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ST. JOSEPH RECOVERY CENTER, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder·PARKERSBURG, WV·NPI: 1174021406Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.6M is at the 75th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2019-062024-12(67 months)

Total Paid

$49.6M

$49,595,023

Total Claims

356K

Beneficiaries

77K

4.6 claims/patient

Avg Cost/Claim

$139

Monthly Spending Trend

Yearly Spending

2019
$1.2M
+368%
2020
$5.5M
+24%
2021
$6.8M
+70%
2022
$11.5M
+12%
2023
$12.9M
-9%
2024
$11.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 68% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$33.8M

155K claims · 68.2%

Your Cost: $217.43/claim|Median: $253.79
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$9.0M

98K claims · 18.2%

Your Cost: $92.26/claim|Median: $74.63
1.2× median
99214Top 25%

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

$4.2M

55K claims · 8.5%

Your Cost: $77.49/claim|Median: $53.41
1.5× median
H0038Normal range

Self-help/peer services, per 15 minutes

$455K

15K claims · 0.9%

Your Cost: $31.35/claim|Median: $55.04
0.6× median
H0031Normal range

Mental health assessment by non-physician

$446K

2,994 claims · 0.9%

Your Cost: $148.95/claim|Median: $96.18
1.5× median
99204Normal range

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

$424K

5,947 claims · 0.9%

Your Cost: $71.26/claim|Median: $84.03
0.8× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$295K

675 claims · 0.6%

Your Cost: $436.42/claim|Median: $76.05
5.7× median
99213Top 25%

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

$293K

5,122 claims · 0.6%

Your Cost: $57.23/claim|Median: $37.81
1.5× median
H0032Normal range

Mental health service plan development

$248K

4,284 claims · 0.5%

Your Cost: $57.92/claim|Median: $80.64
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$196K

1,988 claims · 0.4%

Your Cost: $98.52/claim|Median: $74.09
1.3× median
80305Top 25%

$90K

8,625 claims · 0.2%

Your Cost: $10.43/claim|Median: $7.44
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$32K

980 claims · 0.1%

Your Cost: $32.94/claim|Median: $25.06
1.3× median
82075Top 25%

Alcohol (ethanol) breath test

$23K

901 claims · 0.0%

Your Cost: $25.30/claim|Median: $16.59
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

160 claims · 0.0%

Your Cost: $84.85/claim|Median: $108.91
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$9K

872 claims · 0.0%

Your Cost: $10.07/claim|Median: $85.66
0.1× median
99406Normal range

$7K

793 claims · 0.0%

Your Cost: $9.10/claim|Median: $6.53
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$6K

129 claims · 0.0%

Your Cost: $45.72/claim|Median: $99.21
0.5× median
81025Top 5%

Urine pregnancy test

$867

53 claims · 0.0%

Your Cost: $16.36/claim|Median: $4.81
3.4× median
99497Normal range

$840

47 claims · 0.0%

Your Cost: $17.87/claim|Median: $10.99
1.6× median

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