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EASTERN PANHANDLE MENTAL HEALTH CENTER (WAIVER)

Community/Behavioral Health·MARTINSBURG, WV·NPI: 1093135584Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.7M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$28.7M

$28,719,580

Total Claims

499K

Beneficiaries

36K

13.8 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$4.3M
+5%
2019
$4.5M
-0%
2020
$4.5M
-0%
2021
$4.5M
+0%
2022
$4.5M
-19%
2023
$3.6M
-28%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 67% of total spending.

S5125Normal range

Attendant care services, per 15 min

$19.2M

282K claims · 66.8%

Your Cost: $67.98/claim|Median: $82.34
0.8× median
T2021Normal range

Day habilitation, waiver; per 15 min

$5.3M

144K claims · 18.4%

Your Cost: $36.67/claim|Median: $150.51
0.2× median
G9002Top 25%

Coordinated care fee, maintenance period

$1.0M

4,929 claims · 3.5%

Your Cost: $206.47/claim|Median: $108.80
1.9× median
T1016Top 25%

Case management, each 15 min

$885K

4,890 claims · 3.1%

Your Cost: $181.03/claim|Median: $49.62
3.6× median
T1002Top 25%

RN services, per 15 minutes

$556K

3,814 claims · 1.9%

Your Cost: $145.83/claim|Median: $37.42
3.9× median
A0160Top 5%

$516K

3,766 claims · 1.8%

Your Cost: $137.12/claim|Median: $12.60
10.9× median
A0120Normal range

Non-emergency mini-bus transport

$492K

32K claims · 1.7%

Your Cost: $15.28/claim|Median: $16.09
0.9× median
T1003Normal range

LPN/LVN services, per 15 minutes

$366K

21K claims · 1.3%

Your Cost: $17.58/claim|Median: $24.24
0.7× median
T1005Top 1%

Respite care services, per 15 minutes

$251K

226 claims · 0.9%

Your Cost: $1,111.71/claim|Median: $71.40
15.6× median
T2024Normal range

Supported employment, waiver, per diem

$177K

2,762 claims · 0.6%

Your Cost: $64.16/claim|Median: $259.38
0.2× median