Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

MADISON RANKIN SIMPSON MENTAL HEALTH

Clinic/Center, Mental Health (Including Community Mental Health Center)·BRANDON, MS·NPI: 1063428761Share

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 $110.5M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$110.5M

$110,479,534

Total Claims

1.5M

Beneficiaries

619K

2.4 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$16.9M
-6%
2019
$15.9M
-4%
2020
$15.3M
+3%
2021
$15.7M
+3%
2022
$16.2M
+1%
2023
$16.4M
-13%
2024
$14.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (H2012 (Behavioral health day treatment, per hour)) accounts for 22% of total spending.

H2012Normal range

Behavioral health day treatment, per hour

$24.8M

228K claims · 22.5%

Your Cost: $109.05/claim|Median: $137.86
0.8× median
90837Top 25%

Psychotherapy, 60 minutes

$23.6M

226K claims · 21.4%

Your Cost: $104.26/claim|Median: $85.66
1.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$11.3M

165K claims · 10.3%

Your Cost: $68.55/claim|Median: $91.63
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$9.7M

142K claims · 8.8%

Your Cost: $68.31/claim|Median: $96.24
0.7× median
H2030Normal range

Mental health clubhouse services, per 15 minutes

$8.6M

132K claims · 7.8%

Your Cost: $65.36/claim|Median: $73.58
0.9× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$7.1M

115K claims · 6.4%

Your Cost: $61.78/claim|Median: $76.05
0.8× median
T1002Normal range

RN services, per 15 minutes

$5.6M

164K claims · 5.0%

Your Cost: $34.07/claim|Median: $37.42
0.9× median
90846Normal range

Family psychotherapy without patient, 50 min

$3.2M

39K claims · 2.9%

Your Cost: $80.30/claim|Median: $76.61
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$2.9M

35K claims · 2.6%

Your Cost: $81.89/claim|Median: $77.33
1.1× median
99213Normal range

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

$2.6M

55K claims · 2.4%

Your Cost: $48.02/claim|Median: $37.81
1.3× median
H0018Normal range

Behavioral health; short-term residential, per diem

$1.6M

4,023 claims · 1.4%

Your Cost: $389.70/claim|Median: $467.51
0.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.5M

13K claims · 1.4%

Your Cost: $116.05/claim|Median: $215.80
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$1.3M

42K claims · 1.2%

Your Cost: $30.32/claim|Median: $25.06
1.2× median
H0031Normal range

Mental health assessment by non-physician

$1.0M

12K claims · 0.9%

Your Cost: $88.90/claim|Median: $96.18
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$843K

12K claims · 0.8%

Your Cost: $70.17/claim|Median: $63.65
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$818K

15K claims · 0.7%

Your Cost: $53.99/claim|Median: $41.28
1.3× median
99214Normal range

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

$770K

10K claims · 0.7%

Your Cost: $73.47/claim|Median: $53.41
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$691K

5,748 claims · 0.6%

Your Cost: $120.21/claim|Median: $108.91
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$446K

4,003 claims · 0.4%

Your Cost: $111.41/claim|Median: $99.21
1.1× median
T2048Normal range

Behavioral health; long-term residential, per diem

$394K

915 claims · 0.4%

Your Cost: $430.83/claim|Median: $1,437.23
0.3× median
H0039Normal range

Assertive community treatment, per diem

$389K

3,105 claims · 0.4%

Your Cost: $125.32/claim|Median: $132.62
0.9× median
J0401Normal range

$303K

246 claims · 0.3%

Your Cost: $1,230.33/claim|Median: $714.38
1.7× median
90853Normal range

Group psychotherapy

$275K

16K claims · 0.2%

Your Cost: $16.73/claim|Median: $25.02
0.7× median
T1017Normal range

Targeted case management, per 15 min

$206K

9,583 claims · 0.2%

Your Cost: $21.46/claim|Median: $69.56
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$172K

14K claims · 0.2%

Your Cost: $11.99/claim|Median: $9.56
1.3× median
J2426Top 25%

$143K

82 claims · 0.1%

Your Cost: $1,747.81/claim|Median: $625.59
2.8× median
99215Normal range

Office/outpatient visit, high complexity

$117K

1,171 claims · 0.1%

Your Cost: $100.11/claim|Median: $74.09
1.4× median
99203Normal range

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

$57K

751 claims · 0.1%

Your Cost: $75.76/claim|Median: $57.85
1.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$32K

1,113 claims · 0.0%

Your Cost: $28.33/claim|Median: $55.04
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$27K

489 claims · 0.0%

Your Cost: $55.00/claim|Median: $40.11
1.4× median
J1631Top 5%

$20K

419 claims · 0.0%

Your Cost: $47.66/claim|Median: $15.34
3.1× median
99204Normal range

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

$19K

179 claims · 0.0%

Your Cost: $108.11/claim|Median: $84.03
1.3× median
90785Top 25%

$15K

1,293 claims · 0.0%

Your Cost: $11.30/claim|Median: $6.43
1.8× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$511

14 claims · 0.0%

Your Cost: $36.47/claim|Median: $27.38
1.3× median