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HORIZON HEALTH SERVICES INC

Community/Behavioral Health·GETZVILLE, NY·NPI: 1043387152Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $102.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$102.4M

$102,437,950

Total Claims

944K

Beneficiaries

586K

1.6 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+558%
2019
$8.8M
+158%
2020
$22.6M
-8%
2021
$20.7M
-3%
2022
$20.1M
-7%
2023
$18.7M
-46%
2024
$10.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 44% of total spending.

90834Top 10%

Psychotherapy, 45 minutes

$44.9M

356K claims · 43.8%

Your Cost: $125.89/claim|Median: $63.65
2.0× median
90832Top 10%

Psychotherapy, 30 minutes

$20.5M

218K claims · 20.0%

Your Cost: $94.10/claim|Median: $41.28
2.3× median
99214Top 10%

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

$6.1M

56K claims · 6.0%

Your Cost: $109.50/claim|Median: $53.41
2.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$5.0M

31K claims · 4.8%

Your Cost: $158.17/claim|Median: $99.21
1.6× median
90853Top 25%

Group psychotherapy

$4.9M

99K claims · 4.8%

Your Cost: $49.28/claim|Median: $25.02
2.0× median
H0001Normal range

Alcohol and/or drug assessment

$4.9M

35K claims · 4.7%

Your Cost: $138.91/claim|Median: $94.22
1.5× median
99213Top 5%

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

$4.5M

43K claims · 4.4%

Your Cost: $104.28/claim|Median: $37.81
2.8× median
99212Top 5%

Office/outpatient visit, low complexity

$2.1M

20K claims · 2.1%

Your Cost: $104.57/claim|Median: $25.06
4.2× median
Q9991Normal range

$1.7M

1,084 claims · 1.7%

Your Cost: $1,581.79/claim|Median: $1,554.42
1.0× median
Q9992Normal range

$1.6M

1,073 claims · 1.6%

Your Cost: $1,527.64/claim|Median: $1,537.34
1.0× median
90847Top 10%

Family psychotherapy with patient, 50 min

$1.5M

7,859 claims · 1.5%

Your Cost: $190.36/claim|Median: $77.33
2.5× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.1M

7,877 claims · 1.0%

Your Cost: $135.35/claim|Median: $215.80
0.6× median
99215Top 25%

Office/outpatient visit, high complexity

$825K

7,459 claims · 0.8%

Your Cost: $110.59/claim|Median: $74.09
1.5× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$641K

2,869 claims · 0.6%

Your Cost: $223.57/claim|Median: $108.91
2.1× median
90846Normal range

Family psychotherapy without patient, 50 min

$491K

5,113 claims · 0.5%

Your Cost: $96.04/claim|Median: $76.61
1.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$467K

8,202 claims · 0.5%

Your Cost: $56.99/claim|Median: $55.04
1.0× median
H0014Normal range

$395K

2,919 claims · 0.4%

Your Cost: $135.33/claim|Median: $137.81
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$306K

23K claims · 0.3%

Your Cost: $13.59/claim|Median: $9.56
1.4× median
90836Top 25%

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

$220K

2,412 claims · 0.2%

Your Cost: $91.29/claim|Median: $56.18
1.6× median
99051Normal range

$132K

11K claims · 0.1%

Your Cost: $12.00/claim|Median: $7.89
1.5× median
H0050Normal range

$64K

1,486 claims · 0.1%

Your Cost: $43.26/claim|Median: $46.71
0.9× median
H2010Normal range

Comprehensive medication services, per 15 min

$63K

1,007 claims · 0.1%

Your Cost: $62.42/claim|Median: $62.69
1.0× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$55K

1,268 claims · 0.1%

Your Cost: $43.64/claim|Median: $106.70
0.4× median
90833Top 25%

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

$34K

576 claims · 0.0%

Your Cost: $59.88/claim|Median: $38.83
1.5× median
99204Top 25%

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

$33K

286 claims · 0.0%

Your Cost: $117.10/claim|Median: $84.03
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$33K

285 claims · 0.0%

Your Cost: $115.48/claim|Median: $111.09
1.0× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$9K

167 claims · 0.0%

Your Cost: $52.95/claim|Median: $22.44
2.4× median
99211Top 25%

Office/outpatient visit, minimal complexity

$9K

417 claims · 0.0%

Your Cost: $20.62/claim|Median: $12.93
1.6× median
H0049Top 10%

$5K

102 claims · 0.0%

Your Cost: $44.82/claim|Median: $9.27
4.8× median
99401Top 5%

$3K

91 claims · 0.0%

Your Cost: $38.21/claim|Median: $16.53
2.3× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$3K

24 claims · 0.0%

Your Cost: $118.93/claim|Median: $40.11
3.0× median
90882Normal range

Environmental intervention

$3K

70 claims · 0.0%

Your Cost: $36.00/claim|Median: $45.05
0.8× median
99402Normal range

$2K

57 claims · 0.0%

Your Cost: $42.59/claim|Median: $31.79
1.3× median
99406Top 5%

$495

28 claims · 0.0%

Your Cost: $17.67/claim|Median: $6.53
2.7× median

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