Is THE JOSSELYN CENTER NFP flagged for Medicaid fraud?

THE JOSSELYN CENTER NFP (NPI: 1073548640) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does THE JOSSELYN CENTER NFP bill Medicaid?

THE JOSSELYN CENTER NFP 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 NORTHBROOK, IL.

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THE JOSSELYN CENTER NFP

Clinic/Center, Mental Health (Including Community Mental Health Center)·NORTHBROOK, IL·NPI: 1073548640Share

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 $41.7M 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

$41.7M

$41,711,532

Total Claims

460K

Beneficiaries

180K

2.6 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018

$979K

+103%

2019

$2.0M

+26%

2020

$2.5M

+44%

2021

$3.6M

+133%

2022

$8.4M

+47%

2023

$12.3M

-2%

2024

$12.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 73% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$30.3M

273K claims

$110.97

$74.63

1.5×

Top 25%

H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$30.3M

273K claims · 72.7%

Your Cost: $110.97/claim|Median: $74.63

1.5× median

T1016Case management, each 15 minSee all providers →

$4.2M

91K claims

$45.57

$49.62

0.9×

Normal range

T1016Normal range

Case management, each 15 min

$4.2M

91K claims · 10.0%

Your Cost: $45.57/claim|Median: $49.62

0.9× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$4.1M

48K claims

$84.38

$114.71

0.7×

Normal range

H2000Normal range

Comprehensive multidisciplinary evaluation

$4.1M

48K claims · 9.7%

Your Cost: $84.38/claim|Median: $114.71

0.7× median

H2015Comprehensive community support services, per 15 minSee all providers →

$2.1M

20K claims

$100.39

$96.24

1.0×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$2.1M

20K claims · 4.9%

Your Cost: $100.39/claim|Median: $96.24

1.0× median

Q3014Telehealth originating site facility feeSee all providers →

$436K

18K claims

$23.79

$15.37

1.5×

Top 25%

Q3014Top 25%

Telehealth originating site facility fee

$436K

18K claims · 1.0%

Your Cost: $23.79/claim|Median: $15.37

1.5× median

H2010Comprehensive medication services, per 15 minSee all providers →

$244K

4,792 claims

$50.89

$62.69

0.8×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$244K

4,792 claims · 0.6%

Your Cost: $50.89/claim|Median: $62.69

0.8× median

S9480Intensive outpatient psychiatric services, per diemSee all providers →

$191K

1,078 claims

$176.83

$135.70

1.3×

Normal range

S9480Normal range

Intensive outpatient psychiatric services, per diem

$191K

1,078 claims · 0.5%

Your Cost: $176.83/claim|Median: $135.70

1.3× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$154K

1,201 claims

$128.31

$215.80

0.6×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$154K

1,201 claims · 0.4%

Your Cost: $128.31/claim|Median: $215.80

0.6× median

H0031Mental health assessment by non-physicianSee all providers →

$45K

673 claims

$67.48

$96.18

0.7×

Normal range

H0031Normal range

Mental health assessment by non-physician

$45K

673 claims · 0.1%

Your Cost: $67.48/claim|Median: $96.18

0.7× median

H0002Behavioral health screeningSee all providers →

$13K

316 claims

$41.68

$38.77

1.1×

Normal range

H0002Normal range

Behavioral health screening

$13K

316 claims · 0.0%

Your Cost: $41.68/claim|Median: $38.77

1.1× median

H0032Mental health service plan developmentSee all providers →

$9K

343 claims

$25.88

$80.64

0.3×

Normal range

H0032Normal range

Mental health service plan development

$9K

343 claims · 0.0%

Your Cost: $25.88/claim|Median: $80.64

0.3× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$7K

238 claims

$28.84

$53.41

0.5×

Normal range

99214Normal range

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

$7K

238 claims · 0.0%

Your Cost: $28.84/claim|Median: $53.41

0.5× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$2K

25 claims

$89.60

$108.91

0.8×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

25 claims · 0.0%

Your Cost: $89.60/claim|Median: $108.91

0.8× median

T1502Administration of oral, intramuscular, or subcutaneous medicationSee all providers →

$2K

137 claims

$11.14

$7.86

1.4×

Normal range

T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$2K

137 claims · 0.0%

Your Cost: $11.14/claim|Median: $7.86

1.4× median

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$6.78B

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$195.1M

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$153.3M

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