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ACHIEVEMENT CENTER OF LECOM HEALTH

Community/Behavioral Health·ERIE, PA·NPI: 1124181953Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$39.0M

$39,012,118

Total Claims

259K

Beneficiaries

83K

3.1 claims/patient

Avg Cost/Claim

$151

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-16%
2019
$944K
+158%
2020
$2.4M
+231%
2021
$8.1M
-3%
2022
$7.8M
+22%
2023
$9.5M
-3%
2024
$9.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 23% of total spending.

H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$8.8M

33K claims · 22.7%

Your Cost: $268.62/claim|Median: $74.63
3.6× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$6.3M

35K claims · 16.2%

Your Cost: $181.97/claim|Median: $167.38
1.1× median
T1017Normal range

Targeted case management, per 15 min

$3.9M

35K claims · 9.9%

Your Cost: $111.90/claim|Median: $69.56
1.6× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$3.5M

21K claims · 9.1%

Your Cost: $166.24/claim|Median: $146.45
1.1× median
90834Top 10%

Psychotherapy, 45 minutes

$2.6M

22K claims · 6.6%

Your Cost: $116.71/claim|Median: $63.65
1.8× median
97530Top 5%

Therapeutic activities, each 15 min

$1.8M

13K claims · 4.6%

Your Cost: $134.52/claim|Median: $33.11
4.1× median
92507Top 5%

Speech/hearing/language treatment

$1.7M

13K claims · 4.5%

Your Cost: $132.36/claim|Median: $49.45
2.7× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$1.6M

15K claims · 4.0%

Your Cost: $102.66/claim|Median: $84.12
1.2× median
H0032Normal range

Mental health service plan development

$1.5M

12K claims · 3.8%

Your Cost: $117.55/claim|Median: $80.64
1.5× median
97110Top 1%

Therapeutic exercises, each 15 min

$1.4M

10K claims · 3.6%

Your Cost: $137.02/claim|Median: $24.49
5.6× median
97151Normal range

Behavior identification assessment

$1.2M

6,845 claims · 3.1%

Your Cost: $176.78/claim|Median: $161.10
1.1× median
T1016Top 25%

Case management, each 15 min

$1.2M

8,733 claims · 3.0%

Your Cost: $133.87/claim|Median: $49.62
2.7× median
H2021Normal range

Community-based wrap-around services, per 15 min

$568K

5,400 claims · 1.5%

Your Cost: $105.20/claim|Median: $169.11
0.6× median
99211Top 5%

Office/outpatient visit, minimal complexity

$552K

4,971 claims · 1.4%

Your Cost: $111.03/claim|Median: $12.93
8.6× median
90837Top 10%

Psychotherapy, 60 minutes

$470K

3,323 claims · 1.2%

Your Cost: $141.36/claim|Median: $85.66
1.7× median
97156Normal range

$327K

3,114 claims · 0.8%

Your Cost: $105.10/claim|Median: $88.65
1.2× median
99213Top 5%

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

$294K

2,620 claims · 0.8%

Your Cost: $112.32/claim|Median: $37.81
3.0× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$245K

728 claims · 0.6%

Your Cost: $336.90/claim|Median: $108.91
3.1× median
H0046Normal range

Mental health services, not otherwise specified

$228K

4,120 claims · 0.6%

Your Cost: $55.35/claim|Median: $85.02
0.7× median
90832Top 25%

Psychotherapy, 30 minutes

$218K

3,586 claims · 0.6%

Your Cost: $60.77/claim|Median: $41.28
1.5× median
90847Top 25%

Family psychotherapy with patient, 50 min

$201K

1,979 claims · 0.5%

Your Cost: $101.40/claim|Median: $77.33
1.3× median
99214Top 1%

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

$149K

785 claims · 0.4%

Your Cost: $190.05/claim|Median: $53.41
3.6× median
96131Normal range

Psychological testing evaluation, each additional hour

$107K

535 claims · 0.3%

Your Cost: $200.79/claim|Median: $133.38
1.5× median
90791Top 10%

Psychiatric diagnostic evaluation

$69K

336 claims · 0.2%

Your Cost: $206.60/claim|Median: $99.21
2.1× median
H0031Normal range

Mental health assessment by non-physician

$41K

734 claims · 0.1%

Your Cost: $56.39/claim|Median: $96.18
0.6× median
96130Normal range

Psychological testing evaluation by professional, first hour

$35K

471 claims · 0.1%

Your Cost: $74.12/claim|Median: $79.21
0.9× median
90846Normal range

Family psychotherapy without patient, 50 min

$25K

369 claims · 0.1%

Your Cost: $68.95/claim|Median: $76.61
0.9× median
90853Top 25%

Group psychotherapy

$5K

105 claims · 0.0%

Your Cost: $44.74/claim|Median: $25.02
1.8× median

Other Top Providers in Pennsylvania

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Zoll Services LLC

Durable Medical Equipment & Medical Supplies

$504.0M

Commonwealth of Pennsylvania Department of Education

Local Education Agency (LEA)

$326.0M

Excel Copmanion Care INC

Home Health

$308.4M

Childrens Hospital of Philadelphia

General Acute Care Hospital Children

$286.9M

Procare Pharmacy Direct, Llc.

Pharmacy, Community/Retail Pharmacy

$227.3M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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