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NORTHWESTERN COMMUNITY SERVICES BOARD

Community/Behavioral Health·FRONT ROYAL, VA·NPI: 1215930573Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.5M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$53.5M

$53,485,157

Total Claims

310K

Beneficiaries

211K

1.5 claims/patient

Avg Cost/Claim

$173

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+38%
2019
$7.7M
+12%
2020
$8.7M
+5%
2021
$9.1M
-7%
2022
$8.4M
-12%
2023
$7.5M
-13%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 44% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$23.7M

74K claims · 44.3%

Your Cost: $319.33/claim|Median: $53.97
5.9× median
T1017Top 5%

Targeted case management, per 15 min

$12.0M

35K claims · 22.4%

Your Cost: $341.45/claim|Median: $69.56
4.9× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$2.0M

49K claims · 3.7%

Your Cost: $40.76/claim|Median: $91.63
0.4× median
99214Normal range

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

$1.8M

28K claims · 3.3%

Your Cost: $63.60/claim|Median: $53.41
1.2× median
T2023Normal range

Community transition, waiver; per service

$1.8M

6,973 claims · 3.3%

Your Cost: $255.65/claim|Median: $300.13
0.9× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$1.7M

1,338 claims · 3.3%

Your Cost: $1,307.20/claim|Median: $215.80
6.1× median
H0039Top 25%

Assertive community treatment, per diem

$1.5M

5,873 claims · 2.8%

Your Cost: $254.36/claim|Median: $132.62
1.9× median
H0015Top 25%

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

$1.5M

7,728 claims · 2.8%

Your Cost: $191.98/claim|Median: $129.75
1.5× median
H0006Top 5%

Alcohol and/or drug services, case management

$1.3M

6,490 claims · 2.4%

Your Cost: $196.62/claim|Median: $43.10
4.6× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$1.3M

7,777 claims · 2.3%

Your Cost: $161.29/claim|Median: $266.41
0.6× median
90837Top 25%

Psychotherapy, 60 minutes

$1.2M

10K claims · 2.2%

Your Cost: $113.15/claim|Median: $85.66
1.3× median
99213Normal range

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

$1.1M

28K claims · 2.1%

Your Cost: $40.96/claim|Median: $37.81
1.1× median
H0036Top 10%

Community psychiatric supportive treatment, per 15 min

$730K

2,610 claims · 1.4%

Your Cost: $279.61/claim|Median: $76.05
3.7× median
90791Normal range

Psychiatric diagnostic evaluation

$646K

5,242 claims · 1.2%

Your Cost: $123.28/claim|Median: $99.21
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$457K

3,451 claims · 0.9%

Your Cost: $132.39/claim|Median: $108.91
1.2× median
90853Normal range

Group psychotherapy

$272K

11K claims · 0.5%

Your Cost: $25.26/claim|Median: $25.02
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$133K

2,710 claims · 0.2%

Your Cost: $49.06/claim|Median: $74.63
0.7× median
Q3014Normal range

Telehealth originating site facility fee

$73K

5,291 claims · 0.1%

Your Cost: $13.74/claim|Median: $15.37
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$70K

784 claims · 0.1%

Your Cost: $89.86/claim|Median: $74.09
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$48K

635 claims · 0.1%

Your Cost: $76.35/claim|Median: $63.65
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$46K

5,589 claims · 0.1%

Your Cost: $8.31/claim|Median: $9.56
0.9× median
80305Normal range

$42K

4,359 claims · 0.1%

Your Cost: $9.67/claim|Median: $7.44
1.3× median
H0032Normal range

Mental health service plan development

$40K

512 claims · 0.1%

Your Cost: $78.10/claim|Median: $80.64
1.0× median
90832Top 25%

Psychotherapy, 30 minutes

$34K

565 claims · 0.1%

Your Cost: $59.63/claim|Median: $41.28
1.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$26K

3,579 claims · 0.0%

Your Cost: $7.34/claim|Median: $12.93
0.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$23K

262 claims · 0.0%

Your Cost: $87.35/claim|Median: $77.33
1.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$11K

724 claims · 0.0%

Your Cost: $15.83/claim|Median: $32.55
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$6K

755 claims · 0.0%

Your Cost: $7.47/claim|Median: $22.44
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$5K

206 claims · 0.0%

Your Cost: $24.76/claim|Median: $25.06
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$5K

184 claims · 0.0%

Your Cost: $24.80/claim|Median: $47.35
0.5× median
S0221Normal range

$1K

13 claims · 0.0%

Your Cost: $100.00/claim|Median: $86.82
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$998

748 claims · 0.0%

Your Cost: $1.33/claim|Median: $1.57
0.8× median
90899Normal range

Unlisted psychiatric service/procedure

$372

20 claims · 0.0%

Your Cost: $18.60/claim|Median: $30.72
0.6× median
99366Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.02

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