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SUS MENTAL HEALTH PROGRAMS, INC.

Community/Behavioral Health·BROOKLYN, NY·NPI: 1053696195Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.3M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$36.3M

$36,312,646

Total Claims

201K

Beneficiaries

60K

3.3 claims/patient

Avg Cost/Claim

$181

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+36%
2019
$3.3M
+92%
2020
$6.4M
+28%
2021
$8.2M
-12%
2022
$7.2M
-19%
2023
$5.9M
-51%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (T2034 (Crisis intervention, per 15 min)) accounts for 22% of total spending.

T2034Normal range

Crisis intervention, per 15 min

$8.2M

14K claims · 22.5%

Your Cost: $584.84/claim|Median: $254.45
2.3× median
90832Top 5%

Psychotherapy, 30 minutes

$7.1M

55K claims · 19.6%

Your Cost: $129.38/claim|Median: $41.28
3.1× median
T1040Normal range

Medicaid certified CCBHC services

$6.2M

47K claims · 17.1%

Your Cost: $132.46/claim|Median: $130.29
1.0× median
H0040Top 10%

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

$4.1M

2,226 claims · 11.3%

Your Cost: $1,844.28/claim|Median: $266.41
6.9× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$2.8M

23K claims · 7.8%

Your Cost: $122.24/claim|Median: $91.63
1.3× median
99213Top 5%

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

$2.8M

22K claims · 7.7%

Your Cost: $125.61/claim|Median: $37.81
3.3× median
90834Top 5%

Psychotherapy, 45 minutes

$1.7M

12K claims · 4.7%

Your Cost: $146.48/claim|Median: $63.65
2.3× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$813K

6,166 claims · 2.2%

Your Cost: $131.78/claim|Median: $55.04
2.4× median
G0396Top 5%

Alcohol/substance abuse structured assessment, 15-30 minutes

$771K

5,848 claims · 2.1%

Your Cost: $131.86/claim|Median: $40.58
3.2× median
T1016Top 25%

Case management, each 15 min

$589K

4,260 claims · 1.6%

Your Cost: $138.26/claim|Median: $49.62
2.8× median
T1502Top 5%

Administration of oral, intramuscular, or subcutaneous medication

$431K

3,637 claims · 1.2%

Your Cost: $118.62/claim|Median: $7.86
15.1× median
90791Top 25%

Psychiatric diagnostic evaluation

$307K

1,964 claims · 0.8%

Your Cost: $156.10/claim|Median: $99.21
1.6× median
99402Top 1%

$210K

1,463 claims · 0.6%

Your Cost: $143.54/claim|Median: $31.79
4.5× median
99401Top 1%

$81K

635 claims · 0.2%

Your Cost: $127.55/claim|Median: $16.53
7.7× median
90853Top 5%

Group psychotherapy

$45K

328 claims · 0.1%

Your Cost: $137.51/claim|Median: $25.02
5.5× median
H2010Normal range

Comprehensive medication services, per 15 min

$35K

265 claims · 0.1%

Your Cost: $133.40/claim|Median: $62.69
2.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$33K

241 claims · 0.1%

Your Cost: $134.90/claim|Median: $215.80
0.6× median
99214Top 25%

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

$21K

236 claims · 0.1%

Your Cost: $88.46/claim|Median: $53.41
1.7× median
99412Top 5%

$16K

112 claims · 0.0%

Your Cost: $141.31/claim|Median: $34.41
4.1× median
90836Top 25%

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

$7K

79 claims · 0.0%

Your Cost: $92.79/claim|Median: $56.18
1.7× median

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