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

Integrated Services for Behavioral Health

Social Worker, Clinical·Nelsonville, OH·NPI: 1073578431Share

Compared to Social Worker, Clinical Peers

Total spending distribution among 34 providers in this specialty

P25MedianP75P90

This provider's total spending of $131.8M is at the 90th percentile among 34 Social Worker, Clinical providers.

Above 90th percentile for this specialty — higher spending than 30 of 34 peers

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

Total Paid

$131.8M

$131,807,194

Total Claims

1.3M

Beneficiaries

550K

2.3 claims/patient

Avg Cost/Claim

$102

#872 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Integrated Services for Behavioral Health is a Social Worker, Clinical provider based in Nelsonville, OH. From the 2018–2024 period, this provider received $131.8M in Medicaid payments across 1.3M claims.

Why This Matters

This provider received $131.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,475 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 52% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$15.7M
+4%
2019
$16.3M
+4%
2020
$17.0M
-1%
2021
$16.8M
+12%
2022
$18.9M
+23%
2023
$23.3M
+2%
2024
$23.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 68% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$89.5M

778K claims · 67.9%

Your Cost: $115.10/claim|Median: $84.12
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$17.9M

183K claims · 13.6%

Your Cost: $98.00/claim|Median: $85.66
1.1× median
T2022Top 10%

Case management, per month

$6.6M

13K claims · 5.0%

Your Cost: $496.09/claim|Median: $202.77
2.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$3.6M

43K claims · 2.7%

Your Cost: $84.87/claim|Median: $91.63
0.9× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$3.1M

61K claims · 2.4%

Your Cost: $51.03/claim|Median: $76.05
0.7× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$2.9M

16K claims · 2.2%

Your Cost: $183.43/claim|Median: $144.05
1.3× median
99214Top 10%

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

$2.9M

28K claims · 2.2%

Your Cost: $105.91/claim|Median: $53.41
2.0× median
99213Top 25%

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

$1.0M

15K claims · 0.8%

Your Cost: $69.62/claim|Median: $37.81
1.8× median
90832Normal range

Psychotherapy, 30 minutes

$748K

15K claims · 0.6%

Your Cost: $51.24/claim|Median: $41.28
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$665K

10K claims · 0.5%

Your Cost: $68.27/claim|Median: $63.65
1.1× median
99354Normal range

$660K

9K claims · 0.5%

Your Cost: $70.97/claim|Median: $54.96
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$655K

6K claims · 0.5%

Your Cost: $103.30/claim|Median: $99.21
1.0× median
T2023Top 10%

Community transition, waiver; per service

$386K

396 claims · 0.3%

Your Cost: $974.53/claim|Median: $300.13
3.3× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$240K

1K claims · 0.2%

Your Cost: $197.32/claim|Median: $111.09
1.8× median
90785Top 25%

$220K

20K claims · 0.2%

Your Cost: $11.14/claim|Median: $6.43
1.7× median
99204Top 10%

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

$167K

1K claims · 0.1%

Your Cost: $151.28/claim|Median: $84.03
1.8× median
99215Top 10%

Office/outpatient visit, high complexity

$118K

801 claims · 0.1%

Your Cost: $146.80/claim|Median: $74.09
2.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$79K

1K claims · 0.1%

Your Cost: $76.61/claim|Median: $77.33
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$68K

896 claims · 0.1%

Your Cost: $76.08/claim|Median: $76.61
1.0× median
99355Top 25%

$43K

491 claims · 0.0%

Your Cost: $88.59/claim|Median: $55.81
1.6× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$42K

265 claims · 0.0%

Your Cost: $158.01/claim|Median: $114.71
1.4× median
99203Top 25%

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

$32K

383 claims · 0.0%

Your Cost: $84.00/claim|Median: $57.85
1.4× median
99406Normal range

$26K

4K claims · 0.0%

Your Cost: $7.24/claim|Median: $6.53
1.1× median
90853Normal range

Group psychotherapy

$19K

788 claims · 0.0%

Your Cost: $24.62/claim|Median: $25.02
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$10K

299 claims · 0.0%

Your Cost: $35.08/claim|Median: $25.06
1.4× median
H2012Normal range

Behavioral health day treatment, per hour

$3K

60 claims · 0.0%

Your Cost: $56.62/claim|Median: $137.86
0.4× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$3K

35 claims · 0.0%

Your Cost: $92.44/claim|Median: $72.96
1.3× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$1K

22 claims · 0.0%

Your Cost: $65.37/claim|Median: $38.83
1.7× median
G9007Normal range

$0

1K claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44
G9009Normal range

$0

2K claims · 0.0%

Your Cost: $0.00/claim|Median: $345.34

Other Top Providers in Ohio

View all →

The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

Similar Providers

Other top providers in Social Worker, Clinical

Childrens Hospital of the Kings Daughters INC

Norfolk, VA

$288.2M

Department of Behavioral Health

Fresno, CA

$166.3M

← All providersAll providers in Ohio →How we detect fraud →