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ZEPF CENTER

Community/Behavioral Health·TOLEDO, OH·NPI: 1942566468Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $56.9M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$56.9M

$56,900,815

Total Claims

684K

Beneficiaries

382K

1.8 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$9.5M
+5%
2019
$10.0M
-14%
2020
$8.6M
-18%
2021
$7.1M
+7%
2022
$7.5M
-0%
2023
$7.5M
-11%
2024
$6.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 30% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$17.3M

260K claims · 30.4%

Your Cost: $66.35/claim|Median: $18.95
3.5× median
H0015Normal range

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

$9.8M

67K claims · 17.3%

Your Cost: $147.88/claim|Median: $129.75
1.1× median
H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$7.5M

20K claims · 13.2%

Your Cost: $366.41/claim|Median: $317.54
1.2× median
H2036Normal range

Alcohol/drug treatment, per hour

$5.6M

28K claims · 9.8%

Your Cost: $198.43/claim|Median: $253.79
0.8× median
99214Top 10%

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

$3.9M

34K claims · 6.9%

Your Cost: $113.66/claim|Median: $53.41
2.1× median
90837Normal range

Psychotherapy, 60 minutes

$3.0M

31K claims · 5.2%

Your Cost: $95.93/claim|Median: $85.66
1.1× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$2.1M

8,324 claims · 3.6%

Your Cost: $248.74/claim|Median: $369.55
0.7× median
H0006Normal range

Alcohol and/or drug services, case management

$1.3M

24K claims · 2.2%

Your Cost: $52.66/claim|Median: $43.10
1.2× median
H0048Normal range

$1.2M

84K claims · 2.1%

Your Cost: $13.94/claim|Median: $13.25
1.1× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.1M

24K claims · 2.0%

Your Cost: $47.83/claim|Median: $47.35
1.0× median
99215Top 10%

Office/outpatient visit, high complexity

$935K

5,871 claims · 1.6%

Your Cost: $159.31/claim|Median: $74.09
2.2× median
99213Top 10%

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

$773K

10K claims · 1.4%

Your Cost: $76.07/claim|Median: $37.81
2.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$675K

32K claims · 1.2%

Your Cost: $21.07/claim|Median: $24.24
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$356K

5,370 claims · 0.6%

Your Cost: $66.31/claim|Median: $63.65
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$320K

6,186 claims · 0.6%

Your Cost: $51.71/claim|Median: $41.28
1.3× median
T1002Normal range

RN services, per 15 minutes

$295K

7,374 claims · 0.5%

Your Cost: $39.96/claim|Median: $37.42
1.1× median
90785Top 25%

$222K

20K claims · 0.4%

Your Cost: $11.35/claim|Median: $6.43
1.8× median
H0014Normal range

$164K

829 claims · 0.3%

Your Cost: $198.18/claim|Median: $137.81
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$127K

1,253 claims · 0.2%

Your Cost: $101.52/claim|Median: $99.21
1.0× median
81025Normal range

Urine pregnancy test

$69K

11K claims · 0.1%

Your Cost: $6.29/claim|Median: $4.81
1.3× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$58K

381 claims · 0.1%

Your Cost: $152.78/claim|Median: $164.03
0.9× median
90853Normal range

Group psychotherapy

$50K

2,155 claims · 0.1%

Your Cost: $23.38/claim|Median: $25.02
0.9× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$33K

155 claims · 0.1%

Your Cost: $212.99/claim|Median: $111.09
1.9× median
H0012Normal range

$31K

105 claims · 0.1%

Your Cost: $298.58/claim|Median: $295.95
1.0× median
99204Top 5%

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

$27K

159 claims · 0.0%

Your Cost: $172.94/claim|Median: $84.03
2.1× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$5K

71 claims · 0.0%

Your Cost: $71.33/claim|Median: $73.29
1.0× median
99354Normal range

$4K

180 claims · 0.0%

Your Cost: $22.93/claim|Median: $54.96
0.4× median
86580Normal range

Tuberculosis (TB) skin test

$662

120 claims · 0.0%

Your Cost: $5.52/claim|Median: $4.46
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$637

13 claims · 0.0%

Your Cost: $48.97/claim|Median: $25.06
2.0× median

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$556.6M

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