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PROTEA BEHAVIORAL HEALTH COUNSELING, PLLC

Counselor, Professional·SOMERSET, KY·NPI: 1205429800Share

Compared to Counselor, Professional Peers

Total spending distribution among 23 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.3M is at the 90th percentile among 23 Counselor, Professional providers.

Above 90th percentile for this specialty — higher spending than 20 of 23 peers

Active Billing Period:2021-07→2024-12(42 months)

Total Paid

$24.3M

$24,349,084

Total Claims

220K

Beneficiaries

51K

4.3 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2021
$764K
+1077%
2022
$9.0M
+2%
2023
$9.2M
-42%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (H0038 (Self-help/peer services, per 15 minutes)) accounts for 29% of total spending.

H0038Top 25%

Self-help/peer services, per 15 minutes

$7.0M

59K claims · 28.9%

Your Cost: $119.94/claim|Median: $55.04
2.2× median
H2015Normal range

Comprehensive community support services, per 15 min

$5.3M

38K claims · 21.7%

Your Cost: $141.02/claim|Median: $96.24
1.5× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$3.7M

32K claims · 15.2%

Your Cost: $117.07/claim|Median: $129.75
0.9× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$2.8M

16K claims · 11.4%

Your Cost: $172.88/claim|Median: $144.05
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$933K

14K claims · 3.8%

Your Cost: $64.51/claim|Median: $85.66
0.8× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$927K

5,643 claims · 3.8%

Your Cost: $164.27/claim|Median: $148.53
1.1× median
H0011Normal range

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

$909K

5,407 claims · 3.7%

Your Cost: $168.12/claim|Median: $317.54
0.5× median
T2023Normal range

Community transition, waiver; per service

$731K

2,780 claims · 3.0%

Your Cost: $262.83/claim|Median: $300.13
0.9× median
H2027Normal range

Psychoeducational service, per 15 minutes

$722K

5,094 claims · 3.0%

Your Cost: $141.71/claim|Median: $82.72
1.7× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$336K

5,435 claims · 1.4%

Your Cost: $61.89/claim|Median: $84.12
0.7× median
H0049Normal range

$201K

13K claims · 0.8%

Your Cost: $14.99/claim|Median: $9.27
1.6× median
90791Normal range

Psychiatric diagnostic evaluation

$165K

2,118 claims · 0.7%

Your Cost: $78.10/claim|Median: $99.21
0.8× median
H0002Normal range

Behavioral health screening

$105K

2,010 claims · 0.4%

Your Cost: $52.42/claim|Median: $38.77
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$88K

2,699 claims · 0.4%

Your Cost: $32.67/claim|Median: $41.28
0.8× median
99214Normal range

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

$79K

1,426 claims · 0.3%

Your Cost: $55.67/claim|Median: $53.41
1.0× median
T1007Normal range

Alcohol/drug services, treatment plan review

$61K

1,269 claims · 0.3%

Your Cost: $48.42/claim|Median: $64.10
0.8× median
H0006Top 25%

Alcohol and/or drug services, case management

$61K

674 claims · 0.3%

Your Cost: $91.00/claim|Median: $43.10
2.1× median
80305Normal range

$37K

4,745 claims · 0.2%

Your Cost: $7.88/claim|Median: $7.44
1.1× median
99213Normal range

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

$31K

749 claims · 0.1%

Your Cost: $41.95/claim|Median: $37.81
1.1× median
99408Normal range

$30K

2,315 claims · 0.1%

Your Cost: $12.75/claim|Median: $9.32
1.4× median
90853Normal range

Group psychotherapy

$28K

2,792 claims · 0.1%

Your Cost: $9.92/claim|Median: $25.02
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$24K

587 claims · 0.1%

Your Cost: $40.45/claim|Median: $63.65
0.6× median
90833Normal range

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

$19K

536 claims · 0.1%

Your Cost: $34.61/claim|Median: $38.83
0.9× median
99204Normal range

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

$17K

351 claims · 0.1%

Your Cost: $48.62/claim|Median: $84.03
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$9K

108 claims · 0.0%

Your Cost: $85.15/claim|Median: $108.91
0.8× median
90785Normal range

$6K

950 claims · 0.0%

Your Cost: $6.46/claim|Median: $6.43
1.0× median
90887Normal range

Interpretation/explanation of results

$5K

172 claims · 0.0%

Your Cost: $29.02/claim|Median: $47.55
0.6× median
H0048Top 25%

$4K

304 claims · 0.0%

Your Cost: $14.50/claim|Median: $13.25
1.1× median
96156Normal range

$4K

143 claims · 0.0%

Your Cost: $30.09/claim|Median: $22.36
1.3× median
H0005Top 10%

Alcohol and/or drug services, group counseling

$4K

53 claims · 0.0%

Your Cost: $77.71/claim|Median: $47.35
1.6× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$2K

47 claims · 0.0%

Your Cost: $46.77/claim|Median: $56.18
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$178

58 claims · 0.0%

Your Cost: $3.08/claim|Median: $12.93
0.2× median
99409Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.77

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