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Provider 1972021681

NPI: 1972021681Share
Active Billing Period:2018-04→2024-12(81 months)

Total Paid

$17.1M

$17,087,318

Total Claims

251K

Beneficiaries

97K

2.6 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+117%
2019
$2.9M
-1%
2020
$2.9M
-4%
2021
$2.7M
-10%
2022
$2.5M
+2%
2023
$2.5M
-12%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 45% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$7.7M

102K claims · 45.0%

Your Cost: $75.26/claim|Median: $18.95
4.0× median
W1761Normal range

$3.2M

27K claims · 19.0%

Your Cost: $120.08/claim|Median: $116.75
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.6M

28K claims · 9.1%

Your Cost: $56.19/claim|Median: $74.63
0.8× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.3M

28K claims · 7.4%

Your Cost: $45.26/claim|Median: $47.35
1.0× median
99214Top 5%

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

$847K

6,652 claims · 5.0%

Your Cost: $127.28/claim|Median: $53.41
2.4× median
H0001Top 25%

Alcohol and/or drug assessment

$607K

3,604 claims · 3.6%

Your Cost: $168.52/claim|Median: $94.22
1.8× median
99213Top 10%

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

$412K

5,554 claims · 2.4%

Your Cost: $74.24/claim|Median: $37.81
2.0× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$387K

5,837 claims · 2.3%

Your Cost: $66.28/claim|Median: $81.37
0.8× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$375K

1,630 claims · 2.2%

Your Cost: $230.10/claim|Median: $182.66
1.3× median
J0574Normal range

$361K

27K claims · 2.1%

Your Cost: $13.26/claim|Median: $15.76
0.8× median
W1760Normal range

$148K

1,336 claims · 0.9%

Your Cost: $110.46/claim|Median: $106.40
1.0× median
J0572Normal range

$98K

11K claims · 0.6%

Your Cost: $8.54/claim|Median: $8.49
1.0× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$32K

1,139 claims · 0.2%

Your Cost: $28.20/claim|Median: $73.29
0.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$19K

319 claims · 0.1%

Your Cost: $58.72/claim|Median: $55.04
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$13K

282 claims · 0.1%

Your Cost: $45.64/claim|Median: $25.06
1.8× median
99215Top 10%

Office/outpatient visit, high complexity

$11K

78 claims · 0.1%

Your Cost: $146.54/claim|Median: $74.09
2.0× median
H0024Normal range

$11K

530 claims · 0.1%

Your Cost: $21.05/claim|Median: $27.14
0.8× median
G2078Top 5%

$8K

60 claims · 0.0%

Your Cost: $137.70/claim|Median: $27.04
5.1× median
90889Normal range

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $56.63
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