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AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.

Substance Abuse Rehabilitation Facility·SPOKANE, WA·NPI: 1073648374Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $60.5M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$60.5M

$60,543,120

Total Claims

93K

Beneficiaries

48K

1.9 claims/patient

Avg Cost/Claim

$653

Monthly Spending Trend

Yearly Spending

2018
$407K
+2136%
2019
$9.1M
+47%
2020
$13.4M
+3%
2021
$13.7M
-42%
2022
$8.0M
+47%
2023
$11.7M
-64%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 55% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$33.5M

28K claims · 55.4%

Your Cost: $1,198.44/claim|Median: $467.51
2.6× median
H0017Top 5%

$8.9M

1,119 claims · 14.7%

Your Cost: $7,960.62/claim|Median: $470.95
16.9× median
H0011Top 10%

Alcohol and/or drug services, acute detoxification, per diem

$6.3M

5,970 claims · 10.5%

Your Cost: $1,061.51/claim|Median: $317.54
3.3× median
S9485Top 1%

Crisis intervention mental health services, per diem

$5.0M

1,520 claims · 8.3%

Your Cost: $3,286.57/claim|Median: $501.33
6.6× median
H2036Normal range

Alcohol/drug treatment, per hour

$2.6M

17K claims · 4.2%

Your Cost: $146.15/claim|Median: $253.79
0.6× median
H0019Top 10%

Behavioral health; residential, per diem

$2.3M

627 claims · 3.7%

Your Cost: $3,609.41/claim|Median: $357.16
10.1× median
99214Top 25%

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

$561K

7,248 claims · 0.9%

Your Cost: $77.43/claim|Median: $53.41
1.4× median
99213Normal range

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

$474K

11K claims · 0.8%

Your Cost: $44.13/claim|Median: $37.81
1.2× median
96153Top 25%

Health/behavior intervention, group

$426K

8,306 claims · 0.7%

Your Cost: $51.28/claim|Median: $6.67
7.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$163K

1,645 claims · 0.3%

Your Cost: $99.32/claim|Median: $108.91
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$90K

3,378 claims · 0.1%

Your Cost: $26.60/claim|Median: $25.06
1.1× median
H0043Normal range

Supported housing, per diem

$64K

575 claims · 0.1%

Your Cost: $111.65/claim|Median: $164.87
0.7× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$53K

1,250 claims · 0.1%

Your Cost: $42.72/claim|Median: $15.54
2.7× median
H0001Normal range

Alcohol and/or drug assessment

$45K

654 claims · 0.1%

Your Cost: $68.88/claim|Median: $94.22
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$42K

1,496 claims · 0.1%

Your Cost: $28.20/claim|Median: $74.63
0.4× median
96164Normal range

$11K

1,592 claims · 0.0%

Your Cost: $6.71/claim|Median: $9.87
0.7× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$9K

16 claims · 0.0%

Your Cost: $550.37/claim|Median: $369.55
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$2K

26 claims · 0.0%

Your Cost: $76.61/claim|Median: $74.09
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

214 claims · 0.0%

Your Cost: $8.45/claim|Median: $12.93
0.7× median
H0046Normal range

Mental health services, not otherwise specified

$0

728 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.02
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$0

77 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.37

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