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LEWIS & CLARK BEHAVIORAL HEALTH SERVICES, INC.

Community/Behavioral Health·YANKTON, SD·NPI: 1215918339Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.0M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$24.0M

$24,043,064

Total Claims

282K

Beneficiaries

75K

3.8 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+2%
2019
$2.9M
-27%
2020
$2.1M
+41%
2021
$3.0M
+26%
2022
$3.8M
+6%
2023
$4.0M
+37%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 48% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$11.7M

143K claims · 48.5%

Your Cost: $81.44/claim|Median: $321.53
0.3× median
H2021Normal range

Community-based wrap-around services, per 15 min

$4.4M

50K claims · 18.2%

Your Cost: $86.99/claim|Median: $169.11
0.5× median
H0039Normal range

Assertive community treatment, per diem

$4.0M

51K claims · 16.8%

Your Cost: $79.08/claim|Median: $132.62
0.6× median
H0019Normal range

Behavioral health; residential, per diem

$1.3M

4,958 claims · 5.5%

Your Cost: $266.07/claim|Median: $357.16
0.7× median
90863Top 10%

$966K

8,738 claims · 4.0%

Your Cost: $110.57/claim|Median: $29.71
3.7× median
90832Top 25%

Psychotherapy, 30 minutes

$431K

5,752 claims · 1.8%

Your Cost: $74.88/claim|Median: $41.28
1.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$218K

1,470 claims · 0.9%

Your Cost: $148.62/claim|Median: $99.21
1.5× median
W0037Top 1%

$185K

2,300 claims · 0.8%

Your Cost: $80.32/claim|Median: $3.00
26.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$179K

2,117 claims · 0.7%

Your Cost: $84.64/claim|Median: $74.63
1.1× median
H0001Normal range

Alcohol and/or drug assessment

$172K

1,255 claims · 0.7%

Your Cost: $137.33/claim|Median: $94.22
1.5× median
H0005Top 10%

Alcohol and/or drug services, group counseling

$171K

2,164 claims · 0.7%

Your Cost: $79.10/claim|Median: $47.35
1.7× median
H2012Top 25%

Behavioral health day treatment, per hour

$146K

608 claims · 0.6%

Your Cost: $239.42/claim|Median: $137.86
1.7× median
99214Normal range

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

$134K

6,960 claims · 0.6%

Your Cost: $19.28/claim|Median: $53.41
0.4× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$19K

373 claims · 0.1%

Your Cost: $50.38/claim|Median: $22.44
2.2× median
T1012Top 25%

Alcohol/drug services, skills development

$9K

129 claims · 0.0%

Your Cost: $67.22/claim|Median: $40.78
1.6× median
99213Normal range

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

$8K

409 claims · 0.0%

Your Cost: $20.48/claim|Median: $37.81
0.5× median
99412Top 25%

$6K

99 claims · 0.0%

Your Cost: $63.40/claim|Median: $34.41
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$3K

479 claims · 0.0%

Your Cost: $5.53/claim|Median: $25.06
0.2× median

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