592K

52K claims · 4.2%

Your Cost: $11.32/claim|Median: $9.32
1.2× median
99213Normal range

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

$196K

6,659 claims · 1.4%

Your Cost: $29.46/claim|Median: $37.81
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$153K

1,480 claims · 1.1%

Your Cost: $103.19/claim|Median: $99.21
1.0× median
99214Normal range

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

$139K

3,034 claims · 1.0%

Your Cost: $45.74/claim|Median: $53.41
0.9× median
82075Normal range

Alcohol (ethanol) breath test

$113K

29K claims · 0.8%

Your Cost: $3.94/claim|Median: $16.59
0.2× median
H0014Normal range

$54K

412 claims · 0.4%

Your Cost: $129.98/claim|Median: $137.81
0.9× median
80305Normal range

$17K

1,724 claims · 0.1%

Your Cost: $9.95/claim|Median: $7.44
1.3× median
86580Top 25%

Tuberculosis (TB) skin test

$9K

1,247 claims · 0.1%

Your Cost: $6.92/claim|Median: $4.46
1.6× median
81025Normal range

Urine pregnancy test

$6K

1,097 claims · 0.0%

Your Cost: $5.92/claim|Median: $4.81
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$1K

919 claims · 0.0%

Your Cost: $1.59/claim|Median: $1.57
1.0× median
99406Normal range

$561

205 claims · 0.0%

Your Cost: $2.74/claim|Median: $6.53
0.4× median
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