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

SUMMIT BHC NEW JERSEY, LLC

Substance Abuse Rehabilitation Facility·FRANKLIN, TN·NPI: 1174123582Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.9M is at the 25th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2021-012024-12(48 months)

Extreme procedure concentration — 97% of $21.9M billed through just 2 codes

Total Paid

$21.9M

$21,891,246

Total Claims

13K

Beneficiaries

7,609

1.7 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2021
$3.7M
+57%
2022
$5.8M
+33%
2023
$7.8M
-41%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (H0010 (Alcohol and/or drug services, sub-acute detoxification, per diem)) accounts for 97% of total spending.

H0010Top 10%

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

$21.2M

13K claims · 96.7%

Your Cost: $1,684.41/claim|Median: $369.55
4.6× median
H0018Top 25%

Behavioral health; short-term residential, per diem

$730K

335 claims · 3.3%

Your Cost: $2,179.12/claim|Median: $467.51
4.7× median