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CATALYST HEALTH SOLUTIONS,LLC

Clinic/Center, Rehabilitation, Substance Use Disorder·JOHNSON CITY, TN·NPI: 1184150229Share

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 $18.7M is at the 50th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.7M

$18,737,191

Total Claims

213K

Beneficiaries

140K

1.5 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+107%
2019
$2.1M
+38%
2020
$2.9M
+50%
2021
$4.3M
-24%
2022
$3.3M
-16%
2023
$2.8M
-14%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0016 (Alcohol or drug abuse services, prenatal)) accounts for 33% of total spending.

H0016Normal range

Alcohol or drug abuse services, prenatal

$6.1M

32K claims · 32.8%

Your Cost: $192.22/claim|Median: $182.66
1.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$5.3M

25K claims · 28.4%

Your Cost: $213.32/claim|Median: $137.85
1.5× median
99214Normal range

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

$2.5M

36K claims · 13.3%

Your Cost: $69.70/claim|Median: $53.41
1.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.7M

42K claims · 9.2%

Your Cost: $40.86/claim|Median: $74.63
0.5× median
H0014Top 25%

$1.5M

6,175 claims · 8.2%

Your Cost: $249.55/claim|Median: $137.81
1.8× median
99213Normal range

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

$594K

12K claims · 3.2%

Your Cost: $47.88/claim|Median: $37.81
1.3× median
80305Normal range

$365K

41K claims · 1.9%

Your Cost: $8.95/claim|Median: $7.44
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$209K

2,120 claims · 1.1%

Your Cost: $98.76/claim|Median: $74.09
1.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$179K

8,158 claims · 1.0%

Your Cost: $22.00/claim|Median: $47.35
0.5× median
99204Normal range

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

$46K

584 claims · 0.2%

Your Cost: $79.05/claim|Median: $84.03
0.9× median
H0033Top 25%

Oral medication administration, direct observation

$38K

263 claims · 0.2%

Your Cost: $143.29/claim|Median: $31.37
4.6× median
H0049Normal range

$27K

1,560 claims · 0.1%

Your Cost: $17.23/claim|Median: $9.27
1.9× median
81025Normal range

Urine pregnancy test

$23K

4,952 claims · 0.1%

Your Cost: $4.59/claim|Median: $4.81
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$22K

205 claims · 0.1%

Your Cost: $107.28/claim|Median: $111.09
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$7K

204 claims · 0.0%

Your Cost: $34.44/claim|Median: $25.06
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$3K

176 claims · 0.0%

Your Cost: $16.24/claim|Median: $41.28
0.4× median
96160Top 10%

Patient-focused health risk assessment

$489

32 claims · 0.0%

Your Cost: $15.28/claim|Median: $2.10
7.3× median
H2010Normal range

Comprehensive medication services, per 15 min

$150

46 claims · 0.0%

Your Cost: $3.26/claim|Median: $62.69
0.1× median

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