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DEKALB COMMUNITY SERVICE BOARD

Community/Behavioral Health·DECATUR, GA·NPI: 1073686978Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$38.8M

$38,783,944

Total Claims

444K

Beneficiaries

155K

2.9 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2018
$7.8M
-1%
2019
$7.8M
-30%
2020
$5.4M
-9%
2021
$4.9M
+4%
2022
$5.1M
-15%
2023
$4.3M
-19%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (T2033 (Residential care, NOS; per diem)) accounts for 31% of total spending.

T2033Normal range

Residential care, NOS; per diem

$12.1M

53K claims · 31.3%

Your Cost: $229.75/claim|Median: $1,051.57
0.2× median
T2025Normal range

Waiver services, NOS; per 15 min

$10.2M

150K claims · 26.3%

Your Cost: $68.07/claim|Median: $124.39
0.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$3.8M

59K claims · 9.8%

Your Cost: $64.33/claim|Median: $91.63
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$1.4M

15K claims · 3.7%

Your Cost: $95.33/claim|Median: $85.66
1.1× median
99214Top 25%

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

$1.4M

17K claims · 3.7%

Your Cost: $81.52/claim|Median: $53.41
1.5× median
H0031Normal range

Mental health assessment by non-physician

$1.2M

13K claims · 3.1%

Your Cost: $92.96/claim|Median: $96.18
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$1.1M

17K claims · 2.9%

Your Cost: $65.97/claim|Median: $55.04
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$1.1M

15K claims · 2.8%

Your Cost: $71.96/claim|Median: $63.65
1.1× median
T1016Normal range

Case management, each 15 min

$1.1M

18K claims · 2.8%

Your Cost: $61.06/claim|Median: $49.62
1.2× median
H0032Normal range

Mental health service plan development

$950K

11K claims · 2.5%

Your Cost: $87.28/claim|Median: $80.64
1.1× median
90833Top 25%

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

$923K

14K claims · 2.4%

Your Cost: $67.61/claim|Median: $38.83
1.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$866K

6,693 claims · 2.2%

Your Cost: $129.44/claim|Median: $108.91
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$661K

16K claims · 1.7%

Your Cost: $40.70/claim|Median: $41.28
1.0× median
99213Top 25%

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

$555K

9,418 claims · 1.4%

Your Cost: $58.94/claim|Median: $37.81
1.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$237K

4,592 claims · 0.6%

Your Cost: $51.69/claim|Median: $96.24
0.5× median
T1002Normal range

RN services, per 15 minutes

$218K

3,408 claims · 0.6%

Your Cost: $63.87/claim|Median: $37.42
1.7× median
T1001Normal range

Nursing assessment/evaluation, per visit

$192K

3,206 claims · 0.5%

Your Cost: $60.02/claim|Median: $49.05
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$178K

8,470 claims · 0.5%

Your Cost: $21.07/claim|Median: $9.56
2.2× median
99215Top 10%

Office/outpatient visit, high complexity

$168K

1,066 claims · 0.4%

Your Cost: $158.01/claim|Median: $74.09
2.1× median
99212Top 25%

Office/outpatient visit, low complexity

$123K

2,805 claims · 0.3%

Your Cost: $43.90/claim|Median: $25.06
1.8× median
T2028Normal range

Specialized supply, NOS; per unit

$53K

549 claims · 0.1%

Your Cost: $95.86/claim|Median: $79.30
1.2× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$49K

1,040 claims · 0.1%

Your Cost: $47.38/claim|Median: $137.32
0.3× median
T1003Normal range

LPN/LVN services, per 15 minutes

$46K

474 claims · 0.1%

Your Cost: $96.31/claim|Median: $24.24
4.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$38K

628 claims · 0.1%

Your Cost: $59.81/claim|Median: $77.33
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$21K

923 claims · 0.1%

Your Cost: $22.45/claim|Median: $74.63
0.3× median
90846Normal range

Family psychotherapy without patient, 50 min

$16K

323 claims · 0.0%

Your Cost: $49.43/claim|Median: $76.61
0.6× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$6K

671 claims · 0.0%

Your Cost: $9.58/claim|Median: $100.49
0.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$4K

61 claims · 0.0%

Your Cost: $71.67/claim|Median: $35.30
2.0× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$4K

15 claims · 0.0%

Your Cost: $247.21/claim|Median: $111.09
2.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$4K

78 claims · 0.0%

Your Cost: $45.80/claim|Median: $23.99
1.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

282 claims · 0.0%

Your Cost: $11.98/claim|Median: $12.93
0.9× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$2K

351 claims · 0.0%

Your Cost: $5.43/claim|Median: $129.75
0.0× median
90785Normal range

$302

754 claims · 0.0%

Your Cost: $0.40/claim|Median: $6.43
0.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$165

20 claims · 0.0%

Your Cost: $8.26/claim|Median: $3.67
2.3× median
90791Normal range

Psychiatric diagnostic evaluation

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21