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MID ERIE MENTAL HEALTH SERVICES INC

Counselor·CHEEKTOWAGA, NY·NPI: 1225095201Share

Compared to Counselor Peers

Total spending distribution among 9 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.7M is at the 50th percentile among 9 Counselor providers.

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

Total Paid

$59.7M

$59,689,826

Total Claims

467K

Beneficiaries

153K

3.1 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$6.2M
+20%
2019
$7.4M
+36%
2020
$10.0M
+2%
2021
$10.2M
+1%
2022
$10.3M
-4%
2023
$9.8M
-41%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 82% of total spending.

T1040Normal range

Medicaid certified CCBHC services

$49.2M

390K claims · 82.4%

Your Cost: $126.13/claim|Median: $130.29
1.0× median
90834Top 10%

Psychotherapy, 45 minutes

$2.9M

21K claims · 4.8%

Your Cost: $136.04/claim|Median: $63.65
2.1× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$2.2M

3,795 claims · 3.7%

Your Cost: $577.05/claim|Median: $84.12
6.9× median
90853Top 25%

Group psychotherapy

$1.7M

31K claims · 2.9%

Your Cost: $56.09/claim|Median: $25.02
2.2× median
T1015Top 5%

Clinic visit/encounter, all-inclusive

$987K

3,359 claims · 1.7%

Your Cost: $293.75/claim|Median: $121.16
2.4× median
90791Top 25%

Psychiatric diagnostic evaluation

$784K

4,957 claims · 1.3%

Your Cost: $158.11/claim|Median: $99.21
1.6× median
90832Top 10%

Psychotherapy, 30 minutes

$779K

6,631 claims · 1.3%

Your Cost: $117.51/claim|Median: $41.28
2.8× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$386K

859 claims · 0.6%

Your Cost: $449.08/claim|Median: $392.63
1.1× median
99214Top 10%

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

$250K

2,232 claims · 0.4%

Your Cost: $112.07/claim|Median: $53.41
2.1× median
99213Top 5%

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

$175K

1,318 claims · 0.3%

Your Cost: $133.14/claim|Median: $37.81
3.5× median
T2020Top 25%

Day habilitation, waiver; per diem

$126K

465 claims · 0.2%

Your Cost: $271.73/claim|Median: $87.34
3.1× median
H2010Normal range

Comprehensive medication services, per 15 min

$104K

470 claims · 0.2%

Your Cost: $221.54/claim|Median: $62.69
3.5× median
90833Top 1%

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

$32K

190 claims · 0.1%

Your Cost: $169.77/claim|Median: $38.83
4.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$18K

105 claims · 0.0%

Your Cost: $173.09/claim|Median: $215.80
0.8× median
90847Top 10%

Family psychotherapy with patient, 50 min

$8K

46 claims · 0.0%

Your Cost: $182.57/claim|Median: $77.33
2.4× median
H0002Top 5%

Behavioral health screening

$5K

28 claims · 0.0%

Your Cost: $183.95/claim|Median: $38.77
4.7× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$4K

17 claims · 0.0%

Your Cost: $224.80/claim|Median: $108.91
2.1× median
99051Normal range

$3K

256 claims · 0.0%

Your Cost: $12.05/claim|Median: $7.89
1.5× median
99212Top 1%

Office/outpatient visit, low complexity

$3K

12 claims · 0.0%

Your Cost: $232.49/claim|Median: $25.06
9.3× median
90836Top 25%

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

$1K

16 claims · 0.0%

Your Cost: $84.06/claim|Median: $56.18
1.5× median

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$1.44B

Similar Providers

Other top providers in Counselor

Seven Counties Services, Inc.

Louisville, KY

$194.2M

Volunteer Behavioral Health Care System

Murfreesboro, TN

$168.3M

Richmond Behavioral Health Authority

Richmond, VA

$129.2M

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