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PHOENIX GROUP HOME, LLC

Community/Behavioral Health·PORTSMOUTH, OH·NPI: 1083146013Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $99.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$99.0M

$98,988,530

Total Claims

934K

Beneficiaries

428K

2.2 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+29%
2019
$4.5M
+91%
2020
$8.5M
+54%
2021
$13.1M
+46%
2022
$19.1M
+23%
2023
$23.5M
+14%
2024
$26.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (H0036 (Community psychiatric supportive treatment, per 15 min)) accounts for 32% of total spending.

H0036Normal range

Community psychiatric supportive treatment, per 15 min

$31.5M

317K claims · 31.8%

Your Cost: $99.41/claim|Median: $76.05
1.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$29.7M

241K claims · 30.0%

Your Cost: $123.26/claim|Median: $84.12
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$17.9M

179K claims · 18.1%

Your Cost: $100.01/claim|Median: $85.66
1.2× median
99214Top 5%

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

$6.3M

52K claims · 6.3%

Your Cost: $119.86/claim|Median: $53.41
2.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$5.5M

61K claims · 5.6%

Your Cost: $91.19/claim|Median: $91.63
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$3.3M

23K claims · 3.4%

Your Cost: $144.15/claim|Median: $74.09
1.9× median
99213Top 10%

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

$1.6M

21K claims · 1.7%

Your Cost: $78.61/claim|Median: $37.81
2.1× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$785K

3,745 claims · 0.8%

Your Cost: $209.60/claim|Median: $111.09
1.9× median
90832Normal range

Psychotherapy, 30 minutes

$572K

11K claims · 0.6%

Your Cost: $53.71/claim|Median: $41.28
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$562K

8,133 claims · 0.6%

Your Cost: $69.08/claim|Median: $63.65
1.1× median
99354Normal range

$346K

5,542 claims · 0.3%

Your Cost: $62.49/claim|Median: $54.96
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$328K

3,082 claims · 0.3%

Your Cost: $106.47/claim|Median: $99.21
1.1× median
99204Top 5%

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

$227K

1,264 claims · 0.2%

Your Cost: $179.31/claim|Median: $84.03
2.1× median
90846Normal range

Family psychotherapy without patient, 50 min

$156K

1,680 claims · 0.2%

Your Cost: $92.97/claim|Median: $76.61
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$37K

834 claims · 0.0%

Your Cost: $44.61/claim|Median: $25.06
1.8× median
90785Normal range

$26K

3,071 claims · 0.0%

Your Cost: $8.36/claim|Median: $6.43
1.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$15K

182 claims · 0.0%

Your Cost: $84.63/claim|Median: $77.33
1.1× median
90833Top 25%

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

$11K

194 claims · 0.0%

Your Cost: $58.98/claim|Median: $38.83
1.5× median
99415Normal range

$10K

1,003 claims · 0.0%

Your Cost: $9.67/claim|Median: $5.25
1.8× median
99203Top 10%

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

$8K

71 claims · 0.0%

Your Cost: $106.74/claim|Median: $57.85
1.8× median
99349Top 10%

$4K

59 claims · 0.0%

Your Cost: $73.70/claim|Median: $24.29
3.0× median
99355Normal range

$3K

232 claims · 0.0%

Your Cost: $14.71/claim|Median: $55.81
0.3× median
99350Top 25%

$3K

40 claims · 0.0%

Your Cost: $83.09/claim|Median: $35.62
2.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$299

24 claims · 0.0%

Your Cost: $12.48/claim|Median: $9.56
1.3× median
99344Normal range

$211

26 claims · 0.0%

Your Cost: $8.11/claim|Median: $50.43
0.2× median
99348Normal range

$195

80 claims · 0.0%

Your Cost: $2.43/claim|Median: $17.17
0.1× median
90875Normal range

$0

203 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.70

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