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Provider 1851452338

NPI: 1851452338Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,395,408

Total Claims

102K

Beneficiaries

36K

2.8 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+18%
2019
$1.2M
+1%
2020
$1.2M
+6%
2021
$1.3M
+5%
2022
$1.4M
-11%
2023
$1.2M
-16%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 50% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$4.2M

49K claims · 50.0%

Your Cost: $85.04/claim|Median: $18.95
4.5× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$3.5M

34K claims · 42.0%

Your Cost: $103.92/claim|Median: $73.29
1.4× median
G2078Top 10%

$283K

4,667 claims · 3.4%

Your Cost: $60.58/claim|Median: $27.04
2.2× median
H0015Normal range

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

$116K

1,005 claims · 1.4%

Your Cost: $114.95/claim|Median: $129.75
0.9× median
99214Top 10%

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

$77K

699 claims · 0.9%

Your Cost: $110.09/claim|Median: $53.41
2.1× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$73K

184 claims · 0.9%

Your Cost: $395.73/claim|Median: $108.91
3.6× median
H0003Normal range

$35K

7,878 claims · 0.4%

Your Cost: $4.49/claim|Median: $13.38
0.3× median
G2076Top 25%

$31K

73 claims · 0.4%

Your Cost: $418.86/claim|Median: $275.92
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$22K

525 claims · 0.3%

Your Cost: $42.60/claim|Median: $85.66
0.5× median
99215Top 10%

Office/outpatient visit, high complexity

$19K

115 claims · 0.2%

Your Cost: $161.31/claim|Median: $74.09
2.2× median
H0048Normal range

$8K

3,013 claims · 0.1%

Your Cost: $2.49/claim|Median: $13.25
0.2× median
90791Top 10%

Psychiatric diagnostic evaluation

$5K

28 claims · 0.1%

Your Cost: $167.21/claim|Median: $99.21
1.7× median
99213Top 10%

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

$2K

26 claims · 0.0%

Your Cost: $85.80/claim|Median: $37.81
2.3× median
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