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T.W. PONESSA & ASSOCIATES COUNSELING SERVICES, INC.

Community/Behavioral Health·LANCASTER, PA·NPI: 1053341859Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $63.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(79 months)

Total Paid

$63.6M

$63,642,676

Total Claims

675K

Beneficiaries

255K

2.6 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$46K
+9%
2019
$50K
+3403%
2020
$1.8M
+249%
2021
$6.2M
+205%
2022
$18.8M
-2%
2023
$18.4M
+0%
2024
$18.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H2021 (Community-based wrap-around services, per 15 min)) accounts for 34% of total spending.

H2021Normal range

Community-based wrap-around services, per 15 min

$21.4M

178K claims · 33.7%

Your Cost: $120.46/claim|Median: $169.11
0.7× median
H0032Top 25%

Mental health service plan development

$14.2M

106K claims · 22.2%

Your Cost: $134.15/claim|Median: $80.64
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$11.5M

142K claims · 18.1%

Your Cost: $81.11/claim|Median: $85.66
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$4.7M

69K claims · 7.3%

Your Cost: $67.23/claim|Median: $63.65
1.1× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$3.0M

15K claims · 4.8%

Your Cost: $201.68/claim|Median: $167.38
1.2× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$2.6M

30K claims · 4.1%

Your Cost: $89.27/claim|Median: $84.12
1.1× median
97155Top 5%

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.8M

6,355 claims · 2.8%

Your Cost: $283.78/claim|Median: $146.45
1.9× median
99213Top 10%

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

$825K

11K claims · 1.3%

Your Cost: $78.15/claim|Median: $37.81
2.1× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$673K

3,651 claims · 1.1%

Your Cost: $184.40/claim|Median: $108.91
1.7× median
90847Normal range

Family psychotherapy with patient, 50 min

$491K

6,367 claims · 0.8%

Your Cost: $77.06/claim|Median: $77.33
1.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$481K

15K claims · 0.8%

Your Cost: $31.64/claim|Median: $12.93
2.4× median
90832Normal range

Psychotherapy, 30 minutes

$449K

19K claims · 0.7%

Your Cost: $23.82/claim|Median: $41.28
0.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$392K

2,978 claims · 0.6%

Your Cost: $131.73/claim|Median: $99.21
1.3× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$381K

57K claims · 0.6%

Your Cost: $6.67/claim|Median: $3.67
1.8× median
H0046Normal range

Mental health services, not otherwise specified

$293K

4,464 claims · 0.5%

Your Cost: $65.69/claim|Median: $85.02
0.8× median
90846Normal range

Family psychotherapy without patient, 50 min

$168K

3,222 claims · 0.3%

Your Cost: $52.07/claim|Median: $76.61
0.7× median
99214Top 10%

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

$124K

1,238 claims · 0.2%

Your Cost: $99.94/claim|Median: $53.41
1.9× median
H0034Normal range

Medication training and management, per 15 min

$63K

2,996 claims · 0.1%

Your Cost: $20.93/claim|Median: $56.90
0.4× median
H0031Normal range

Mental health assessment by non-physician

$43K

789 claims · 0.1%

Your Cost: $54.49/claim|Median: $96.18
0.6× median
H2014Normal range

Skills training & development, per 15 min

$26K

2,053 claims · 0.0%

Your Cost: $12.69/claim|Median: $83.88
0.2× median
H0015Normal range

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

$7K

70 claims · 0.0%

Your Cost: $95.19/claim|Median: $129.75
0.7× median
H2010Normal range

Comprehensive medication services, per 15 min

$3K

172 claims · 0.0%

Your Cost: $14.88/claim|Median: $62.69
0.2× median