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RIDGEVIEW PSYCHIATRIC HOSPITAL AND CENTER, INC.

Psychiatric Hospital·OAK RIDGE, TN·NPI: 1184659229Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$42.0M

$42,045,394

Total Claims

684K

Beneficiaries

282K

2.4 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$6.2M
-4%
2019
$5.9M
-5%
2020
$5.6M
+0%
2021
$5.6M
+16%
2022
$6.5M
+5%
2023
$6.8M
-22%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 36 distinct procedure codes. The top code (H0043 (Supported housing, per diem)) accounts for 29% of total spending.

H0043Normal range

Supported housing, per diem

$12.3M

125K claims · 29.4%

Your Cost: $99.02/claim|Median: $164.87
0.6× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$10.0M

136K claims · 23.9%

Your Cost: $73.91/claim|Median: $91.63
0.8× median
S0280Normal range

Medical home program, comprehensive care management

$8.1M

52K claims · 19.2%

Your Cost: $154.93/claim|Median: $48.38
3.2× median
90834Normal range

Psychotherapy, 45 minutes

$4.9M

83K claims · 11.6%

Your Cost: $58.48/claim|Median: $63.65
0.9× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$2.1M

26K claims · 4.9%

Your Cost: $78.97/claim|Median: $392.63
0.2× median
99213Normal range

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

$1.6M

44K claims · 3.9%

Your Cost: $36.92/claim|Median: $37.81
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$1.1M

30K claims · 2.6%

Your Cost: $37.29/claim|Median: $41.28
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$742K

9,253 claims · 1.8%

Your Cost: $80.15/claim|Median: $99.21
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$261K

8,361 claims · 0.6%

Your Cost: $31.27/claim|Median: $25.06
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$229K

3,807 claims · 0.5%

Your Cost: $60.17/claim|Median: $77.33
0.8× median
90853Normal range

Group psychotherapy

$202K

9,371 claims · 0.5%

Your Cost: $21.57/claim|Median: $25.02
0.9× median
99214Normal range

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

$154K

3,334 claims · 0.4%

Your Cost: $46.10/claim|Median: $53.41
0.9× median
G0463Normal range

Hospital outpatient clinic visit

$138K

5,960 claims · 0.3%

Your Cost: $23.20/claim|Median: $26.41
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$46K

700 claims · 0.1%

Your Cost: $65.35/claim|Median: $85.66
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$37K

2,084 claims · 0.1%

Your Cost: $17.76/claim|Median: $16.77
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$34K

750 claims · 0.1%

Your Cost: $45.72/claim|Median: $67.32
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$19K

638 claims · 0.0%

Your Cost: $29.46/claim|Median: $37.22
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$6K

136 claims · 0.0%

Your Cost: $45.31/claim|Median: $51.25
0.9× median
3008FNormal range

$4K

4,497 claims · 0.0%

Your Cost: $0.97/claim|Median: $0.06
16.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

226 claims · 0.0%

Your Cost: $14.33/claim|Median: $12.93
1.1× median
3074FTop 25%

$3K

2,392 claims · 0.0%

Your Cost: $1.08/claim|Median: $0.11
9.8× median
3078FTop 25%

$2K

1,783 claims · 0.0%

Your Cost: $1.27/claim|Median: $0.08
15.9× median
3079FTop 25%

$2K

1,244 claims · 0.0%

Your Cost: $1.54/claim|Median: $0.12
12.8× median
90846Normal range

Family psychotherapy without patient, 50 min

$2K

32 claims · 0.0%

Your Cost: $50.25/claim|Median: $76.61
0.7× median
3077FTop 25%

$1K

1,115 claims · 0.0%

Your Cost: $1.26/claim|Median: $0.12
10.5× median
3080FTop 25%

$1K

926 claims · 0.0%

Your Cost: $1.43/claim|Median: $0.16
8.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$982

24 claims · 0.0%

Your Cost: $40.91/claim|Median: $43.85
0.9× median
3075FTop 25%

$650

504 claims · 0.0%

Your Cost: $1.29/claim|Median: $0.15
8.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$578

30 claims · 0.0%

Your Cost: $19.27/claim|Median: $23.99
0.8× median
90899Normal range

Unlisted psychiatric service/procedure

$0

63 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.72
0.0× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$0

59K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.08
0.0× median
G9006Normal range

Coordination of long-term care services, per hour

$0

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $204.93
0.0× median
G9004Normal range

$0

38K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.49
0.0× median
G9010Normal range

$0

5,566 claims · 0.0%

Your Cost: $0.00/claim|Median: $1,009.60
0.0× median
G9011Normal range

$0

1,915 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.92
H2011Normal range

Crisis intervention service, per 15 minutes

$0

1,489 claims · 0.0%

Your Cost: $0.00/claim|Median: $215.80