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Provider 1932250719

NPI: 1932250719Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,145,540

Total Claims

870K

Beneficiaries

189K

4.6 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-10%
2019
$2.2M
-14%
2020
$1.9M
+16%
2021
$2.2M
+11%
2022
$2.4M
+43%
2023
$3.5M
-27%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0005 (Alcohol and/or drug services, group counseling)) accounts for 37% of total spending.

H0005Normal range

Alcohol and/or drug services, group counseling

$6.3M

147K claims · 36.7%

Your Cost: $42.73/claim|Median: $47.35
0.9× median
H0020Normal range

Alcohol/drug services; methadone administration

$4.8M

565K claims · 27.9%

Your Cost: $8.46/claim|Median: $18.95
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$4.4M

70K claims · 25.4%

Your Cost: $62.47/claim|Median: $74.63
0.8× median
H0048Top 5%

$1.2M

55K claims · 6.8%

Your Cost: $21.51/claim|Median: $13.25
1.6× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$261K

3,474 claims · 1.5%

Your Cost: $75.11/claim|Median: $182.66
0.4× median
99214Top 5%

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

$63K

384 claims · 0.4%

Your Cost: $163.16/claim|Median: $53.41
3.1× median
99213Top 10%

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

$60K

749 claims · 0.3%

Your Cost: $79.46/claim|Median: $37.81
2.1× median
T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$40K

10K claims · 0.2%

Your Cost: $3.96/claim|Median: $7.86
0.5× median
J0574Normal range

$31K

4,886 claims · 0.2%

Your Cost: $6.29/claim|Median: $15.76
0.4× median
J0571Normal range

$20K

3,000 claims · 0.1%

Your Cost: $6.81/claim|Median: $7.96
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$15K

362 claims · 0.1%

Your Cost: $42.40/claim|Median: $25.06
1.7× median
H0033Normal range

Oral medication administration, direct observation

$14K

836 claims · 0.1%

Your Cost: $16.40/claim|Median: $31.37
0.5× median
J0572Normal range

$10K

2,628 claims · 0.1%

Your Cost: $3.74/claim|Median: $8.49
0.4× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$8K

3,781 claims · 0.0%

Your Cost: $2.22/claim|Median: $73.29
0.0× median
J3490Normal range

Unclassified drugs

$7K

1,407 claims · 0.0%

Your Cost: $4.89/claim|Median: $5.70
0.9× median
H0001Normal range

Alcohol and/or drug assessment

$7K

71 claims · 0.0%

Your Cost: $92.16/claim|Median: $94.22
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$3K

36 claims · 0.0%

Your Cost: $78.50/claim|Median: $55.04
1.4× median
G2074Normal range

$1K

332 claims · 0.0%

Your Cost: $3.93/claim|Median: $82.20
0.0× median
G2078Normal range

$525

1,570 claims · 0.0%

Your Cost: $0.33/claim|Median: $27.04
0.0× median
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