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

⚖️ Compare🖨️ Print Report

Provider 1770038986

NPI: 1770038986Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.4M

$9,449,343

Total Claims

127K

Beneficiaries

55K

2.3 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+15%
2019
$1.3M
+3%
2020
$1.3M
+10%
2021
$1.4M
+2%
2022
$1.5M
+3%
2023
$1.5M
-10%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 64% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$6.0M

79K claims · 63.8%

Your Cost: $76.38/claim|Median: $18.95
4.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$968K

23K claims · 10.2%

Your Cost: $42.80/claim|Median: $74.63
0.6× median
99213Top 10%

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

$774K

9,166 claims · 8.2%

Your Cost: $84.42/claim|Median: $37.81
2.2× median
W1761Normal range

$639K

5,330 claims · 6.8%

Your Cost: $119.90/claim|Median: $116.75
1.0× median
99214Top 5%

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

$368K

3,113 claims · 3.9%

Your Cost: $118.19/claim|Median: $53.41
2.2× median
H0001Top 25%

Alcohol and/or drug assessment

$336K

1,943 claims · 3.6%

Your Cost: $172.68/claim|Median: $94.22
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$106K

2,109 claims · 1.1%

Your Cost: $50.04/claim|Median: $25.06
2.0× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$91K

401 claims · 1.0%

Your Cost: $226.57/claim|Median: $182.66
1.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$73K

1,714 claims · 0.8%

Your Cost: $42.53/claim|Median: $47.35
0.9× median
W1760Normal range

$33K

304 claims · 0.4%

Your Cost: $108.87/claim|Median: $106.40
1.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$27K

1,182 claims · 0.3%

Your Cost: $23.15/claim|Median: $12.93
1.8× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$7K

146 claims · 0.1%

Your Cost: $50.56/claim|Median: $73.29
0.7× median
W9520Top 25%

$2K

157 claims · 0.0%

Your Cost: $11.30/claim|Median: $10.26
1.1× median
G2077Normal range

$522

16 claims · 0.0%

Your Cost: $32.63/claim|Median: $38.98
0.8× median
← All providersHow we detect fraud →