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COUNTY OF WAYNE

Clinic/Center, Mental Health (Including Community Mental Health Center)·LYONS, NY·NPI: 1003824855Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.7M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2019-012024-12(72 months)

Total Paid

$21.7M

$21,665,668

Total Claims

174K

Beneficiaries

124K

1.4 claims/patient

Avg Cost/Claim

$125

Monthly Spending Trend

Yearly Spending

2019
$1.8M
+127%
2020
$4.0M
+20%
2021
$4.8M
+4%
2022
$5.0M
-25%
2023
$3.8M
-42%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (90832 (Psychotherapy, 30 minutes)) accounts for 41% of total spending.

90832Top 5%

Psychotherapy, 30 minutes

$8.9M

70K claims · 41.1%

Your Cost: $126.88/claim|Median: $41.28
3.1× median
90834Top 5%

Psychotherapy, 45 minutes

$3.4M

20K claims · 15.8%

Your Cost: $170.50/claim|Median: $63.65
2.7× median
99214Top 5%

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

$1.7M

13K claims · 7.7%

Your Cost: $129.09/claim|Median: $53.41
2.4× median
G0397Normal range

$1.6M

13K claims · 7.4%

Your Cost: $126.60/claim|Median: $142.31
0.9× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$1.5M

15K claims · 6.9%

Your Cost: $97.24/claim|Median: $40.58
2.4× median
99213Top 5%

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

$1.1M

8,516 claims · 5.0%

Your Cost: $127.69/claim|Median: $37.81
3.4× median
90791Top 5%

Psychiatric diagnostic evaluation

$860K

4,114 claims · 4.0%

Your Cost: $209.16/claim|Median: $99.21
2.1× median
90837Top 5%

Psychotherapy, 60 minutes

$670K

3,958 claims · 3.1%

Your Cost: $169.18/claim|Median: $85.66
2.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$474K

9,386 claims · 2.2%

Your Cost: $50.54/claim|Median: $47.35
1.1× median
99212Top 5%

Office/outpatient visit, low complexity

$267K

1,877 claims · 1.2%

Your Cost: $141.99/claim|Median: $25.06
5.7× median
90853Top 10%

Group psychotherapy

$209K

3,273 claims · 1.0%

Your Cost: $63.80/claim|Median: $25.02
2.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$150K

1,088 claims · 0.7%

Your Cost: $137.64/claim|Median: $111.09
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$124K

903 claims · 0.6%

Your Cost: $137.49/claim|Median: $74.09
1.9× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$107K

1,095 claims · 0.5%

Your Cost: $97.66/claim|Median: $22.44
4.4× median
H2010Normal range

Comprehensive medication services, per 15 min

$104K

1,158 claims · 0.5%

Your Cost: $89.61/claim|Median: $62.69
1.4× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$89K

841 claims · 0.4%

Your Cost: $106.21/claim|Median: $32.55
3.3× median
H0002Top 10%

Behavioral health screening

$73K

448 claims · 0.3%

Your Cost: $163.43/claim|Median: $38.77
4.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$60K

1,205 claims · 0.3%

Your Cost: $49.67/claim|Median: $74.63
0.7× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$56K

741 claims · 0.3%

Your Cost: $76.01/claim|Median: $13.30
5.7× median
H0001Normal range

Alcohol and/or drug assessment

$48K

340 claims · 0.2%

Your Cost: $141.02/claim|Median: $94.22
1.5× median
98966Top 5%

$28K

224 claims · 0.1%

Your Cost: $123.25/claim|Median: $6.84
18.0× median
H0033Normal range

Oral medication administration, direct observation

$25K

1,213 claims · 0.1%

Your Cost: $21.02/claim|Median: $31.37
0.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$23K

157 claims · 0.1%

Your Cost: $144.53/claim|Median: $40.11
3.6× median
98967Top 5%

$22K

177 claims · 0.1%

Your Cost: $122.61/claim|Median: $18.97
6.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$21K

1,126 claims · 0.1%

Your Cost: $18.28/claim|Median: $55.04
0.3× median
90847Top 5%

Family psychotherapy with patient, 50 min

$20K

68 claims · 0.1%

Your Cost: $300.18/claim|Median: $77.33
3.9× median
90846Top 10%

Family psychotherapy without patient, 50 min

$17K

112 claims · 0.1%

Your Cost: $149.17/claim|Median: $76.61
1.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$16K

116 claims · 0.1%

Your Cost: $140.33/claim|Median: $215.80
0.7× median
99401Top 5%

$16K

278 claims · 0.1%

Your Cost: $57.46/claim|Median: $16.53
3.5× median
99051Normal range

$3K

168 claims · 0.0%

Your Cost: $15.26/claim|Median: $7.89
1.9× median
H0014Normal range

$2K

13 claims · 0.0%

Your Cost: $142.98/claim|Median: $137.81
1.0× median
96130Normal range

Psychological testing evaluation by professional, first hour

$1K

12 claims · 0.0%

Your Cost: $92.99/claim|Median: $79.21
1.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$880

22 claims · 0.0%

Your Cost: $40.00/claim|Median: $33.85
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$66

23 claims · 0.0%

Your Cost: $2.88/claim|Median: $25.93
0.1× median

COVID-19 vaccine (Moderna), first dose

$0

74 claims · 0.0%