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ENA INCORPORATED

Community/Behavioral Health·PEDRO, OH·NPI: 1033230289Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.0M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$29.0M

$29,028,895

Total Claims

441K

Beneficiaries

142K

3.1 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+25%
2019
$3.3M
+29%
2020
$4.2M
+1%
2021
$4.3M
-4%
2022
$4.1M
+2%
2023
$4.2M
+50%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H2020 (Day habilitation, waiver, per 15 minutes)) accounts for 49% of total spending.

H2020Normal range

Day habilitation, waiver, per 15 minutes

$14.2M

112K claims · 48.9%

Your Cost: $126.26/claim|Median: $144.05
0.9× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$5.0M

109K claims · 17.3%

Your Cost: $46.15/claim|Median: $76.05
0.6× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$4.3M

79K claims · 14.8%

Your Cost: $54.32/claim|Median: $84.12
0.6× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$3.6M

75K claims · 12.4%

Your Cost: $48.39/claim|Median: $91.63
0.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$810K

40K claims · 2.8%

Your Cost: $20.29/claim|Median: $12.93
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$391K

8,027 claims · 1.3%

Your Cost: $48.75/claim|Median: $41.28
1.2× median
99214Top 5%

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

$343K

2,724 claims · 1.2%

Your Cost: $126.08/claim|Median: $53.41
2.4× median
99213Top 25%

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

$91K

1,522 claims · 0.3%

Your Cost: $60.00/claim|Median: $37.81
1.6× median
90785Normal range

$82K

8,658 claims · 0.3%

Your Cost: $9.46/claim|Median: $6.43
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$60K

756 claims · 0.2%

Your Cost: $79.37/claim|Median: $85.66
0.9× median
H2012Normal range

Behavioral health day treatment, per hour

$40K

1,382 claims · 0.1%

Your Cost: $29.17/claim|Median: $137.86
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$38K

1,400 claims · 0.1%

Your Cost: $27.46/claim|Median: $25.06
1.1× median
90853Normal range

Group psychotherapy

$34K

1,806 claims · 0.1%

Your Cost: $18.84/claim|Median: $25.02
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$12K

176 claims · 0.0%

Your Cost: $67.56/claim|Median: $63.65
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

27 claims · 0.0%

Your Cost: $106.99/claim|Median: $99.21
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$140

72 claims · 0.0%

Your Cost: $1.94/claim|Median: $1.57
1.2× median