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CEDAR RECOVERY CENTER OF MIDDLE TENNESSEE, LLC

Preventive Medicine, Addiction Medicine·COLUMBIA, TN·NPI: 1801345285Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$21.4M

$21,378,252

Total Claims

206K

Beneficiaries

129K

1.6 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018
$426K
+116%
2019
$919K
+75%
2020
$1.6M
+154%
2021
$4.1M
+24%
2022
$5.0M
+7%
2023
$5.4M
-27%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H0016 (Alcohol or drug abuse services, prenatal)) accounts for 56% of total spending.

H0016Normal range

Alcohol or drug abuse services, prenatal

$12.0M

57K claims · 55.9%

Your Cost: $210.50/claim|Median: $182.66
1.2× median
H0033Top 25%

Oral medication administration, direct observation

$3.1M

19K claims · 14.7%

Your Cost: $166.09/claim|Median: $31.37
5.3× median
H0014Top 25%

$2.2M

9,139 claims · 10.3%

Your Cost: $241.69/claim|Median: $137.81
1.8× median
H0047Top 25%

Alcohol and/or drug abuse, not otherwise specified

$1.7M

7,117 claims · 7.9%

Your Cost: $236.43/claim|Median: $81.37
2.9× median
H2010Normal range

Comprehensive medication services, per 15 min

$1.5M

8,723 claims · 6.9%

Your Cost: $169.35/claim|Median: $62.69
2.7× median
H0049Normal range

$304K

16K claims · 1.4%

Your Cost: $19.61/claim|Median: $9.27
2.1× median
80305Normal range

$197K

43K claims · 0.9%

Your Cost: $4.62/claim|Median: $7.44
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$130K

5,003 claims · 0.6%

Your Cost: $25.98/claim|Median: $41.28
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$74K

1,406 claims · 0.3%

Your Cost: $52.31/claim|Median: $85.66
0.6× median
99214Normal range

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

$52K

9,455 claims · 0.2%

Your Cost: $5.45/claim|Median: $53.41
0.1× median
90853Normal range

Group psychotherapy

$50K

4,167 claims · 0.2%

Your Cost: $12.01/claim|Median: $25.02
0.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$40K

6,595 claims · 0.2%

Your Cost: $6.00/claim|Median: $55.04
0.1× median
G2087Normal range

$24K

5,357 claims · 0.1%

Your Cost: $4.39/claim|Median: $48.10
0.1× median
99213Normal range

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

$19K

8,479 claims · 0.1%

Your Cost: $2.26/claim|Median: $37.81
0.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$11K

47 claims · 0.1%

Your Cost: $238.24/claim|Median: $137.85
1.7× median
99406Normal range

$4K

2,171 claims · 0.0%

Your Cost: $1.70/claim|Median: $6.53
0.3× median
G2211Normal range

$2K

3,263 claims · 0.0%

Your Cost: $0.72/claim|Median: $2.40
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$587

16 claims · 0.0%

Your Cost: $36.70/claim|Median: $63.65
0.6× median
81025Normal range

Urine pregnancy test

$280

292 claims · 0.0%

Your Cost: $0.96/claim|Median: $4.81
0.2× median
G2088Normal range

$234

150 claims · 0.0%

Your Cost: $1.56/claim|Median: $15.69
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$214

207 claims · 0.0%

Your Cost: $1.03/claim|Median: $25.06
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$138

16 claims · 0.0%

Your Cost: $8.62/claim|Median: $9.56
0.9× median
99203Normal range

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

$133

36 claims · 0.0%

Your Cost: $3.70/claim|Median: $57.85
0.1× median
96160Normal range

Patient-focused health risk assessment

$4

575 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.10
0.0× median
90833Normal range

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

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.83

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$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

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$1.45B

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Public Health or Welfare

$781.0M

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$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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