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NYS OFFICE OF MENTAL HEALTH

Clinic/Center, Adult Mental Health·BINGHAMTON, NY·NPI: 1023172921Share

Compared to Clinic/Center, Adult Mental Health Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.3M is at the 50th percentile among 10 Clinic/Center, Adult Mental Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$19.3M

$19,332,374

Total Claims

75K

Beneficiaries

55K

1.4 claims/patient

Avg Cost/Claim

$257

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+21%
2019
$2.3M
+59%
2020
$3.7M
-7%
2021
$3.4M
-18%
2022
$2.8M
-4%
2023
$2.7M
-9%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 31% of total spending.

90834Top 1%

Psychotherapy, 45 minutes

$6.0M

20K claims · 31.2%

Your Cost: $304.71/claim|Median: $63.65
4.8× median
90847Top 1%

Family psychotherapy with patient, 50 min

$3.2M

6,943 claims · 16.5%

Your Cost: $459.11/claim|Median: $77.33
5.9× median
99215Top 5%

Office/outpatient visit, high complexity

$2.6M

11K claims · 13.2%

Your Cost: $241.04/claim|Median: $74.09
3.3× median
99214Top 1%

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

$1.5M

6,910 claims · 8.0%

Your Cost: $222.84/claim|Median: $53.41
4.2× median
90832Top 5%

Psychotherapy, 30 minutes

$1.2M

5,342 claims · 6.0%

Your Cost: $215.98/claim|Median: $41.28
5.2× median
H2012Top 25%

Behavioral health day treatment, per hour

$945K

4,101 claims · 4.9%

Your Cost: $230.35/claim|Median: $137.86
1.7× median
99213Top 1%

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

$758K

3,136 claims · 3.9%

Your Cost: $241.64/claim|Median: $37.81
6.4× median
90837Top 5%

Psychotherapy, 60 minutes

$734K

2,784 claims · 3.8%

Your Cost: $263.79/claim|Median: $85.66
3.1× median
90836Top 1%

Psychotherapy, 45 min, add-on to E/M

$675K

3,175 claims · 3.5%

Your Cost: $212.62/claim|Median: $56.18
3.8× median
90791Top 1%

Psychiatric diagnostic evaluation

$640K

1,766 claims · 3.3%

Your Cost: $362.16/claim|Median: $99.21
3.7× median
99401Top 1%

$479K

5,123 claims · 2.5%

Your Cost: $93.57/claim|Median: $16.53
5.7× median
99402Top 5%

$177K

1,552 claims · 0.9%

Your Cost: $113.84/claim|Median: $31.79
3.6× median
H2010Normal range

Comprehensive medication services, per 15 min

$173K

1,126 claims · 0.9%

Your Cost: $153.29/claim|Median: $62.69
2.4× median
90833Top 5%

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

$131K

1,055 claims · 0.7%

Your Cost: $124.22/claim|Median: $38.83
3.2× median
99203Top 1%

Office/outpatient visit, new patient, low-mod complexity

$31K

120 claims · 0.2%

Your Cost: $260.35/claim|Median: $57.85
4.5× median
90846Top 1%

Family psychotherapy without patient, 50 min

$29K

114 claims · 0.2%

Your Cost: $255.49/claim|Median: $76.61
3.3× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$27K

134 claims · 0.1%

Your Cost: $202.36/claim|Median: $84.03
2.4× median
99403Top 5%

$25K

136 claims · 0.1%

Your Cost: $182.99/claim|Median: $47.11
3.9× median
90882Top 25%

Environmental intervention

$23K

340 claims · 0.1%

Your Cost: $67.66/claim|Median: $45.05
1.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$11K

807 claims · 0.1%

Your Cost: $13.49/claim|Median: $9.56
1.4× median
90853Top 5%

Group psychotherapy

$2K

24 claims · 0.0%

Your Cost: $103.82/claim|Median: $25.02
4.1× median
99051Top 5%

$2K

79 claims · 0.0%

Your Cost: $30.28/claim|Median: $7.89
3.8× median