Is COMMUNITY COUNSELING AND MEDIATION flagged for Medicaid fraud?

COMMUNITY COUNSELING AND MEDIATION (NPI: 1003028549) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COMMUNITY COUNSELING AND MEDIATION bill Medicaid?

COMMUNITY COUNSELING AND MEDIATION received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in BROOKLYN, NY.

What is NPI 1003028549?

NPI 1003028549 is the National Provider Identifier for COMMUNITY COUNSELING AND MEDIATION. They are a Community/Behavioral Health provider based in BROOKLYN, NY. This NPI is registered with the CMS NPI Registry.

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COMMUNITY COUNSELING AND MEDIATION

Community/Behavioral Health·BROOKLYN, NY·NPI: 1003028549Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-04→2024-10(72 months)

Total Paid

$42.7M

$42,706,714

Total Claims

347K

Beneficiaries

165K

2.1 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018

$1K

+209403%

2019

$2.6M

+239%

2020

$8.9M

+5%

2021

$9.4M

+10%

2022

$10.3M

-15%

2023

$8.7M

-68%

2024

$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 71% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

90834Psychotherapy, 45 minutesSee all providers →

$30.3M

220K claims

$138.08

$63.65

2.2×

Top 10%

90834Top 10%

Psychotherapy, 45 minutes

$30.3M

220K claims · 71.0%

Your Cost: $138.08/claim|Median: $63.65

2.2× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$4.2M

40K claims

$106.82

$37.81

2.8×

Top 5%

99213Top 5%

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

$4.2M

40K claims · 9.9%

Your Cost: $106.82/claim|Median: $37.81

2.8× median

90832Psychotherapy, 30 minutesSee all providers →

$3.8M

38K claims

$100.38

$41.28

2.4×

Top 10%

90832Top 10%

Psychotherapy, 30 minutes

$3.8M

38K claims · 8.8%

Your Cost: $100.38/claim|Median: $41.28

2.4× median

90847Family psychotherapy with patient, 50 minSee all providers →

$1.8M

8,715 claims

$210.65

$77.33

2.7×

Top 5%

90847Top 5%

Family psychotherapy with patient, 50 min

$1.8M

8,715 claims · 4.3%

Your Cost: $210.65/claim|Median: $77.33

2.7× median

90791Psychiatric diagnostic evaluationSee all providers →

$1.0M

5,901 claims

$175.33

$99.21

1.8×

Top 10%

90791Top 10%

Psychiatric diagnostic evaluation

$1.0M

5,901 claims · 2.4%

Your Cost: $175.33/claim|Median: $99.21

1.8× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$544K

2,972 claims

$182.96

$108.91

1.7×

Top 25%

90792Top 25%

Psychiatric diagnostic evaluation with medical services

$544K

2,972 claims · 1.3%

Your Cost: $182.96/claim|Median: $108.91

1.7× median

90846Family psychotherapy without patient, 50 minSee all providers →

$331K

3,058 claims

$108.13

$76.61

1.4×

Top 25%

90846Top 25%

Family psychotherapy without patient, 50 min

$331K

3,058 claims · 0.8%

Your Cost: $108.13/claim|Median: $76.61

1.4× median

99051 See all providers →

$307K

24K claims

$12.83

$7.89

1.6×

Normal range

99051Normal range

$307K

24K claims · 0.7%

Your Cost: $12.83/claim|Median: $7.89

1.6× median

90853Group psychotherapySee all providers →

$139K

2,768 claims

$50.22

$25.02

2.0×

Top 25%

90853Top 25%

Group psychotherapy

$139K

2,768 claims · 0.3%

Your Cost: $50.22/claim|Median: $25.02

2.0× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

$94K

1,457 claims

$64.37

$38.83

1.7×

Top 25%

90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$94K

1,457 claims · 0.2%

Your Cost: $64.37/claim|Median: $38.83

1.7× median

H2010Comprehensive medication services, per 15 minSee all providers →

$52K

724 claims

$71.42

$62.69

1.1×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$52K

724 claims · 0.1%

Your Cost: $71.42/claim|Median: $62.69

1.1× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$38K

546 claims

$70.50

$215.80

0.3×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$38K

546 claims · 0.1%

Your Cost: $70.50/claim|Median: $215.80

0.3× median

G0397 See all providers →

$14K

98 claims

$145.07

$142.31

1.0×

Normal range

G0397Normal range

$14K

98 claims · 0.0%

Your Cost: $145.07/claim|Median: $142.31

1.0× median

G0396Alcohol/substance abuse structured assessment, 15-30 minutesSee all providers →

$8K

78 claims

$108.34

$40.58

2.7×

Top 25%

G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$8K

78 claims · 0.0%

Your Cost: $108.34/claim|Median: $40.58

2.7× median

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