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SOUTHWEST BEHAVIORAL CARE, INC.

Community/Behavioral Health·MONESSEN, PA·NPI: 1205980927Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.8M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-042024-12(69 months)

Total Paid

$28.8M

$28,831,127

Total Claims

244K

Beneficiaries

145K

1.7 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$17K
-63%
2019
$6K
+20008%
2020
$1.3M
+396%
2021
$6.4M
+7%
2022
$6.8M
+10%
2023
$7.5M
-9%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 35% of total spending.

90834Top 10%

Psychotherapy, 45 minutes

$10.2M

94K claims · 35.4%

Your Cost: $109.10/claim|Median: $63.65
1.7× median
T1017Top 25%

Targeted case management, per 15 min

$6.3M

37K claims · 22.0%

Your Cost: $170.45/claim|Median: $69.56
2.5× median
90837Top 10%

Psychotherapy, 60 minutes

$2.9M

21K claims · 10.2%

Your Cost: $142.58/claim|Median: $85.66
1.7× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$2.7M

12K claims · 9.3%

Your Cost: $227.05/claim|Median: $76.05
3.0× median
90832Top 25%

Psychotherapy, 30 minutes

$1.9M

35K claims · 6.7%

Your Cost: $55.31/claim|Median: $41.28
1.3× median
H0034Normal range

Medication training and management, per 15 min

$1.3M

12K claims · 4.6%

Your Cost: $108.28/claim|Median: $56.90
1.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$916K

7,993 claims · 3.2%

Your Cost: $114.57/claim|Median: $108.91
1.1× median
90853Top 10%

Group psychotherapy

$613K

9,492 claims · 2.1%

Your Cost: $64.59/claim|Median: $25.02
2.6× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$465K

4,438 claims · 1.6%

Your Cost: $104.82/claim|Median: $27.38
3.8× median
99241Top 10%

Office consultation, straightforward

$455K

4,428 claims · 1.6%

Your Cost: $102.82/claim|Median: $36.49
2.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$442K

1,678 claims · 1.5%

Your Cost: $263.42/claim|Median: $137.85
1.9× median
99211Top 5%

Office/outpatient visit, minimal complexity

$155K

2,131 claims · 0.5%

Your Cost: $72.96/claim|Median: $12.93
5.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$125K

1,493 claims · 0.4%

Your Cost: $83.92/claim|Median: $77.33
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$117K

1,560 claims · 0.4%

Your Cost: $75.14/claim|Median: $55.04
1.4× median
H0015Top 25%

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

$75K

415 claims · 0.3%

Your Cost: $181.32/claim|Median: $129.75
1.4× median
99213Top 5%

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

$12K

137 claims · 0.0%

Your Cost: $89.90/claim|Median: $37.81
2.4× median
H0001Normal range

Alcohol and/or drug assessment

$12K

117 claims · 0.0%

Your Cost: $100.85/claim|Median: $94.22
1.1× median
H0046Normal range

Mental health services, not otherwise specified

$9K

115 claims · 0.0%

Your Cost: $74.97/claim|Median: $85.02
0.9× median