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Provider 1992152854

NPI: 1992152854Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,176,215

Total Claims

144K

Beneficiaries

67K

2.2 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+37%
2019
$1.7M
-3%
2020
$1.7M
-2%
2021
$1.6M
-3%
2022
$1.6M
+2%
2023
$1.6M
+1%
2024
$1.6M

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 58% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$6.5M

85K claims · 57.8%

Your Cost: $75.69/claim|Median: $18.95
4.0× median
W1761Normal range

$1.7M

14K claims · 15.1%

Your Cost: $118.15/claim|Median: $116.75
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$913K

21K claims · 8.2%

Your Cost: $43.53/claim|Median: $74.63
0.6× median
99213Top 10%

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

$703K

8,511 claims · 6.3%

Your Cost: $82.63/claim|Median: $37.81
2.2× median
H0001Top 25%

Alcohol and/or drug assessment

$409K

2,319 claims · 3.7%

Your Cost: $176.16/claim|Median: $94.22
1.9× median
99214Top 10%

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

$334K

3,038 claims · 3.0%

Your Cost: $109.93/claim|Median: $53.41
2.1× median
H0016Top 10%

Alcohol or drug abuse services, prenatal

$272K

1,072 claims · 2.4%

Your Cost: $253.72/claim|Median: $182.66
1.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$150K

3,567 claims · 1.3%

Your Cost: $41.99/claim|Median: $47.35
0.9× median
W1760Normal range

$113K

980 claims · 1.0%

Your Cost: $114.85/claim|Median: $106.40
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$69K

1,554 claims · 0.6%

Your Cost: $44.48/claim|Median: $25.06
1.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$46K

1,971 claims · 0.4%

Your Cost: $23.11/claim|Median: $12.93
1.8× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$8K

133 claims · 0.1%

Your Cost: $59.12/claim|Median: $81.37
0.7× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$7K

140 claims · 0.1%

Your Cost: $48.62/claim|Median: $73.29
0.7× median
G2077Normal range

$1K

19 claims · 0.0%

Your Cost: $58.72/claim|Median: $38.98
1.5× median
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