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Provider 1932655313

NPI: 1932655313Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.6M

$16,619,397

Total Claims

1.5M

Beneficiaries

112K

13.0 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2018
$797K
+159%
2019
$2.1M
+36%
2020
$2.8M
+9%
2021
$3.1M
-8%
2022
$2.8M
-8%
2023
$2.6M
-5%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 34% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$5.7M

708K claims · 34.3%

Your Cost: $8.04/claim|Median: $18.95
0.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$3.4M

56K claims · 20.6%

Your Cost: $61.04/claim|Median: $35.43
1.7× median
S0109Normal range

$3.0M

635K claims · 18.0%

Your Cost: $4.70/claim|Median: $4.67
1.0× median
G9012Normal range

Other specified case management service, per 15 minutes

$2.9M

12K claims · 17.3%

Your Cost: $240.71/claim|Median: $137.85
1.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.3M

27K claims · 8.0%

Your Cost: $49.58/claim|Median: $74.63
0.7× median
H0014Normal range

$141K

1,041 claims · 0.8%

Your Cost: $135.15/claim|Median: $137.81
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$58K

7,389 claims · 0.3%

Your Cost: $7.80/claim|Median: $47.35
0.2× median
99214Normal range

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

$35K

570 claims · 0.2%

Your Cost: $62.28/claim|Median: $53.41
1.2× median
80305Top 25%

$35K

3,045 claims · 0.2%

Your Cost: $11.48/claim|Median: $7.44
1.5× median
82075Normal range

Alcohol (ethanol) breath test

$25K

5,325 claims · 0.1%

Your Cost: $4.64/claim|Median: $16.59
0.3× median
99213Normal range

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

$14K

283 claims · 0.1%

Your Cost: $49.52/claim|Median: $37.81
1.3× median
86580Normal range

Tuberculosis (TB) skin test

$4K

752 claims · 0.0%

Your Cost: $5.43/claim|Median: $4.46
1.2× median
99204Normal range

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

$2K

53 claims · 0.0%

Your Cost: $36.99/claim|Median: $84.03
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$2K

67 claims · 0.0%

Your Cost: $28.70/claim|Median: $25.06
1.1× median