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Provider 1821418096

NPI: 1821418096Share
Active Billing Period:2018-072024-12(78 months)

Total Paid

$9.7M

$9,702,531

Total Claims

724K

Beneficiaries

58K

12.6 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$107K
+1137%
2019
$1.3M
+20%
2020
$1.6M
+6%
2021
$1.7M
+11%
2022
$1.9M
-8%
2023
$1.7M
-17%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (G2067 (Medication-assisted treatment, opioid use disorder, per month)) accounts for 43% of total spending.

G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$4.2M

26K claims · 43.3%

Your Cost: $163.21/claim|Median: $73.29
2.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$2.5M

222K claims · 25.7%

Your Cost: $11.19/claim|Median: $12.93
0.9× median
S0109Normal range

$1.7M

398K claims · 17.2%

Your Cost: $4.21/claim|Median: $4.67
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$497K

17K claims · 5.1%

Your Cost: $30.00/claim|Median: $41.28
0.7× median
G2074Top 25%

$224K

1,717 claims · 2.3%

Your Cost: $130.63/claim|Median: $82.20
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$155K

3,226 claims · 1.6%

Your Cost: $48.08/claim|Median: $63.65
0.8× median
G2078Normal range

$128K

5,050 claims · 1.3%

Your Cost: $25.34/claim|Median: $27.04
0.9× median
90853Normal range

Group psychotherapy

$106K

3,831 claims · 1.1%

Your Cost: $27.54/claim|Median: $25.02
1.1× median
80305Top 25%

$62K

6,128 claims · 0.6%

Your Cost: $10.18/claim|Median: $7.44
1.4× median
J0571Normal range

$40K

5,046 claims · 0.4%

Your Cost: $7.96/claim|Median: $7.96
1.0× median
G2077Normal range

$36K

767 claims · 0.4%

Your Cost: $47.18/claim|Median: $38.98
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$31K

623 claims · 0.3%

Your Cost: $49.01/claim|Median: $85.66
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$27K

935 claims · 0.3%

Your Cost: $28.88/claim|Median: $35.43
0.8× median
99213Normal range

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

$19K

683 claims · 0.2%

Your Cost: $27.15/claim|Median: $37.81
0.7× median
T1016Normal range

Case management, each 15 min

$10K

457 claims · 0.1%

Your Cost: $22.00/claim|Median: $49.62
0.4× median
99203Normal range

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

$2K

84 claims · 0.0%

Your Cost: $19.71/claim|Median: $57.85
0.3× median
G2076Normal range

$861

17 claims · 0.0%

Your Cost: $50.64/claim|Median: $275.92
0.2× median
J0574Normal range

$377

17K claims · 0.0%

Your Cost: $0.02/claim|Median: $15.76
0.0× median
J0572Normal range

$51

17K claims · 0.0%

Your Cost: $0.00/claim|Median: $8.49
0.0× median