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OCTOBER ROAD INC.

Community/Behavioral Health·ASHEVILLE, NC·NPI: 1144375767Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.6M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$24.6M

$24,636,708

Total Claims

135K

Beneficiaries

36K

3.7 claims/patient

Avg Cost/Claim

$182

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+1%
2019
$2.0M
+36%
2020
$2.8M
+13%
2021
$3.1M
+9%
2022
$3.4M
+71%
2023
$5.8M
-3%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 80% of total spending.

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$19.7M

81K claims · 79.8%

Your Cost: $243.90/claim|Median: $266.41
0.9× median
H2035Top 10%

Alcohol and/or drug treatment, per hour

$2.2M

9,185 claims · 9.1%

Your Cost: $244.45/claim|Median: $94.63
2.6× median
H0015Normal range

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

$1.3M

9,971 claims · 5.3%

Your Cost: $131.85/claim|Median: $129.75
1.0× median
99213Normal range

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

$414K

12K claims · 1.7%

Your Cost: $35.19/claim|Median: $37.81
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$241K

6,622 claims · 1.0%

Your Cost: $36.34/claim|Median: $85.66
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$174K

2,301 claims · 0.7%

Your Cost: $75.52/claim|Median: $99.21
0.8× median
99443Normal range

Telephone E/M by physician, 21-30 min

$157K

2,597 claims · 0.6%

Your Cost: $60.62/claim|Median: $32.55
1.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$129K

2,607 claims · 0.5%

Your Cost: $49.47/claim|Median: $55.04
0.9× median
90853Normal range

Group psychotherapy

$127K

5,900 claims · 0.5%

Your Cost: $21.52/claim|Median: $25.02
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$84K

1,070 claims · 0.3%

Your Cost: $78.52/claim|Median: $108.91
0.7× median
99214Normal range

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

$48K

1,074 claims · 0.2%

Your Cost: $44.97/claim|Median: $53.41
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$29K

1,252 claims · 0.1%

Your Cost: $23.41/claim|Median: $63.65
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$2K

93 claims · 0.0%

Your Cost: $22.97/claim|Median: $25.06
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$1K

52 claims · 0.0%

Your Cost: $27.52/claim|Median: $41.28
0.7× median
H004022Top 1%

$1

137 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.01
1.0× median

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