Is FAMILY COUNSELING SERVICE OF AURORA flagged for Medicaid fraud?

FAMILY COUNSELING SERVICE OF AURORA (NPI: 1063591303) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does FAMILY COUNSELING SERVICE OF AURORA bill Medicaid?

FAMILY COUNSELING SERVICE OF AURORA received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Mental Health (Including Community Mental Health Center) provider. Located in AURORA, IL.

What is NPI 1063591303?

NPI 1063591303 is the National Provider Identifier for FAMILY COUNSELING SERVICE OF AURORA. They are a Clinic/Center, Mental Health (Including Community Mental Health Center) provider based in AURORA, IL. This NPI is registered with the CMS NPI Registry.

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FAMILY COUNSELING SERVICE OF AURORA

Clinic/Center, Mental Health (Including Community Mental Health Center)·AURORA, IL·NPI: 1063591303Share

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 $25.7M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.7M

$25,661,437

Total Claims

279K

Beneficiaries

110K

2.5 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018

$1.4M

+233%

2019

$4.7M

+5%

2020

$4.9M

-35%

2021

$3.2M

+27%

2022

$4.1M

-4%

2023

$3.9M

-13%

2024

$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 74% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$19.1M

184K claims

$104.13

$74.63

1.4×

Top 25%

H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$19.1M

184K claims · 74.5%

Your Cost: $104.13/claim|Median: $74.63

1.4× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$4.2M

40K claims

$103.88

$114.71

0.9×

Normal range

H2000Normal range

Comprehensive multidisciplinary evaluation

$4.2M

40K claims · 16.2%

Your Cost: $103.88/claim|Median: $114.71

0.9× median

H2015Comprehensive community support services, per 15 minSee all providers →

$861K

14K claims

$60.61

$96.24

0.6×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$861K

14K claims · 3.4%

Your Cost: $60.61/claim|Median: $96.24

0.6× median

H2010Comprehensive medication services, per 15 minSee all providers →

$861K

25K claims

$34.06

$62.69

0.5×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$861K

25K claims · 3.4%

Your Cost: $34.06/claim|Median: $62.69

0.5× median

T1016Case management, each 15 minSee all providers →

$465K

14K claims

$34.45

$49.62

0.7×

Normal range

T1016Normal range

Case management, each 15 min

$465K

14K claims · 1.8%

Your Cost: $34.45/claim|Median: $49.62

0.7× median

H0031Mental health assessment by non-physicianSee all providers →

$104K

1,264 claims

$81.93

$96.18

0.9×

Normal range

H0031Normal range

Mental health assessment by non-physician

$104K

1,264 claims · 0.4%

Your Cost: $81.93/claim|Median: $96.18

0.9× median

H0032Mental health service plan developmentSee all providers →

$51K

757 claims

$67.60

$80.64

0.8×

Normal range

H0032Normal range

Mental health service plan development

$51K

757 claims · 0.2%

Your Cost: $67.60/claim|Median: $80.64

0.8× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$22K

109 claims

$202.84

$215.80

0.9×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$22K

109 claims · 0.1%

Your Cost: $202.84/claim|Median: $215.80

0.9× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$13K

158 claims

$80.85

$108.91

0.7×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$13K

158 claims · 0.0%

Your Cost: $80.85/claim|Median: $108.91

0.7× median

H0002Behavioral health screeningSee all providers →

$9K

203 claims

$42.29

$38.77

1.1×

Normal range

H0002Normal range

Behavioral health screening

$9K

203 claims · 0.0%

Your Cost: $42.29/claim|Median: $38.77

1.1× median

H0034Medication training and management, per 15 minSee all providers →

$4K

175 claims

$21.62

$56.90

0.4×

Normal range

H0034Normal range

Medication training and management, per 15 min

$4K

175 claims · 0.0%

Your Cost: $21.62/claim|Median: $56.90

0.4× median

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