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Provider 1760657076

NPI: 1760657076Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.1M

$8,099,746

Total Claims

135K

Beneficiaries

43K

3.2 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-0%
2019
$1.2M
+4%
2020
$1.3M
-8%
2021
$1.2M
+7%
2022
$1.3M
-22%
2023
$990K
-10%
2024
$892K

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 77% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$6.2M

82K claims · 77.0%

Your Cost: $75.64/claim|Median: $18.95
4.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.2M

38K claims · 14.8%

Your Cost: $31.27/claim|Median: $74.63
0.4× median
99213Top 5%

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

$162K

1,764 claims · 2.0%

Your Cost: $91.71/claim|Median: $37.81
2.4× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$139K

1,985 claims · 1.7%

Your Cost: $70.11/claim|Median: $81.37
0.9× median
J0574Normal range

$124K

7,280 claims · 1.5%

Your Cost: $17.03/claim|Median: $15.76
1.1× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$104K

448 claims · 1.3%

Your Cost: $231.80/claim|Median: $182.66
1.3× median
H0001Top 25%

Alcohol and/or drug assessment

$79K

488 claims · 1.0%

Your Cost: $162.88/claim|Median: $94.22
1.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$39K

1,830 claims · 0.5%

Your Cost: $21.34/claim|Median: $12.93
1.7× median
H0005Normal range

Alcohol and/or drug services, group counseling

$12K

248 claims · 0.1%

Your Cost: $46.89/claim|Median: $47.35
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$3K

67 claims · 0.0%

Your Cost: $43.49/claim|Median: $25.06
1.7× median
W9520Normal range

$3K

300 claims · 0.0%

Your Cost: $9.56/claim|Median: $10.26
0.9× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$0

243 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.29