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Provider 1780165480

NPI: 1780165480Share
Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$14.2M

$14,208,379

Total Claims

1.1M

Beneficiaries

209K

5.1 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$114K
+1419%
2019
$1.7M
+41%
2020
$2.4M
+14%
2021
$2.8M
-19%
2022
$2.3M
+7%
2023
$2.4M
-1%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (H2010 (Comprehensive medication services, per 15 min)) accounts for 32% of total spending.

H2010Normal range

Comprehensive medication services, per 15 min

$4.5M

445K claims · 31.5%

Your Cost: $10.06/claim|Median: $62.69
0.2× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.8M

33K claims · 12.7%

Your Cost: $55.18/claim|Median: $35.43
1.6× median
99214Normal range

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

$1.5M

24K claims · 10.4%

Your Cost: $61.59/claim|Median: $53.41
1.2× median
J0574Top 25%

$1.5M

50K claims · 10.4%

Your Cost: $29.42/claim|Median: $15.76
1.9× median
T1016Normal range

Case management, each 15 min

$1.2M

70K claims · 8.8%

Your Cost: $17.74/claim|Median: $49.62
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.0M

31K claims · 7.2%

Your Cost: $33.04/claim|Median: $74.63
0.4× median
H0020Normal range

Alcohol/drug services; methadone administration

$968K

333K claims · 6.8%

Your Cost: $2.91/claim|Median: $18.95
0.2× median
H0031Normal range

Mental health assessment by non-physician

$672K

5,401 claims · 4.7%

Your Cost: $124.37/claim|Median: $96.18
1.3× median
T1003Normal range

LPN/LVN services, per 15 minutes

$346K

27K claims · 2.4%

Your Cost: $12.94/claim|Median: $24.24
0.5× median
T1002Normal range

RN services, per 15 minutes

$145K

8,637 claims · 1.0%

Your Cost: $16.84/claim|Median: $37.42
0.5× median
H0033Normal range

Oral medication administration, direct observation

$135K

8,735 claims · 0.9%

Your Cost: $15.42/claim|Median: $31.37
0.5× median
J0572Normal range

$111K

15K claims · 0.8%

Your Cost: $7.59/claim|Median: $8.49
0.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$101K

1,171 claims · 0.7%

Your Cost: $86.52/claim|Median: $84.03
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$95K

4,910 claims · 0.7%

Your Cost: $19.33/claim|Median: $55.04
0.4× median
J0573Normal range

$68K

7,071 claims · 0.5%

Your Cost: $9.67/claim|Median: $12.82
0.8× median
99213Normal range

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

$30K

682 claims · 0.2%

Your Cost: $43.85/claim|Median: $37.81
1.2× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$20K

1,794 claims · 0.1%

Your Cost: $11.15/claim|Median: $53.97
0.2× median
80305Normal range

$7K

1,237 claims · 0.0%

Your Cost: $5.72/claim|Median: $7.44
0.8× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$3K

2,857 claims · 0.0%

Your Cost: $0.91/claim|Median: $73.29
0.0× median
93042Top 10%

$1K

127 claims · 0.0%

Your Cost: $9.03/claim|Median: $2.53
3.6× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$1K

102 claims · 0.0%

Your Cost: $9.92/claim|Median: $21.33
0.5× median
87661Top 10%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$666

17 claims · 0.0%

Your Cost: $39.18/claim|Median: $21.08
1.9× median
A0120Normal range

Non-emergency mini-bus transport

$519

103 claims · 0.0%

Your Cost: $5.04/claim|Median: $16.09
0.3× median
93041Normal range

$207

69 claims · 0.0%

Your Cost: $2.99/claim|Median: $4.36
0.7× median
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