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Provider 1881131761

NPI: 1881131761Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,452,460

Total Claims

373K

Beneficiaries

78K

4.8 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$600K
+86%
2019
$1.1M
+22%
2020
$1.4M
+5%
2021
$1.4M
+5%
2022
$1.5M
-9%
2023
$1.4M
-21%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0003) accounts for 41% of total spending.

H0003Top 25%

$3.5M

51K claims · 41.0%

Your Cost: $67.88/claim|Median: $13.38
5.1× median
H0020Normal range

Alcohol/drug services; methadone administration

$3.1M

270K claims · 37.0%

Your Cost: $11.58/claim|Median: $18.95
0.6× median
H0022Normal range

$1.4M

34K claims · 16.6%

Your Cost: $41.57/claim|Median: $32.48
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$378K

8,051 claims · 4.5%

Your Cost: $46.94/claim|Median: $35.43
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$28K

376 claims · 0.3%

Your Cost: $73.50/claim|Median: $111.09
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$16K

214 claims · 0.2%

Your Cost: $75.19/claim|Median: $74.09
1.0× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$13K

149 claims · 0.2%

Your Cost: $87.34/claim|Median: $73.29
1.2× median
86580Top 25%

Tuberculosis (TB) skin test

$5K

611 claims · 0.1%

Your Cost: $7.71/claim|Median: $4.46
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$5K

7,053 claims · 0.1%

Your Cost: $0.65/claim|Median: $12.93
0.0× median
90833Normal range

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

$4K

391 claims · 0.0%

Your Cost: $9.67/claim|Median: $38.83
0.2× median
99001Normal range

$3K

1,053 claims · 0.0%

Your Cost: $3.19/claim|Median: $2.31
1.4× median
98966Normal range

$3K

328 claims · 0.0%

Your Cost: $7.91/claim|Median: $6.84
1.2× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$642

53 claims · 0.0%

Your Cost: $12.12/claim|Median: $56.18
0.2× median
80358Normal range

$471

180 claims · 0.0%

Your Cost: $2.62/claim|Median: $5.06
0.5× median
81025Top 25%

Urine pregnancy test

$453

61 claims · 0.0%

Your Cost: $7.42/claim|Median: $4.81
1.5× median
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