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PLANNING DISTRICT ONE BEHAVIORAL HEALTH SERVICES

Community/Behavioral Health·NORTON, VA·NPI: 1164588570Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.0M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$28.0M

$28,026,458

Total Claims

92K

Beneficiaries

88K

1.0 claims/patient

Avg Cost/Claim

$304

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+21%
2019
$3.5M
+22%
2020
$4.3M
+11%
2021
$4.8M
-3%
2022
$4.7M
-10%
2023
$4.2M
-19%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 77% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$21.5M

66K claims · 76.8%

Your Cost: $327.68/claim|Median: $53.97
6.1× median
T1017Top 10%

Targeted case management, per 15 min

$5.0M

16K claims · 17.8%

Your Cost: $308.26/claim|Median: $69.56
4.4× median
T2022Normal range

Case management, per month

$1.0M

8,301 claims · 3.7%

Your Cost: $123.99/claim|Median: $202.77
0.6× median
T2023Normal range

Community transition, waiver; per service

$432K

1,447 claims · 1.5%

Your Cost: $298.27/claim|Median: $300.13
1.0× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$55K

629 claims · 0.2%

Your Cost: $86.77/claim|Median: $106.70
0.8× median
99213Normal range

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

$1K

40 claims · 0.0%

Your Cost: $25.93/claim|Median: $37.81
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65