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SOUTHEASTERN BEHAVIORAL HEALTHCARE

Clinic/Center, Mental Health (Including Community Mental Health Center)·SIOUX FALLS, SD·NPI: 1114002573Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.2M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$59.2M

$59,160,120

Total Claims

276K

Beneficiaries

109K

2.5 claims/patient

Avg Cost/Claim

$215

Monthly Spending Trend

Yearly Spending

2018
$8.0M
+5%
2019
$8.5M
-33%
2020
$5.7M
+62%
2021
$9.2M
-2%
2022
$9.0M
+1%
2023
$9.1M
+6%
2024
$9.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 45% of total spending.

T2016Top 10%

Habilitation, residential, waiver; per diem

$26.4M

5,961 claims · 44.6%

Your Cost: $4,428.52/claim|Median: $331.94
13.3× median
T2020Top 5%

Day habilitation, waiver; per diem

$7.7M

7,882 claims · 12.9%

Your Cost: $971.47/claim|Median: $87.34
11.1× median
H2016Normal range

Comprehensive community support services, per 15 min

$6.7M

87K claims · 11.4%

Your Cost: $77.05/claim|Median: $321.53
0.2× median
H2021Normal range

Community-based wrap-around services, per 15 min

$5.2M

82K claims · 8.8%

Your Cost: $63.28/claim|Median: $169.11
0.4× median
H0039Normal range

Assertive community treatment, per diem

$3.6M

45K claims · 6.1%

Your Cost: $79.33/claim|Median: $132.62
0.6× median
T2031Normal range

Waiver services, not otherwise specified

$2.9M

2,206 claims · 4.9%

Your Cost: $1,313.76/claim|Median: $853.15
1.5× median
S0281Top 5%

$2.7M

5,020 claims · 4.6%

Your Cost: $542.19/claim|Median: $92.97
5.8× median
90863Top 5%

$1.2M

7,962 claims · 2.0%

Your Cost: $150.98/claim|Median: $29.71
5.1× median
T2025Normal range

Waiver services, NOS; per 15 min

$517K

5,038 claims · 0.9%

Your Cost: $102.52/claim|Median: $124.39
0.8× median
T2014Normal range

Habilitation, prevocational, waiver, per hour

$419K

5,022 claims · 0.7%

Your Cost: $83.52/claim|Median: $74.75
1.1× median
90832Top 25%

Psychotherapy, 30 minutes

$412K

5,141 claims · 0.7%

Your Cost: $80.16/claim|Median: $41.28
1.9× median
T2018Top 10%

$331K

964 claims · 0.6%

Your Cost: $343.43/claim|Median: $117.28
2.9× median
T2028Normal range

Specialized supply, NOS; per unit

$318K

5,048 claims · 0.5%

Your Cost: $63.05/claim|Median: $79.30
0.8× median
H2012Top 25%

Behavioral health day treatment, per hour

$238K

1,146 claims · 0.4%

Your Cost: $207.41/claim|Median: $137.86
1.5× median
W0037Top 10%

$194K

3,112 claims · 0.3%

Your Cost: $62.36/claim|Median: $3.00
20.8× median
99214Normal range

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

$93K

2,622 claims · 0.2%

Your Cost: $35.35/claim|Median: $53.41
0.7× median
90791Top 10%

Psychiatric diagnostic evaluation

$80K

393 claims · 0.1%

Your Cost: $202.59/claim|Median: $99.21
2.0× median
90853Top 25%

Group psychotherapy

$71K

1,284 claims · 0.1%

Your Cost: $54.95/claim|Median: $25.02
2.2× median
99412Top 25%

$44K

648 claims · 0.1%

Your Cost: $67.66/claim|Median: $34.41
2.0× median
99213Normal range

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

$25K

986 claims · 0.0%

Your Cost: $25.67/claim|Median: $37.81
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$2K

46 claims · 0.0%

Your Cost: $36.46/claim|Median: $74.09
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

12 claims · 0.0%

Your Cost: $130.00/claim|Median: $108.91
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$63

44 claims · 0.0%

Your Cost: $1.42/claim|Median: $85.66
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65

Other Top Providers in South Dakota

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South Dakota Achieve

Clinic/Center Developmental Disabilities

$166.9M

Black Hills Works INC

Day Training Developmentally Disabled Services

$149.6M

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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