Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

FAIRFAX COUNTY, VIRGINIA

Clinic/Center, Mental Health (Including Community Mental Health Center)·FAIRFAX, VA·NPI: 1154356244Share

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 $67.6M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$67.6M

$67,628,530

Total Claims

389K

Beneficiaries

232K

1.7 claims/patient

Avg Cost/Claim

$174

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+96%
2019
$6.1M
+47%
2020
$9.0M
+29%
2021
$11.6M
+3%
2022
$12.0M
+18%
2023
$14.2M
-19%
2024
$11.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 42% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$28.1M

89K claims · 41.6%

Your Cost: $317.06/claim|Median: $53.97
5.9× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$14.0M

68K claims · 20.7%

Your Cost: $206.24/claim|Median: $369.55
0.6× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$5.0M

8,748 claims · 7.5%

Your Cost: $577.18/claim|Median: $392.63
1.5× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$3.7M

9,042 claims · 5.5%

Your Cost: $414.66/claim|Median: $84.12
4.9× median
99214Normal range

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

$3.5M

77K claims · 5.1%

Your Cost: $45.23/claim|Median: $53.41
0.8× median
H2036Normal range

Alcohol/drug treatment, per hour

$3.4M

13K claims · 5.1%

Your Cost: $262.79/claim|Median: $253.79
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$2.1M

28K claims · 3.1%

Your Cost: $74.73/claim|Median: $85.66
0.9× median
H0040Normal range

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

$1.8M

10K claims · 2.7%

Your Cost: $177.32/claim|Median: $266.41
0.7× median
H0015Top 25%

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

$937K

5,380 claims · 1.4%

Your Cost: $174.12/claim|Median: $129.75
1.3× median
H0006Top 5%

Alcohol and/or drug services, case management

$899K

4,210 claims · 1.3%

Your Cost: $213.58/claim|Median: $43.10
5.0× median
99213Normal range

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

$609K

21K claims · 0.9%

Your Cost: $29.08/claim|Median: $37.81
0.8× median
H0039Top 25%

Assertive community treatment, per diem

$581K

1,911 claims · 0.9%

Your Cost: $304.01/claim|Median: $132.62
2.3× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$575K

1,910 claims · 0.9%

Your Cost: $301.16/claim|Median: $76.05
4.0× median
90791Normal range

Psychiatric diagnostic evaluation

$511K

5,308 claims · 0.8%

Your Cost: $96.24/claim|Median: $99.21
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$507K

6,908 claims · 0.8%

Your Cost: $73.43/claim|Median: $74.09
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$147K

2,709 claims · 0.2%

Your Cost: $54.30/claim|Median: $63.65
0.9× median
H0046Normal range

Mental health services, not otherwise specified

$143K

1,754 claims · 0.2%

Your Cost: $81.35/claim|Median: $85.02
1.0× median
90839Normal range

Psychotherapy for crisis, first 60 min

$139K

1,519 claims · 0.2%

Your Cost: $91.61/claim|Median: $83.98
1.1× median
90840Top 25%

Psychotherapy for crisis, each additional 30 min

$137K

1,121 claims · 0.2%

Your Cost: $122.22/claim|Median: $50.71
2.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$128K

18K claims · 0.2%

Your Cost: $6.93/claim|Median: $9.56
0.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$127K

2,961 claims · 0.2%

Your Cost: $42.72/claim|Median: $91.63
0.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$125K

2,255 claims · 0.2%

Your Cost: $55.25/claim|Median: $77.33
0.7× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$123K

2,871 claims · 0.2%

Your Cost: $42.92/claim|Median: $148.53
0.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$61K

874 claims · 0.1%

Your Cost: $69.73/claim|Median: $215.80
0.3× median
90853Normal range

Group psychotherapy

$25K

1,579 claims · 0.0%

Your Cost: $16.05/claim|Median: $25.02
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$22K

480 claims · 0.0%

Your Cost: $44.83/claim|Median: $41.28
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$19K

2,027 claims · 0.0%

Your Cost: $9.54/claim|Median: $12.93
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

219 claims · 0.0%

Your Cost: $65.39/claim|Median: $108.91
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$12K

460 claims · 0.0%

Your Cost: $26.82/claim|Median: $25.06
1.1× median
H0032Normal range

Mental health service plan development

$9K

144 claims · 0.0%

Your Cost: $61.02/claim|Median: $80.64
0.8× median
90846Normal range

Family psychotherapy without patient, 50 min

$1K

16 claims · 0.0%

Your Cost: $63.82/claim|Median: $76.61
0.8× median