Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Randi Drummond

Counselor, Addiction (Substance Use Disorder)·Coal Grove, OH·NPI: 1952014003SharePrint ReportML Risk: 85%

Compared to Counselor, Addiction (Substance Use Disorder) Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $89K is at the below 25th percentile among 20 Counselor, Addiction (Substance Use Disorder) providers.

Total Paid

$89K

$89,316

Total Claims

1,235

Beneficiaries

243

5.1 claims/patient

Avg Cost/Claim

$72

🔍 Analysis

Provider Overview

Randi Drummond is a Counselor, Addiction (Substance Use Disorder) provider based in Coal Grove, OH. From 2024-01 through 2024-07, this provider received $89K in Medicaid payments across 1K claims serving 243 beneficiaries, billing 2 distinct procedure codes.

Key Findings

  • 📊Bills 1.9× the national median for H0006 (H0006), at $81 per claim vs. the median of $43, placing them above the 75th percentile.
  • 📊97% of all billing comes from a single procedure code: H0006 (H0006). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (H0006 (Alcohol and/or drug services, case management)) accounts for 97% of total spending.

H0006Top 25%

Alcohol and/or drug services, case management

$87K

1,066 claims · 97.2%

Your Cost: $81.46/claim|Median: $43.10
1.9× median
H0048Top 25%

$2K

169 claims · 2.8%

Your Cost: $14.70/claim|Median: $13.25
1.1× median