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Provider 1912062068

NPI: 1912062068Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.2M

$15,187,837

Total Claims

1.1M

Beneficiaries

103K

10.7 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+3%
2019
$2.4M
-17%
2020
$2.0M
+30%
2021
$2.6M
-15%
2022
$2.2M
-7%
2023
$2.0M
-8%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 55% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$8.4M

926K claims · 55.0%

Your Cost: $9.02/claim|Median: $18.95
0.5× median
H0003Normal range

$2.8M

91K claims · 18.2%

Your Cost: $30.37/claim|Median: $13.38
2.3× median
90837Normal range

Psychotherapy, 60 minutes

$2.2M

28K claims · 14.7%

Your Cost: $80.38/claim|Median: $85.66
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$839K

40K claims · 5.5%

Your Cost: $21.13/claim|Median: $74.63
0.3× median
99213Top 25%

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

$415K

6,489 claims · 2.7%

Your Cost: $63.93/claim|Median: $37.81
1.7× median
90853Normal range

Group psychotherapy

$250K

7,614 claims · 1.6%

Your Cost: $32.86/claim|Median: $25.02
1.3× median
H0001Normal range

Alcohol and/or drug assessment

$110K

968 claims · 0.7%

Your Cost: $113.81/claim|Median: $94.22
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$84K

696 claims · 0.6%

Your Cost: $120.34/claim|Median: $111.09
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$72K

1,480 claims · 0.5%

Your Cost: $48.74/claim|Median: $25.06
1.9× median
S0280Top 10%

Medical home program, comprehensive care management

$38K

133 claims · 0.3%

Your Cost: $289.39/claim|Median: $48.38
6.0× median
99214Top 25%

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

$31K

396 claims · 0.2%

Your Cost: $79.02/claim|Median: $53.41
1.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$3K

163 claims · 0.0%

Your Cost: $17.87/claim|Median: $47.35
0.4× median
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