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FAMILY INSIGHT, PC

Behavior Analyst·ROANOKE, VA·NPI: 1194996280Share

Compared to Behavior Analyst Peers

Total spending distribution among 31 providers in this specialty

P25MedianP75P90

This provider's total spending of $93.5M is at the 90th percentile among 31 Behavior Analyst providers.

Above 90th percentile for this specialty — higher spending than 27 of 31 peers

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$93.5M

$93,466,638

Total Claims

604K

Beneficiaries

133K

4.5 claims/patient

Avg Cost/Claim

$155

Monthly Spending Trend

Yearly Spending

2018
$13.5M
+16%
2019
$15.7M
+18%
2020
$18.4M
-9%
2021
$16.8M
-22%
2022
$13.1M
-24%
2023
$9.9M
-40%
2024
$5.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (H2033 (Multisystemic therapy for juveniles, per 15 minutes)) accounts for 30% of total spending.

H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$28.2M

142K claims · 30.2%

Your Cost: $198.75/claim|Median: $227.82
0.9× median
H2012Normal range

Behavioral health day treatment, per hour

$19.1M

117K claims · 20.5%

Your Cost: $163.77/claim|Median: $137.86
1.2× median
H0046Top 25%

Mental health services, not otherwise specified

$14.2M

78K claims · 15.2%

Your Cost: $182.31/claim|Median: $85.02
2.1× median
90837Normal range

Psychotherapy, 60 minutes

$10.0M

113K claims · 10.7%

Your Cost: $88.44/claim|Median: $85.66
1.0× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$7.6M

47K claims · 8.1%

Your Cost: $159.68/claim|Median: $167.38
1.0× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$6.7M

31K claims · 7.1%

Your Cost: $214.40/claim|Median: $146.45
1.5× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$3.3M

25K claims · 3.5%

Your Cost: $130.57/claim|Median: $148.53
0.9× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$744K

2,235 claims · 0.8%

Your Cost: $333.01/claim|Median: $84.12
4.0× median
90791Normal range

Psychiatric diagnostic evaluation

$702K

6,497 claims · 0.8%

Your Cost: $108.04/claim|Median: $99.21
1.1× median
H0032Top 25%

Mental health service plan development

$439K

3,302 claims · 0.5%

Your Cost: $133.10/claim|Median: $80.64
1.7× median
97156Normal range

$434K

5,660 claims · 0.5%

Your Cost: $76.60/claim|Median: $88.65
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$412K

6,671 claims · 0.4%

Your Cost: $61.82/claim|Median: $63.65
1.0× median
99214Normal range

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

$326K

4,864 claims · 0.3%

Your Cost: $66.96/claim|Median: $53.41
1.3× median
90889Normal range

$285K

1,711 claims · 0.3%

Your Cost: $166.83/claim|Median: $56.63
2.9× median
90832Normal range

Psychotherapy, 30 minutes

$272K

5,946 claims · 0.3%

Your Cost: $45.79/claim|Median: $41.28
1.1× median
97151Top 10%

Behavior identification assessment

$197K

469 claims · 0.2%

Your Cost: $419.78/claim|Median: $161.10
2.6× median
H0031Normal range

Mental health assessment by non-physician

$182K

3,100 claims · 0.2%

Your Cost: $58.56/claim|Median: $96.18
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$128K

968 claims · 0.1%

Your Cost: $132.26/claim|Median: $108.91
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$78K

1,265 claims · 0.1%

Your Cost: $61.74/claim|Median: $77.33
0.8× median
99213Normal range

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

$76K

1,808 claims · 0.1%

Your Cost: $42.14/claim|Median: $37.81
1.1× median
Q3014Normal range

Telehealth originating site facility fee

$36K

2,292 claims · 0.0%

Your Cost: $15.52/claim|Median: $15.37
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$16K

162 claims · 0.0%

Your Cost: $100.52/claim|Median: $74.09
1.4× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$16K

262 claims · 0.0%

Your Cost: $60.49/claim|Median: $38.83
1.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

551 claims · 0.0%

Your Cost: $3.83/claim|Median: $12.93
0.3× median
90785Normal range

$1K

184 claims · 0.0%

Your Cost: $7.99/claim|Median: $6.43
1.2× median
90846Normal range

Family psychotherapy without patient, 50 min

$1K

18 claims · 0.0%

Your Cost: $72.41/claim|Median: $76.61
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$1K

1,117 claims · 0.0%

Your Cost: $0.95/claim|Median: $3.67
0.3× median
90853Normal range

Group psychotherapy

$1K

72 claims · 0.0%

Your Cost: $14.41/claim|Median: $25.02
0.6× median
99490Normal range

Chronic care management services, 20 minutes per month

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.31
99492Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $68.72
99493Normal range

$0

605 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.13

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$154.8M

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$140.4M

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$124.9M

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