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Provider 1750872966

NPI: 1750872966Share
Active Billing Period:2018-08→2024-12(77 months)

Total Paid

$16.4M

$16,399,113

Total Claims

1.8M

Beneficiaries

139K

12.7 claims/patient

Avg Cost/Claim

$9

Monthly Spending Trend

Yearly Spending

2018
$31K
+2670%
2019
$869K
+138%
2020
$2.1M
+59%
2021
$3.3M
+12%
2022
$3.7M
-7%
2023
$3.4M
-11%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 39% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$6.5M

739K claims · 39.4%

Your Cost: $8.74/claim|Median: $18.95
0.5× median
G9012Normal range

Other specified case management service, per 15 minutes

$3.9M

17K claims · 23.7%

Your Cost: $224.18/claim|Median: $137.85
1.6× median
S0109Normal range

$3.7M

879K claims · 22.7%

Your Cost: $4.23/claim|Median: $4.67
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.2M

33K claims · 7.4%

Your Cost: $36.96/claim|Median: $74.63
0.5× median
80305Normal range

$685K

84K claims · 4.2%

Your Cost: $8.12/claim|Median: $7.44
1.1× median
H0014Normal range

$252K

1,894 claims · 1.5%

Your Cost: $133.21/claim|Median: $137.81
1.0× median
H0015Top 25%

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

$58K

310 claims · 0.4%

Your Cost: $186.81/claim|Median: $129.75
1.4× median
J0574Normal range

$33K

2,047 claims · 0.2%

Your Cost: $15.92/claim|Median: $15.76
1.0× median
99213Normal range

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

$25K

694 claims · 0.2%

Your Cost: $36.34/claim|Median: $37.81
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$21K

1,548 claims · 0.1%

Your Cost: $13.67/claim|Median: $47.35
0.3× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$14K

3,721 claims · 0.1%

Your Cost: $3.67/claim|Median: $73.29
0.1× median
82075Normal range

Alcohol (ethanol) breath test

$10K

2,308 claims · 0.1%

Your Cost: $4.36/claim|Median: $16.59
0.3× median
81025Normal range

Urine pregnancy test

$9K

1,450 claims · 0.1%

Your Cost: $5.99/claim|Median: $4.81
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$6K

297 claims · 0.0%

Your Cost: $21.53/claim|Median: $25.06
0.9× median
86580Normal range

Tuberculosis (TB) skin test

$3K

564 claims · 0.0%

Your Cost: $5.56/claim|Median: $4.46
1.2× median
90853Normal range

Group psychotherapy

$3K

141 claims · 0.0%

Your Cost: $21.04/claim|Median: $25.02
0.8× median
J0572Normal range

$946

129 claims · 0.0%

Your Cost: $7.33/claim|Median: $8.49
0.9× median
G2078Normal range

$0

57 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.04
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