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DUKE CITY RECOVERY TOOLBOX LLC

Community/Behavioral Health·ALBUQUERQUE, NM·NPI: 1780948885Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.0M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$28.0M

$27,973,519

Total Claims

840K

Beneficiaries

146K

5.8 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-1%
2019
$4.0M
+3%
2020
$4.1M
-23%
2021
$3.2M
+16%
2022
$3.7M
+19%
2023
$4.4M
+2%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 37 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 58% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$16.2M

693K claims · 58.0%

Your Cost: $23.41/claim|Median: $18.95
1.2× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$4.1M

36K claims · 14.7%

Your Cost: $114.86/claim|Median: $37.56
3.1× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$3.5M

53K claims · 12.4%

Your Cost: $65.17/claim|Median: $35.43
1.8× median
T1007Top 25%

Alcohol/drug services, treatment plan review

$1.0M

7,063 claims · 3.7%

Your Cost: $145.30/claim|Median: $64.10
2.3× median
H0025Normal range

Behavioral health prevention education, per session

$626K

7,345 claims · 2.2%

Your Cost: $85.17/claim|Median: $36.25
2.3× median
G0481Top 5%

Drug test, definitive, 8-14 drug classes

$566K

3,968 claims · 2.0%

Your Cost: $142.62/claim|Median: $64.72
2.2× median
G0659Top 10%

$289K

4,770 claims · 1.0%

Your Cost: $60.59/claim|Median: $32.24
1.9× median
90837Top 25%

Psychotherapy, 60 minutes

$283K

2,753 claims · 1.0%

Your Cost: $102.83/claim|Median: $85.66
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$210K

11K claims · 0.7%

Your Cost: $19.88/claim|Median: $55.04
0.4× median
G0482Top 5%

Drug test, definitive, 15-21 drug classes

$188K

1,046 claims · 0.7%

Your Cost: $179.87/claim|Median: $75.26
2.4× median
99215Top 10%

Office/outpatient visit, high complexity

$143K

969 claims · 0.5%

Your Cost: $147.65/claim|Median: $74.09
2.0× median
99214Top 5%

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

$133K

1,049 claims · 0.5%

Your Cost: $127.25/claim|Median: $53.41
2.4× median
82075Top 5%

Alcohol (ethanol) breath test

$123K

3,353 claims · 0.4%

Your Cost: $36.76/claim|Median: $16.59
2.2× median
99213Top 25%

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

$89K

1,579 claims · 0.3%

Your Cost: $56.36/claim|Median: $37.81
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$86K

567 claims · 0.3%

Your Cost: $151.76/claim|Median: $108.91
1.4× median
G0483Top 5%

Drug test, definitive, 22+ drug classes

$63K

283 claims · 0.2%

Your Cost: $224.26/claim|Median: $90.89
2.5× median
H2000Top 5%

Comprehensive multidisciplinary evaluation

$44K

81 claims · 0.2%

Your Cost: $539.03/claim|Median: $114.71
4.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$39K

1,499 claims · 0.1%

Your Cost: $25.80/claim|Median: $12.93
2.0× median
90853Normal range

Group psychotherapy

$30K

1,167 claims · 0.1%

Your Cost: $25.94/claim|Median: $25.02
1.0× median
H0002Top 10%

Behavioral health screening

$29K

177 claims · 0.1%

Your Cost: $163.83/claim|Median: $38.77
4.2× median
90791Normal range

Psychiatric diagnostic evaluation

$23K

205 claims · 0.1%

Your Cost: $110.49/claim|Median: $99.21
1.1× median
H0001Normal range

Alcohol and/or drug assessment

$22K

517 claims · 0.1%

Your Cost: $42.19/claim|Median: $94.22
0.4× median
86580Top 25%

Tuberculosis (TB) skin test

$20K

2,533 claims · 0.1%

Your Cost: $7.93/claim|Median: $4.46
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$18K

453 claims · 0.1%

Your Cost: $40.07/claim|Median: $25.06
1.6× median
80305Top 25%

$16K

1,359 claims · 0.1%

Your Cost: $11.81/claim|Median: $7.44
1.6× median
Q3014Top 5%

Telehealth originating site facility fee

$14K

419 claims · 0.0%

Your Cost: $32.36/claim|Median: $15.37
2.1× median
H0031Top 25%

Mental health assessment by non-physician

$13K

78 claims · 0.0%

Your Cost: $171.04/claim|Median: $96.18
1.8× median
90832Normal range

Psychotherapy, 30 minutes

$13K

265 claims · 0.0%

Your Cost: $48.34/claim|Median: $41.28
1.2× median
99204Top 5%

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

$10K

53 claims · 0.0%

Your Cost: $189.91/claim|Median: $84.03
2.3× median
90834Normal range

Psychotherapy, 45 minutes

$10K

130 claims · 0.0%

Your Cost: $73.71/claim|Median: $63.65
1.2× median
90833Top 10%

Psychotherapy, 30 min, add-on to E/M service

$7K

99 claims · 0.0%

Your Cost: $70.59/claim|Median: $38.83
1.8× median
36415Top 25%

Collection of venous blood by venipuncture

$7K

1,399 claims · 0.0%

Your Cost: $4.99/claim|Median: $1.57
3.2× median
99406Top 25%

$6K

485 claims · 0.0%

Your Cost: $12.24/claim|Median: $6.53
1.9× median
81025Top 10%

Urine pregnancy test

$6K

700 claims · 0.0%

Your Cost: $8.45/claim|Median: $4.81
1.8× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$5K

287 claims · 0.0%

Your Cost: $15.98/claim|Median: $9.70
1.6× median
96160Top 25%

Patient-focused health risk assessment

$4K

530 claims · 0.0%

Your Cost: $7.55/claim|Median: $2.10
3.6× median
99203Top 25%

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

$2K

17 claims · 0.0%

Your Cost: $93.24/claim|Median: $57.85
1.6× median