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MERAKEY PENNSYLVANIA

Community/Behavioral Health·POTTSVILLE, PA·NPI: 1003939364Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.3M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$26.3M

$26,318,576

Total Claims

117K

Beneficiaries

24K

4.9 claims/patient

Avg Cost/Claim

$226

Monthly Spending Trend

Yearly Spending

2018
$67K
+219%
2019
$213K
+846%
2020
$2.0M
+79%
2021
$3.6M
+40%
2022
$5.1M
+36%
2023
$6.9M
+23%
2024
$8.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0046 (Mental health services, not otherwise specified)) accounts for 77% of total spending.

H0046Top 25%

Mental health services, not otherwise specified

$20.2M

72K claims · 76.7%

Your Cost: $280.87/claim|Median: $85.02
3.3× median
H0039Top 25%

Assertive community treatment, per diem

$3.1M

9,540 claims · 11.7%

Your Cost: $322.28/claim|Median: $132.62
2.4× median
90834Top 10%

Psychotherapy, 45 minutes

$1.0M

8,940 claims · 3.9%

Your Cost: $115.30/claim|Median: $63.65
1.8× median
H2021Normal range

Community-based wrap-around services, per 15 min

$714K

11K claims · 2.7%

Your Cost: $63.38/claim|Median: $169.11
0.4× median
H0032Normal range

Mental health service plan development

$526K

5,391 claims · 2.0%

Your Cost: $97.58/claim|Median: $80.64
1.2× median
90837Top 5%

Psychotherapy, 60 minutes

$258K

1,609 claims · 1.0%

Your Cost: $160.62/claim|Median: $85.66
1.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$188K

3,972 claims · 0.7%

Your Cost: $47.38/claim|Median: $84.12
0.6× median
99213Top 5%

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

$161K

1,701 claims · 0.6%

Your Cost: $94.56/claim|Median: $37.81
2.5× median
90832Normal range

Psychotherapy, 30 minutes

$62K

1,127 claims · 0.2%

Your Cost: $55.08/claim|Median: $41.28
1.3× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$53K

150 claims · 0.2%

Your Cost: $355.52/claim|Median: $108.91
3.3× median
99214Top 10%

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

$29K

255 claims · 0.1%

Your Cost: $115.52/claim|Median: $53.41
2.2× median
97151Normal range

Behavior identification assessment

$12K

86 claims · 0.0%

Your Cost: $136.00/claim|Median: $161.10
0.8× median
97156Top 25%

$9K

74 claims · 0.0%

Your Cost: $127.15/claim|Median: $88.65
1.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$5K

507 claims · 0.0%

Your Cost: $9.45/claim|Median: $96.24
0.1× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$4K

32 claims · 0.0%

Your Cost: $110.04/claim|Median: $146.45
0.8× median

Other Top Providers in Pennsylvania

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Zoll Services LLC

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$504.0M

Commonwealth of Pennsylvania Department of Education

Local Education Agency (LEA)

$326.0M

Excel Copmanion Care INC

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$308.4M

Childrens Hospital of Philadelphia

General Acute Care Hospital Children

$286.9M

Procare Pharmacy Direct, Llc.

Pharmacy, Community/Retail Pharmacy

$227.3M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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