Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $61.0M is at the 50th percentile among 218 Community/Behavioral Health providers.
Total Paid
$61.0M
$61,022,930
Total Claims
2.5M
Beneficiaries
1.0M
2.5 claims/patient
Avg Cost/Claim
$25
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 44% of total spending.
Case management, each 15 min
$26.8M
1.8M claims · 44.0%
$17.1M
319K claims
$53.50
$74.63
Behavioral health counseling & therapy, per 15 min
$17.1M
319K claims · 28.0%
$5.8M
68K claims
$85.18
$96.18
Mental health assessment by non-physician
$5.8M
68K claims · 9.5%
$4.4M
106K claims
$41.69
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$4.4M
106K claims · 7.2%
$1.5M
37K claims
$40.04
$83.88
Skills training & development, per 15 min
$1.5M
37K claims · 2.5%
$1.4M
13K claims
$106.40
$108.91
Psychiatric diagnostic evaluation with medical services
$1.4M
13K claims · 2.3%
$1.3M
44K claims
$30.36
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$1.3M
44K claims · 2.2%
Psychotherapy, 60 minutes
$1.1M
13K claims · 1.7%
Behavioral health screening
$417K
35K claims · 0.7%
$198K
4,870 claims
$40.68
$22.44
Telephone E/M by physician, 11-20 minutes
$198K
4,870 claims · 0.3%
$191K
3,312 claims
$57.67
$32.55
Telephone E/M by physician, 21-30 min
$191K
3,312 claims · 0.3%
$162K
4,121 claims
$39.41
$74.36
Home care training, family; per 15 min
$162K
4,121 claims · 0.3%
$155K
6,179 claims
$25.03
$82.72
Psychoeducational service, per 15 minutes
$155K
6,179 claims · 0.3%
$115K
17K claims
$6.73
$17.67
Sign language or oral interpretive services, per 15 minutes
$115K
17K claims · 0.2%
$93K
20K claims · 0.2%
Psychotherapy, 45 minutes
$73K
1,305 claims · 0.1%
$54K
466 claims
$116.55
$99.21
Psychiatric diagnostic evaluation
$54K
466 claims · 0.1%
Psychotherapy, 30 minutes
$54K
1,176 claims · 0.1%
RN services, per 15 minutes
$29K
2,514 claims · 0.0%
$22K
331 claims
$66.96
$57.85
Office/outpatient visit, new patient, low-mod complexity
$22K
331 claims · 0.0%
LPN/LVN services, per 15 minutes
$9K
1,538 claims · 0.0%
$7K
396 claims
$18.35
$25.06
Office/outpatient visit, low complexity
$7K
396 claims · 0.0%
$7K
3,311 claims
$1.99
$21.33
Non-invasive prenatal screening, fetal chromosomal abnormalities
$7K
3,311 claims · 0.0%
$5K
330 claims
$15.26
$36.25
Behavioral health prevention education, per session
$5K
330 claims · 0.0%
$4K
679 claims
$6.51
$55.04
Self-help/peer services, per 15 minutes
$4K
679 claims · 0.0%
$4K
258 claims
$16.75
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$4K
258 claims · 0.0%
Non-emergency mini-bus transport
$4K
3,360 claims · 0.0%
$2K
291 claims
$6.68
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$2K
291 claims · 0.0%
$2K
414 claims
$4.31
$74.09
Office/outpatient visit, high complexity
$2K
414 claims · 0.0%
$2K
729 claims
$2.36
$1.57
Collection of venous blood by venipuncture
$2K
729 claims · 0.0%
$1K
81 claims · 0.0%
$1K
35 claims
$37.60
$40.11
Office/outpatient visit, new patient, low complexity
$1K
35 claims · 0.0%
$1K
174 claims
$7.31
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$1K
174 claims · 0.0%
$1K
13 claims
$94.08
$72.71
Preventive medicine, established patient, age 18-39
$1K
13 claims · 0.0%
$1K
12 claims
$98.87
$80.15
Preventive medicine, established patient, age 12-17
$1K
12 claims · 0.0%
$854
14 claims
$60.99
$77.33
Family psychotherapy with patient, 50 min
$854
14 claims · 0.0%
Telephone E/M by physician, 5-10 min
$724
16 claims · 0.0%
$621
100 claims
$6.21
$7.50
Electrocardiogram, tracing only, without interpretation
$621
100 claims · 0.0%
$610
18 claims
$33.89
$33.85
COVID-19 vaccine admin, Moderna, 2nd dose
$610
18 claims · 0.0%
$572
100 claims
$5.72
$6.61
Screening audiometry, pure tone, air only
$572
100 claims · 0.0%
$510
16 claims
$31.88
$25.93
COVID-19 vaccine admin, Moderna, 1st dose
$510
16 claims · 0.0%
Non-emergency taxi transport
$473
1,602 claims · 0.0%
$453
147 claims
$3.08
$2.00
Urinalysis, non-automated without microscopy
$453
147 claims · 0.0%
$405
49 claims · 0.0%
$211
616 claims
$0.34
$9.56
Therapeutic injection, subcutaneous/intramuscular
$211
616 claims · 0.0%
Urine pregnancy test
$129
17 claims · 0.0%
$85
62 claims · 0.0%
$11
16 claims · 0.0%
$0
246 claims · 0.0%
$0
25 claims · 0.0%
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