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SOUTHWEST BEHAVIORAL HEALTH SERVICES INC

Community/Behavioral Health·PHOENIX, AZ·NPI: 1144384389Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $83.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$83.3M

$83,327,698

Total Claims

3.7M

Beneficiaries

986K

3.7 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+127%
2019
$8.0M
+35%
2020
$10.8M
+22%
2021
$13.3M
+21%
2022
$16.0M
+2%
2023
$16.3M
-5%
2024
$15.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 37% of total spending.

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$30.8M

558K claims · 37.0%

Your Cost: $55.26/claim|Median: $74.63
0.7× median
T1016Normal range

Case management, each 15 min

$18.6M

1.0M claims · 22.3%

Your Cost: $17.70/claim|Median: $49.62
0.4× median
H0031Normal range

Mental health assessment by non-physician

$9.5M

90K claims · 11.4%

Your Cost: $105.59/claim|Median: $96.18
1.1× median
H0025Normal range

Behavioral health prevention education, per session

$7.7M

313K claims · 9.2%

Your Cost: $24.55/claim|Median: $36.25
0.7× median
99214Normal range

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

$3.5M

70K claims · 4.2%

Your Cost: $50.79/claim|Median: $53.41
1.0× median
H2017Top 5%

Psychosocial rehabilitation services, per 15 min

$2.9M

7,248 claims · 3.5%

Your Cost: $396.89/claim|Median: $91.63
4.3× median
H0018Normal range

Behavioral health; short-term residential, per diem

$2.6M

15K claims · 3.2%

Your Cost: $171.41/claim|Median: $467.51
0.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.6M

14K claims · 1.9%

Your Cost: $111.21/claim|Median: $108.91
1.0× median
H2014Normal range

Skills training & development, per 15 min

$1.3M

244K claims · 1.6%

Your Cost: $5.40/claim|Median: $83.88
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$1.1M

14K claims · 1.3%

Your Cost: $75.99/claim|Median: $74.09
1.0× median
99213Normal range

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

$682K

13K claims · 0.8%

Your Cost: $52.84/claim|Median: $37.81
1.4× median
H2010Normal range

Comprehensive medication services, per 15 min

$614K

78K claims · 0.7%

Your Cost: $7.84/claim|Median: $62.69
0.1× median
H2027Normal range

Psychoeducational service, per 15 minutes

$362K

28K claims · 0.4%

Your Cost: $12.71/claim|Median: $82.72
0.2× median
T1003Normal range

LPN/LVN services, per 15 minutes

$348K

34K claims · 0.4%

Your Cost: $10.28/claim|Median: $24.24
0.4× median
H0020Normal range

Alcohol/drug services; methadone administration

$282K

114K claims · 0.3%

Your Cost: $2.48/claim|Median: $18.95
0.1× median
H0046Normal range

Mental health services, not otherwise specified

$203K

82K claims · 0.2%

Your Cost: $2.46/claim|Median: $85.02
0.0× median
T1002Normal range

RN services, per 15 minutes

$195K

12K claims · 0.2%

Your Cost: $16.23/claim|Median: $37.42
0.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$110K

25K claims · 0.1%

Your Cost: $4.36/claim|Median: $23.99
0.2× median
H0034Normal range

Medication training and management, per 15 min

$90K

11K claims · 0.1%

Your Cost: $8.17/claim|Median: $56.90
0.1× median
A0110Top 10%

Non-emergency taxi transport

$76K

2,439 claims · 0.1%

Your Cost: $31.28/claim|Median: $9.27
3.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$76K

12K claims · 0.1%

Your Cost: $6.52/claim|Median: $55.04
0.1× median
H0002Normal range

Behavioral health screening

$70K

5,791 claims · 0.1%

Your Cost: $12.09/claim|Median: $38.77
0.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$67K

29K claims · 0.1%

Your Cost: $2.28/claim|Median: $16.77
0.1× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$65K

102K claims · 0.1%

Your Cost: $0.64/claim|Median: $21.33
0.0× median
T1019Normal range

Personal care services, per 15 min

$63K

133K claims · 0.1%

Your Cost: $0.47/claim|Median: $82.47
0.0× median
S5110Normal range

Home care training, family; per 15 min

$48K

1,949 claims · 0.1%

Your Cost: $24.45/claim|Median: $74.36
0.3× median
H0033Normal range

Oral medication administration, direct observation

$47K

2,662 claims · 0.1%

Your Cost: $17.58/claim|Median: $31.37
0.6× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$37K

2,408 claims · 0.0%

Your Cost: $15.34/claim|Median: $53.97
0.3× median
99335Top 25%

$34K

1,167 claims · 0.0%

Your Cost: $29.51/claim|Median: $14.90
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$33K

1,144 claims · 0.0%

Your Cost: $29.23/claim|Median: $25.06
1.2× median
T1020Normal range

Personal care services, per diem

$29K

39K claims · 0.0%

Your Cost: $0.75/claim|Median: $296.27
0.0× median
S9485Top 25%

Crisis intervention mental health services, per diem

$28K

31 claims · 0.0%

Your Cost: $896.63/claim|Median: $501.33
1.8× median
A0120Normal range

Non-emergency mini-bus transport

$27K

100K claims · 0.0%

Your Cost: $0.27/claim|Median: $16.09
0.0× median
99204Normal range

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

$24K

215 claims · 0.0%

Your Cost: $110.18/claim|Median: $84.03
1.3× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$23K

15K claims · 0.0%

Your Cost: $1.56/claim|Median: $100.49
0.0× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$20K

1,820 claims · 0.0%

Your Cost: $10.91/claim|Median: $17.67
0.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$19K

1,242 claims · 0.0%

Your Cost: $15.63/claim|Median: $32.55
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$19K

1,955 claims · 0.0%

Your Cost: $9.89/claim|Median: $37.22
0.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$14K

655 claims · 0.0%

Your Cost: $20.78/claim|Median: $35.30
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$5K

476 claims · 0.0%

Your Cost: $10.50/claim|Median: $22.44
0.5× median
99348Normal range

$4K

150 claims · 0.0%

Your Cost: $27.82/claim|Median: $17.17
1.6× median
99203Normal range

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

$4K

66 claims · 0.0%

Your Cost: $60.89/claim|Median: $57.85
1.1× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$4K

1,580 claims · 0.0%

Your Cost: $2.34/claim|Median: $73.29
0.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$2K

2,586 claims · 0.0%

Your Cost: $0.93/claim|Median: $84.12
0.0× median
99347Normal range

$2K

147 claims · 0.0%

Your Cost: $11.48/claim|Median: $11.74
1.0× median
99336Top 25%

$1K

37 claims · 0.0%

Your Cost: $40.52/claim|Median: $20.35
2.0× median
90889Normal range

$980

467 claims · 0.0%

Your Cost: $2.10/claim|Median: $56.63
0.0× median
99349Normal range

$513

12 claims · 0.0%

Your Cost: $42.75/claim|Median: $24.29
1.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$228

27 claims · 0.0%

Your Cost: $8.46/claim|Median: $7.50
1.1× median
A0160Normal range

$160

72 claims · 0.0%

Your Cost: $2.22/claim|Median: $12.60
0.2× median

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