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SUNDOWN M RANCH

Substance Abuse Rehabilitation Facility·YAKIMA, WA·NPI: 1154474104Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.8M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

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

Total Paid

$39.8M

$39,778,948

Total Claims

73K

Beneficiaries

22K

3.3 claims/patient

Avg Cost/Claim

$545

Monthly Spending Trend

Yearly Spending

2018
$125K
+3032%
2019
$3.9M
+24%
2020
$4.8M
-3%
2021
$4.7M
+32%
2022
$6.2M
+51%
2023
$9.4M
+12%
2024
$10.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 92% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$36.7M

35K claims · 92.2%

Your Cost: $1,060.44/claim|Median: $467.51
2.3× median
H2036Normal range

Alcohol/drug treatment, per hour

$1.3M

5,546 claims · 3.4%

Your Cost: $242.90/claim|Median: $253.79
1.0× median
96165Top 25%

Health behavior intervention, family, each additional fifteen minutes

$753K

12K claims · 1.9%

Your Cost: $65.39/claim|Median: $15.54
4.2× median
H0019Top 10%

Behavioral health; residential, per diem

$458K

113 claims · 1.2%

Your Cost: $4,051.74/claim|Median: $357.16
11.3× median
96164Top 10%

$279K

13K claims · 0.7%

Your Cost: $21.38/claim|Median: $9.87
2.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$153K

2,341 claims · 0.4%

Your Cost: $65.15/claim|Median: $74.63
0.9× median
96153Top 25%

Health/behavior intervention, group

$104K

4,873 claims · 0.3%

Your Cost: $21.44/claim|Median: $6.67
3.2× median
99204Normal range

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

$6K

79 claims · 0.0%

Your Cost: $81.49/claim|Median: $84.03
1.0× median
H0001Normal range

Alcohol and/or drug assessment

$2K

303 claims · 0.0%

Your Cost: $7.87/claim|Median: $94.22
0.1× median
H0003Normal range

$520

50 claims · 0.0%

Your Cost: $10.40/claim|Median: $13.38
0.8× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$0

509 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.37