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Provider 1801915848

NPI: 1801915848Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.0M

$9,046,773

Total Claims

118K

Beneficiaries

31K

3.8 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+11%
2019
$1.3M
+9%
2020
$1.4M
-2%
2021
$1.4M
-5%
2022
$1.3M
-2%
2023
$1.3M
-4%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 49% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$4.5M

65K claims · 49.2%

Your Cost: $68.82/claim|Median: $18.95
3.6× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$3.3M

34K claims · 36.3%

Your Cost: $96.38/claim|Median: $73.29
1.3× median
G2078Normal range

$235K

6,822 claims · 2.6%

Your Cost: $34.50/claim|Median: $27.04
1.3× median
90834Top 25%

Psychotherapy, 45 minutes

$224K

2,456 claims · 2.5%

Your Cost: $91.28/claim|Median: $63.65
1.4× median
G2068Normal range

$212K

1,275 claims · 2.3%

Your Cost: $165.97/claim|Median: $170.60
1.0× median
H0033Normal range

Oral medication administration, direct observation

$165K

2,606 claims · 1.8%

Your Cost: $63.26/claim|Median: $31.37
2.0× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$156K

1,381 claims · 1.7%

Your Cost: $112.97/claim|Median: $129.75
0.9× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$94K

231 claims · 1.0%

Your Cost: $405.84/claim|Median: $108.91
3.7× median
T2022Normal range

Case management, per month

$53K

1,916 claims · 0.6%

Your Cost: $27.52/claim|Median: $202.77
0.1× median
G2074Normal range

$49K

618 claims · 0.5%

Your Cost: $79.55/claim|Median: $82.20
1.0× median
G2079Normal range

$30K

293 claims · 0.3%

Your Cost: $103.63/claim|Median: $108.54
1.0× median
G2076Top 25%

$25K

58 claims · 0.3%

Your Cost: $427.22/claim|Median: $275.92
1.5× median
90832Top 25%

Psychotherapy, 30 minutes

$24K

358 claims · 0.3%

Your Cost: $68.33/claim|Median: $41.28
1.7× median
99213Top 5%

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

$17K

191 claims · 0.2%

Your Cost: $88.23/claim|Median: $37.81
2.3× median
90853Normal range

Group psychotherapy

$15K

548 claims · 0.2%

Your Cost: $27.50/claim|Median: $25.02
1.1× median
H0003Normal range

$3K

703 claims · 0.0%

Your Cost: $4.50/claim|Median: $13.38
0.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

168 claims · 0.0%

Your Cost: $16.00/claim|Median: $12.93
1.2× median
90887Normal range

Interpretation/explanation of results

$3K

87 claims · 0.0%

Your Cost: $30.83/claim|Median: $47.55
0.6× median
90791Top 10%

Psychiatric diagnostic evaluation

$2K

12 claims · 0.0%

Your Cost: $187.08/claim|Median: $99.21
1.9× median