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COASTAL HORIZONS CENTER, INC

Community/Behavioral Health·WILMINGTON, NC·NPI: 1033420153Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$44.7M

$44,653,892

Total Claims

297K

Beneficiaries

97K

3.1 claims/patient

Avg Cost/Claim

$150

Monthly Spending Trend

Yearly Spending

2018
$8.9M
-16%
2019
$7.4M
-34%
2020
$4.9M
-24%
2021
$3.7M
+0%
2022
$3.7M
+52%
2023
$5.7M
+85%
2024
$10.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 62% of total spending.

H2022Normal range

Community-based wrap-around services, per diem

$27.7M

64K claims · 61.9%

Your Cost: $434.90/claim|Median: $336.31
1.3× median
H0020Normal range

Alcohol/drug services; methadone administration

$6.0M

97K claims · 13.4%

Your Cost: $62.17/claim|Median: $18.95
3.3× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$4.4M

35K claims · 9.9%

Your Cost: $128.32/claim|Median: $129.75
1.0× median
99214Top 25%

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

$1.9M

25K claims · 4.3%

Your Cost: $76.27/claim|Median: $53.41
1.4× median
T1017Top 10%

Targeted case management, per 15 min

$1.7M

6,352 claims · 3.8%

Your Cost: $267.00/claim|Median: $69.56
3.8× median
90837Normal range

Psychotherapy, 60 minutes

$1.0M

14K claims · 2.3%

Your Cost: $76.36/claim|Median: $85.66
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$452K

11K claims · 1.0%

Your Cost: $42.67/claim|Median: $41.28
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$420K

8,431 claims · 0.9%

Your Cost: $49.77/claim|Median: $63.65
0.8× median
Q3014Normal range

Telehealth originating site facility fee

$300K

18K claims · 0.7%

Your Cost: $16.42/claim|Median: $15.37
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$244K

1,929 claims · 0.5%

Your Cost: $126.30/claim|Median: $74.09
1.7× median
99213Normal range

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

$173K

3,310 claims · 0.4%

Your Cost: $52.24/claim|Median: $37.81
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$89K

878 claims · 0.2%

Your Cost: $101.44/claim|Median: $99.21
1.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$53K

1,210 claims · 0.1%

Your Cost: $43.40/claim|Median: $32.55
1.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$41K

1,264 claims · 0.1%

Your Cost: $32.47/claim|Median: $55.04
0.6× median
99199Normal range

Unlisted special service, procedure, or report

$36K

6,817 claims · 0.1%

Your Cost: $5.29/claim|Median: $5.39
1.0× median
98968Normal range

$18K

657 claims · 0.0%

Your Cost: $27.26/claim|Median: $28.39
1.0× median
99406Normal range

$17K

1,823 claims · 0.0%

Your Cost: $9.32/claim|Median: $6.53
1.4× median
T1016Normal range

Case management, each 15 min

$16K

895 claims · 0.0%

Your Cost: $18.05/claim|Median: $49.62
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$11K

75 claims · 0.0%

Your Cost: $147.73/claim|Median: $111.09
1.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$10K

154 claims · 0.0%

Your Cost: $64.83/claim|Median: $77.33
0.8× median
90853Normal range

Group psychotherapy

$8K

396 claims · 0.0%

Your Cost: $19.47/claim|Median: $25.02
0.8× median
99204Normal range

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

$8K

71 claims · 0.0%

Your Cost: $108.10/claim|Median: $84.03
1.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$6K

204 claims · 0.0%

Your Cost: $30.36/claim|Median: $22.44
1.4× median
98967Normal range

$3K

120 claims · 0.0%

Your Cost: $22.97/claim|Median: $18.97
1.2× median
99203Normal range

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

$925

13 claims · 0.0%

Your Cost: $71.19/claim|Median: $57.85
1.2× median
98966Top 25%

$547

35 claims · 0.0%

Your Cost: $15.62/claim|Median: $6.84
2.3× median
90785Normal range

$390

137 claims · 0.0%

Your Cost: $2.85/claim|Median: $6.43
0.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$205

109 claims · 0.0%

Your Cost: $1.88/claim|Median: $3.67
0.5× median

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