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PRINCE WILLIAM COUNTY COMMUNITY SERVICES BOARD

Clinic/Center, Mental Health (Including Community Mental Health Center)·MANASSAS, VA·NPI: 1053402800Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.8M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$42.8M

$42,759,087

Total Claims

241K

Beneficiaries

174K

1.4 claims/patient

Avg Cost/Claim

$177

Monthly Spending Trend

Yearly Spending

2018
$4.2M
+21%
2019
$5.1M
+11%
2020
$5.6M
+19%
2021
$6.7M
+9%
2022
$7.3M
+1%
2023
$7.3M
-10%
2024
$6.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 43% of total spending.

T1017Top 5%

Targeted case management, per 15 min

$18.5M

54K claims · 43.2%

Your Cost: $339.33/claim|Median: $69.56
4.9× median
H0023Top 25%

Behavioral health outreach service, per 15 minutes

$11.2M

35K claims · 26.1%

Your Cost: $316.79/claim|Median: $53.97
5.9× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$1.9M

11K claims · 4.4%

Your Cost: $176.79/claim|Median: $266.41
0.7× median
T2023Normal range

Community transition, waiver; per service

$1.9M

5,167 claims · 4.3%

Your Cost: $358.54/claim|Median: $300.13
1.2× median
90837Top 25%

Psychotherapy, 60 minutes

$1.5M

14K claims · 3.5%

Your Cost: $103.89/claim|Median: $85.66
1.2× median
99214Normal range

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

$1.5M

24K claims · 3.4%

Your Cost: $60.36/claim|Median: $53.41
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.2M

27K claims · 2.7%

Your Cost: $43.53/claim|Median: $91.63
0.5× median
H0039Top 25%

Assertive community treatment, per diem

$857K

3,431 claims · 2.0%

Your Cost: $249.86/claim|Median: $132.62
1.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$621K

2,123 claims · 1.5%

Your Cost: $292.73/claim|Median: $215.80
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$604K

5,738 claims · 1.4%

Your Cost: $105.32/claim|Median: $99.21
1.1× median
H0046Normal range

Mental health services, not otherwise specified

$569K

6,135 claims · 1.3%

Your Cost: $92.81/claim|Median: $85.02
1.1× median
99213Normal range

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

$457K

11K claims · 1.1%

Your Cost: $40.25/claim|Median: $37.81
1.1× median
H0006Top 5%

Alcohol and/or drug services, case management

$384K

1,771 claims · 0.9%

Your Cost: $216.90/claim|Median: $43.10
5.0× median
99490Top 5%

Chronic care management services, 20 minutes per month

$316K

5,809 claims · 0.7%

Your Cost: $54.44/claim|Median: $6.31
8.6× median
H2012Normal range

Behavioral health day treatment, per hour

$290K

2,725 claims · 0.7%

Your Cost: $106.52/claim|Median: $137.86
0.8× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$255K

2,468 claims · 0.6%

Your Cost: $103.18/claim|Median: $76.05
1.4× median
90853Normal range

Group psychotherapy

$253K

12K claims · 0.6%

Your Cost: $20.98/claim|Median: $25.02
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$175K

1,336 claims · 0.4%

Your Cost: $130.80/claim|Median: $108.91
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$143K

1,895 claims · 0.3%

Your Cost: $75.64/claim|Median: $77.33
1.0× median
H0015Normal range

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

$122K

860 claims · 0.3%

Your Cost: $142.09/claim|Median: $129.75
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$61K

7,617 claims · 0.1%

Your Cost: $7.98/claim|Median: $9.56
0.8× median
90832Top 25%

Psychotherapy, 30 minutes

$42K

754 claims · 0.1%

Your Cost: $55.93/claim|Median: $41.28
1.4× median
80305Top 10%

$25K

2,082 claims · 0.1%

Your Cost: $11.85/claim|Median: $7.44
1.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$24K

1,469 claims · 0.1%

Your Cost: $16.59/claim|Median: $32.55
0.5× median
H0032Normal range

Mental health service plan development

$22K

286 claims · 0.1%

Your Cost: $75.53/claim|Median: $80.64
0.9× median
T2024Top 25%

Supported employment, waiver, per diem

$9K

27 claims · 0.0%

Your Cost: $350.00/claim|Median: $259.38
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$8K

117 claims · 0.0%

Your Cost: $72.04/claim|Median: $63.65
1.1× median
Q3014Normal range

Telehealth originating site facility fee

$3K

223 claims · 0.0%

Your Cost: $15.47/claim|Median: $15.37
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$1K

54 claims · 0.0%

Your Cost: $24.77/claim|Median: $25.06
1.0× median
90839Normal range

Psychotherapy for crisis, first 60 min

$194

35 claims · 0.0%

Your Cost: $5.55/claim|Median: $83.98
0.1× median