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Provider 1912482787

NPI: 1912482787Share
Active Billing Period:2020-02→2024-12(57 months)

Total Paid

$13.5M

$13,494,804

Total Claims

148K

Beneficiaries

110K

1.3 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2020
$201K
-28%
2021
$145K
+1783%
2022
$2.7M
+80%
2023
$4.9M
+12%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H0047 (Alcohol and/or drug abuse, not otherwise specified)) accounts for 34% of total spending.

H0047Top 25%

Alcohol and/or drug abuse, not otherwise specified

$4.6M

13K claims · 34.4%

Your Cost: $357.16/claim|Median: $81.37
4.4× median
T2022Top 25%

Case management, per month

$1.6M

4,510 claims · 11.8%

Your Cost: $352.45/claim|Median: $202.77
1.7× median
99213Normal range

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

$1.5M

32K claims · 10.9%

Your Cost: $46.61/claim|Median: $37.81
1.2× median
99408Top 5%

$1.2M

4,516 claims · 9.0%

Your Cost: $269.62/claim|Median: $9.32
28.9× median
99214Normal range

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

$867K

13K claims · 6.4%

Your Cost: $65.74/claim|Median: $53.41
1.2× median
T1041Normal range

Medicaid CCBHC services, per diem

$836K

2,360 claims · 6.2%

Your Cost: $354.11/claim|Median: $913.47
0.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$691K

40K claims · 5.1%

Your Cost: $17.24/claim|Median: $47.35
0.4× median
99499Top 5%

Unlisted evaluation and management service

$653K

2,913 claims · 4.8%

Your Cost: $224.29/claim|Median: $30.88
7.3× median
T1007Top 10%

Alcohol/drug services, treatment plan review

$549K

2,356 claims · 4.1%

Your Cost: $233.06/claim|Median: $64.10
3.6× median
90853Normal range

Group psychotherapy

$385K

25K claims · 2.8%

Your Cost: $15.69/claim|Median: $25.02
0.6× median
H0001Normal range

Alcohol and/or drug assessment

$158K

1,699 claims · 1.2%

Your Cost: $92.87/claim|Median: $94.22
1.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$156K

1,542 claims · 1.2%

Your Cost: $101.33/claim|Median: $84.03
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$139K

1,363 claims · 1.0%

Your Cost: $102.16/claim|Median: $99.21
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$43K

715 claims · 0.3%

Your Cost: $60.51/claim|Median: $74.63
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$32K

660 claims · 0.2%

Your Cost: $48.41/claim|Median: $41.28
1.2× median
H0049Top 25%

$15K

404 claims · 0.1%

Your Cost: $36.24/claim|Median: $9.27
3.9× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$14K

197 claims · 0.1%

Your Cost: $69.12/claim|Median: $57.85
1.2× median
T1012Normal range

Alcohol/drug services, skills development

$13K

1,365 claims · 0.1%

Your Cost: $9.84/claim|Median: $40.78
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$7K

242 claims · 0.1%

Your Cost: $29.86/claim|Median: $25.06
1.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$6K

564 claims · 0.0%

Your Cost: $10.20/claim|Median: $55.04
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$4K

42 claims · 0.0%

Your Cost: $89.39/claim|Median: $74.09
1.2× median
G2087Normal range

$2K

39 claims · 0.0%

Your Cost: $39.20/claim|Median: $48.10
0.8× median
80305Normal range

$362

59 claims · 0.0%

Your Cost: $6.13/claim|Median: $7.44
0.8× median
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