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Provider 1891246658

NPI: 1891246658Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.8M

$13,778,480

Total Claims

173K

Beneficiaries

105K

1.7 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-10%
2019
$2.1M
+15%
2020
$2.4M
+4%
2021
$2.5M
-24%
2022
$1.9M
-15%
2023
$1.6M
-29%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H0033 (Oral medication administration, direct observation)) accounts for 37% of total spending.

H0033Top 25%

Oral medication administration, direct observation

$5.0M

30K claims · 36.6%

Your Cost: $165.96/claim|Median: $31.37
5.3× median
H2010Normal range

Comprehensive medication services, per 15 min

$3.9M

18K claims · 28.0%

Your Cost: $210.90/claim|Median: $62.69
3.4× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$3.1M

14K claims · 22.2%

Your Cost: $220.84/claim|Median: $182.66
1.2× median
90853Normal range

Group psychotherapy

$450K

19K claims · 3.3%

Your Cost: $23.60/claim|Median: $25.02
0.9× median
H0047Top 25%

Alcohol and/or drug abuse, not otherwise specified

$369K

1,342 claims · 2.7%

Your Cost: $275.19/claim|Median: $81.37
3.4× median
99213Normal range

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

$223K

5,450 claims · 1.6%

Your Cost: $40.96/claim|Median: $37.81
1.1× median
80305Normal range

$180K

31K claims · 1.3%

Your Cost: $5.78/claim|Median: $7.44
0.8× median
H0049Top 25%

$129K

5,772 claims · 0.9%

Your Cost: $22.37/claim|Median: $9.27
2.4× median
80306Normal range

$120K

11K claims · 0.9%

Your Cost: $10.77/claim|Median: $10.29
1.0× median
81025Normal range

Urine pregnancy test

$113K

27K claims · 0.8%

Your Cost: $4.24/claim|Median: $4.81
0.9× median
H0015Normal range

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

$70K

758 claims · 0.5%

Your Cost: $91.84/claim|Median: $129.75
0.7× median
H0034Normal range

Medication training and management, per 15 min

$52K

2,963 claims · 0.4%

Your Cost: $17.62/claim|Median: $56.90
0.3× median
H0014Top 10%

$49K

162 claims · 0.4%

Your Cost: $300.43/claim|Median: $137.81
2.2× median
99212Normal range

Office/outpatient visit, low complexity

$26K

1,992 claims · 0.2%

Your Cost: $13.29/claim|Median: $25.06
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$18K

2,100 claims · 0.1%

Your Cost: $8.45/claim|Median: $12.93
0.7× median
99214Normal range

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

$9K

160 claims · 0.1%

Your Cost: $56.58/claim|Median: $53.41
1.1× median
G2087Normal range

$9K

1,265 claims · 0.1%

Your Cost: $6.77/claim|Median: $48.10
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$5K

149 claims · 0.0%

Your Cost: $33.21/claim|Median: $41.28
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$4K

48 claims · 0.0%

Your Cost: $83.79/claim|Median: $85.66
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$0

151 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35