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CODAC INC

Clinic/Center, Rehabilitation, Substance Use Disorder·CRANSTON, RI·NPI: 1851513394Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $54.4M is at the 75th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

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

Total Paid

$54.4M

$54,399,915

Total Claims

725K

Beneficiaries

217K

3.3 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$3.8M
+132%
2019
$8.8M
-11%
2020
$7.9M
+14%
2021
$8.9M
-8%
2022
$8.2M
+5%
2023
$8.6M
-5%
2024
$8.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 69% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$37.3M

423K claims · 68.5%

Your Cost: $88.19/claim|Median: $18.95
4.7× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$14.1M

63K claims · 25.9%

Your Cost: $222.60/claim|Median: $81.37
2.7× median
H0025Top 10%

Behavioral health prevention education, per session

$1.5M

7,629 claims · 2.8%

Your Cost: $198.69/claim|Median: $36.25
5.5× median
J0574Normal range

$648K

25K claims · 1.2%

Your Cost: $25.47/claim|Median: $15.76
1.6× median
90837Normal range

Psychotherapy, 60 minutes

$476K

5,855 claims · 0.9%

Your Cost: $81.33/claim|Median: $85.66
0.9× median
H0022Top 5%

$114K

780 claims · 0.2%

Your Cost: $145.64/claim|Median: $32.48
4.5× median
90834Normal range

Psychotherapy, 45 minutes

$66K

864 claims · 0.1%

Your Cost: $76.13/claim|Median: $63.65
1.2× median
99214Normal range

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

$55K

1,162 claims · 0.1%

Your Cost: $47.41/claim|Median: $53.41
0.9× median
90853Top 25%

Group psychotherapy

$40K

979 claims · 0.1%

Your Cost: $40.39/claim|Median: $25.02
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$36K

855 claims · 0.1%

Your Cost: $42.03/claim|Median: $41.28
1.0× median
J0572Top 10%

$28K

657 claims · 0.1%

Your Cost: $43.20/claim|Median: $8.49
5.1× median
99213Normal range

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

$16K

358 claims · 0.0%

Your Cost: $44.31/claim|Median: $37.81
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$6K

57 claims · 0.0%

Your Cost: $109.62/claim|Median: $99.21
1.1× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$1K

36K claims · 0.0%

Your Cost: $0.03/claim|Median: $76.05
0.0× median
H0006Normal range

Alcohol and/or drug services, case management

$0

158K claims · 0.0%

Your Cost: $0.00/claim|Median: $43.10

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