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ZEPF CENTER

Community/Behavioral Health·TOLEDO, OH·NPI: 1215947809Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $60.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$60.8M

$60,827,775

Total Claims

753K

Beneficiaries

487K

1.5 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$14.9M
-37%
2019
$9.3M
-11%
2020
$8.2M
-9%
2021
$7.5M
-3%
2022
$7.3M
+1%
2023
$7.3M
-14%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 30% of total spending.

H2019Normal range

Therapeutic behavioral services, per 15 min

$18.0M

214K claims · 29.7%

Your Cost: $84.33/claim|Median: $84.12
1.0× median
99214Top 25%

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

$10.7M

110K claims · 17.6%

Your Cost: $97.08/claim|Median: $53.41
1.8× median
90837Normal range

Psychotherapy, 60 minutes

$7.6M

83K claims · 12.5%

Your Cost: $92.27/claim|Median: $85.66
1.1× median
S0281Top 10%

$7.1M

22K claims · 11.7%

Your Cost: $320.19/claim|Median: $92.97
3.4× median
H0040Normal range

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

$5.7M

19K claims · 9.3%

Your Cost: $294.01/claim|Median: $266.41
1.1× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$4.1M

116K claims · 6.7%

Your Cost: $35.41/claim|Median: $76.05
0.5× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$964K

6,247 claims · 1.6%

Your Cost: $154.35/claim|Median: $144.05
1.1× median
90833Top 25%

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

$871K

16K claims · 1.4%

Your Cost: $54.12/claim|Median: $38.83
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$845K

5,883 claims · 1.4%

Your Cost: $143.70/claim|Median: $74.09
1.9× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$782K

17K claims · 1.3%

Your Cost: $46.82/claim|Median: $91.63
0.5× median
90785Top 25%

$749K

68K claims · 1.2%

Your Cost: $10.96/claim|Median: $6.43
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$671K

14K claims · 1.1%

Your Cost: $49.62/claim|Median: $41.28
1.2× median
99213Top 25%

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

$627K

9,790 claims · 1.0%

Your Cost: $64.03/claim|Median: $37.81
1.7× median
90791Normal range

Psychiatric diagnostic evaluation

$590K

6,169 claims · 1.0%

Your Cost: $95.69/claim|Median: $99.21
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$481K

7,698 claims · 0.8%

Your Cost: $62.46/claim|Median: $63.65
1.0× median
99204Top 10%

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

$160K

1,009 claims · 0.3%

Your Cost: $158.76/claim|Median: $84.03
1.9× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$146K

940 claims · 0.2%

Your Cost: $155.45/claim|Median: $114.71
1.4× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$136K

3,711 claims · 0.2%

Your Cost: $36.59/claim|Median: $73.29
0.5× median
90839Normal range

Psychotherapy for crisis, first 60 min

$130K

1,152 claims · 0.2%

Your Cost: $112.94/claim|Median: $83.98
1.3× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$86K

420 claims · 0.1%

Your Cost: $204.90/claim|Median: $111.09
1.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$65K

610 claims · 0.1%

Your Cost: $106.93/claim|Median: $108.91
1.0× median
90853Normal range

Group psychotherapy

$52K

3,608 claims · 0.1%

Your Cost: $14.34/claim|Median: $25.02
0.6× median
H2012Normal range

Behavioral health day treatment, per hour

$42K

1,101 claims · 0.1%

Your Cost: $38.49/claim|Median: $137.86
0.3× median
99354Normal range

$40K

591 claims · 0.1%

Your Cost: $67.07/claim|Median: $54.96
1.2× median
H0011Normal range

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

$39K

224 claims · 0.1%

Your Cost: $171.88/claim|Median: $317.54
0.5× median
H0015Normal range

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

$23K

481 claims · 0.0%

Your Cost: $46.91/claim|Median: $129.75
0.4× median
H0020Normal range

Alcohol/drug services; methadone administration

$20K

4,829 claims · 0.0%

Your Cost: $4.04/claim|Median: $18.95
0.2× median
90836Normal range

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

$18K

246 claims · 0.0%

Your Cost: $73.60/claim|Median: $56.18
1.3× median
S9485Normal range

Crisis intervention mental health services, per diem

$14K

26 claims · 0.0%

Your Cost: $536.11/claim|Median: $501.33
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$13K

190 claims · 0.0%

Your Cost: $66.24/claim|Median: $77.33
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$7K

150 claims · 0.0%

Your Cost: $47.57/claim|Median: $25.06
1.9× median
H0006Normal range

Alcohol and/or drug services, case management

$5K

225 claims · 0.0%

Your Cost: $24.36/claim|Median: $43.10
0.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$5K

120 claims · 0.0%

Your Cost: $41.76/claim|Median: $74.63
0.6× median
T1003Normal range

LPN/LVN services, per 15 minutes

$5K

962 claims · 0.0%

Your Cost: $5.11/claim|Median: $24.24
0.2× median
96137Top 25%

Psychological/neuropsychological testing, each additional 30 min

$4K

22 claims · 0.0%

Your Cost: $200.10/claim|Median: $92.96
2.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$4K

498 claims · 0.0%

Your Cost: $7.50/claim|Median: $22.44
0.3× median
H0048Normal range

$4K

1,098 claims · 0.0%

Your Cost: $3.36/claim|Median: $13.25
0.3× median
96131Normal range

Psychological testing evaluation, each additional hour

$3K

19 claims · 0.0%

Your Cost: $141.48/claim|Median: $133.38
1.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$2K

318 claims · 0.0%

Your Cost: $7.69/claim|Median: $32.55
0.2× median
81025Normal range

Urine pregnancy test

$2K

340 claims · 0.0%

Your Cost: $6.00/claim|Median: $4.81
1.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$2K

109 claims · 0.0%

Your Cost: $16.74/claim|Median: $47.35
0.4× median
96130Normal range

Psychological testing evaluation by professional, first hour

$1K

24 claims · 0.0%

Your Cost: $59.76/claim|Median: $79.21
0.8× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$684

22 claims · 0.0%

Your Cost: $31.09/claim|Median: $30.49
1.0× median
G2211Normal range

$2

201 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.40
0.0× median
G8417Normal range

$0

918 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
0.0× median
G8419Normal range

$0

1,899 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
0.0× median
G8420Normal range

$0

746 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
0.0× median
3077FNormal range

$0

580 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
1111FNormal range

$0

70 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
3078FNormal range

$0

2,383 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08

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