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THE GUIDANCE CENTER

Clinic/Center, Community Health·BRADFORD, PA·NPI: 1003346511Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.8M is at the 25th percentile among 8 Clinic/Center, Community Health providers.

Active Billing Period:2018-01→2024-11(77 months)

Total Paid

$25.8M

$25,760,328

Total Claims

190K

Beneficiaries

151K

1.3 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2018
$118K
-39%
2019
$71K
+6981%
2020
$5.1M
-4%
2021
$4.8M
+8%
2022
$5.3M
+5%
2023
$5.5M
-10%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (W0500 (Waiver service, state-specific code)) accounts for 94% of total spending.

W0500Normal range

Waiver service, state-specific code

$24.2M

67K claims · 93.9%

Your Cost: $360.67/claim|Median: $207.17
1.7× median
H0039Top 25%

Assertive community treatment, per diem

$1.4M

5,102 claims · 5.4%

Your Cost: $271.86/claim|Median: $132.62
2.0× median
T1040Normal range

Medicaid certified CCBHC services

$189K

2,046 claims · 0.7%

Your Cost: $92.31/claim|Median: $130.29
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$0

5,292 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
90846Normal range

Family psychotherapy without patient, 50 min

$0

54 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.61
90837Normal range

Psychotherapy, 60 minutes

$0

3,996 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66
99211Normal range

Office/outpatient visit, minimal complexity

$0

29K claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93
90847Normal range

Family psychotherapy with patient, 50 min

$0

69 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33
99214Normal range

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

$0

378 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
90792Normal range

Psychiatric diagnostic evaluation with medical services

$0

3,738 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91
99215Normal range

Office/outpatient visit, high complexity

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09
90834Normal range

Psychotherapy, 45 minutes

$0

26K claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65
H0038Normal range

Self-help/peer services, per 15 minutes

$0

3,530 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04
T1017Normal range

Targeted case management, per 15 min

$0

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $69.56
99213Normal range

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

$0

5,484 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$0

4,996 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.05
90832Normal range

Psychotherapy, 30 minutes

$0

9,123 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28

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Zoll Services LLC

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$504.0M

Commonwealth of Pennsylvania Department of Education

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$326.0M

Excel Copmanion Care INC

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$308.4M

Childrens Hospital of Philadelphia

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$286.9M

Procare Pharmacy Direct, Llc.

Pharmacy, Community/Retail Pharmacy

$227.3M

Similar Providers

Other top providers in Clinic/Center, Community Health

Sac Health System

San Bernardino, CA

$260.2M

Medical Associates of Ebnhc

East Boston, MA

$179.3M

Trilogy, Inc.

Chicago, IL

$143.5M

Lynn Community Health, Inc.

Lynn, MA

$138.3M

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