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Provider 1992126452

NPI: 1992126452Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,566,466

Total Claims

487K

Beneficiaries

59K

8.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-7%
2019
$2.2M
-54%
2020
$1.0M
-29%
2021
$736K
+1%
2022
$747K
+41%
2023
$1.1M
+28%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 37% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$3.5M

367K claims · 36.8%

Your Cost: $9.59/claim|Median: $18.95
0.5× median
H0003Normal range

$1.4M

47K claims · 14.8%

Your Cost: $30.11/claim|Median: $13.38
2.3× median
T1012Top 25%

Alcohol/drug services, skills development

$822K

10K claims · 8.6%

Your Cost: $79.18/claim|Median: $40.78
1.9× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$655K

7,688 claims · 6.8%

Your Cost: $85.23/claim|Median: $94.63
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$644K

8,604 claims · 6.7%

Your Cost: $74.89/claim|Median: $85.66
0.9× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$612K

6,560 claims · 6.4%

Your Cost: $93.25/claim|Median: $53.97
1.7× median
S0280Top 25%

Medical home program, comprehensive care management

$465K

2,144 claims · 4.9%

Your Cost: $216.76/claim|Median: $48.38
4.5× median
99214Top 25%

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

$305K

3,821 claims · 3.2%

Your Cost: $79.90/claim|Median: $53.41
1.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$274K

7,530 claims · 2.9%

Your Cost: $36.40/claim|Median: $55.04
0.7× median
90853Normal range

Group psychotherapy

$230K

9,291 claims · 2.4%

Your Cost: $24.76/claim|Median: $25.02
1.0× median
H2027Normal range

Psychoeducational service, per 15 minutes

$139K

6,228 claims · 1.4%

Your Cost: $22.25/claim|Median: $82.72
0.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$104K

4,789 claims · 1.1%

Your Cost: $21.73/claim|Median: $47.35
0.5× median
H0022Top 10%

$65K

902 claims · 0.7%

Your Cost: $71.53/claim|Median: $32.48
2.2× median
H0006Normal range

Alcohol and/or drug services, case management

$64K

1,137 claims · 0.7%

Your Cost: $56.49/claim|Median: $43.10
1.3× median
H0050Normal range

$57K

1,217 claims · 0.6%

Your Cost: $46.92/claim|Median: $46.71
1.0× median
97810Top 5%

$48K

640 claims · 0.5%

Your Cost: $75.35/claim|Median: $23.92
3.1× median
99215Top 25%

Office/outpatient visit, high complexity

$46K

409 claims · 0.5%

Your Cost: $112.43/claim|Median: $74.09
1.5× median
H0015Normal range

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

$39K

488 claims · 0.4%

Your Cost: $79.75/claim|Median: $129.75
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$19K

788 claims · 0.2%

Your Cost: $24.69/claim|Median: $74.63
0.3× median
H0001Normal range

Alcohol and/or drug assessment

$19K

156 claims · 0.2%

Your Cost: $122.91/claim|Median: $94.22
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$13K

109 claims · 0.1%

Your Cost: $120.70/claim|Median: $111.09
1.1× median
S9976Normal range

$8K

281 claims · 0.1%

Your Cost: $27.00/claim|Median: $64.43
0.4× median
99213Top 5%

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

$4K

35 claims · 0.0%

Your Cost: $107.94/claim|Median: $37.81
2.9× median
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