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SAN MATEO COUNTY

Community/Behavioral Health·DALY CITY, CA·NPI: 1053367854Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-10(82 months)

Total Paid

$46.8M

$46,751,112

Total Claims

113K

Beneficiaries

77K

1.5 claims/patient

Avg Cost/Claim

$415

Monthly Spending Trend

Yearly Spending

2018
$5.8M
+15%
2019
$6.7M
+4%
2020
$7.0M
-12%
2021
$6.1M
+29%
2022
$7.9M
+8%
2023
$8.6M
-46%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2010 (Comprehensive medication services, per 15 min)) accounts for 29% of total spending.

H2010Top 10%

Comprehensive medication services, per 15 min

$13.7M

28K claims · 29.2%

Your Cost: $492.75/claim|Median: $62.69
7.9× median
H2015Top 5%

Comprehensive community support services, per 15 min

$9.4M

20K claims · 20.1%

Your Cost: $464.88/claim|Median: $96.24
4.8× median
H0034Top 5%

Medication training and management, per 15 min

$9.2M

22K claims · 19.8%

Your Cost: $413.92/claim|Median: $56.90
7.3× median
T1017Top 25%

Targeted case management, per 15 min

$5.1M

22K claims · 10.8%

Your Cost: $228.70/claim|Median: $69.56
3.3× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$1.9M

5,981 claims · 4.0%

Your Cost: $312.48/claim|Median: $91.63
3.4× median
99214Top 1%

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

$1.7M

1,434 claims · 3.6%

Your Cost: $1,172.71/claim|Median: $53.41
22.0× median
H0032Top 10%

Mental health service plan development

$1.1M

4,867 claims · 2.4%

Your Cost: $231.34/claim|Median: $80.64
2.9× median
99215Top 1%

Office/outpatient visit, high complexity

$985K

622 claims · 2.1%

Your Cost: $1,583.03/claim|Median: $74.09
21.4× median
99213Top 1%

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

$643K

756 claims · 1.4%

Your Cost: $850.88/claim|Median: $37.81
22.5× median
G2212Top 5%

Prolonged office/outpatient E/M, each additional 15 min

$620K

1,005 claims · 1.3%

Your Cost: $616.96/claim|Median: $72.96
8.5× median
90837Top 1%

Psychotherapy, 60 minutes

$511K

930 claims · 1.1%

Your Cost: $549.55/claim|Median: $85.66
6.4× median
90834Top 1%

Psychotherapy, 45 minutes

$456K

897 claims · 1.0%

Your Cost: $508.72/claim|Median: $63.65
8.0× median
H0031Top 1%

Mental health assessment by non-physician

$452K

625 claims · 1.0%

Your Cost: $723.78/claim|Median: $96.18
7.5× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$295K

1,369 claims · 0.6%

Your Cost: $215.84/claim|Median: $9.56
22.6× median
H2011Normal range

Crisis intervention service, per 15 minutes

$284K

650 claims · 0.6%

Your Cost: $436.53/claim|Median: $215.80
2.0× median
90832Top 1%

Psychotherapy, 30 minutes

$148K

604 claims · 0.3%

Your Cost: $245.79/claim|Median: $41.28
6.0× median
T2024Top 1%

Supported employment, waiver, per diem

$123K

32 claims · 0.3%

Your Cost: $3,830.13/claim|Median: $259.38
14.8× median
99212Top 1%

Office/outpatient visit, low complexity

$115K

231 claims · 0.2%

Your Cost: $498.89/claim|Median: $25.06
19.9× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$67K

150 claims · 0.1%

Your Cost: $446.19/claim|Median: $108.91
4.1× median