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CUMBERLAND MOUNTAIN COMMUNITY SERVICES

Community/Behavioral Health·CEDAR BLUFF, VA·NPI: 1235125055Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $100.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$100.4M

$100,416,361

Total Claims

500K

Beneficiaries

211K

2.4 claims/patient

Avg Cost/Claim

$201

Monthly Spending Trend

Yearly Spending

2018
$13.7M
+1%
2019
$13.9M
-7%
2020
$12.9M
+1%
2021
$13.0M
+17%
2022
$15.2M
+10%
2023
$16.7M
-9%
2024
$15.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 49 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 29% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$28.7M

86K claims · 28.6%

Your Cost: $332.42/claim|Median: $53.97
6.2× median
H2022Top 25%

Community-based wrap-around services, per diem

$23.3M

9,597 claims · 23.2%

Your Cost: $2,424.91/claim|Median: $336.31
7.2× median
97150Top 1%

Therapeutic procedure, group (2+ patients)

$10.1M

6,015 claims · 10.1%

Your Cost: $1,685.53/claim|Median: $12.12
139.1× median
T1017Top 5%

Targeted case management, per 15 min

$8.1M

24K claims · 8.1%

Your Cost: $343.72/claim|Median: $69.56
4.9× median
H2014Top 1%

Skills training & development, per 15 min

$6.7M

2,064 claims · 6.6%

Your Cost: $3,230.17/claim|Median: $83.88
38.5× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$5.0M

77K claims · 5.0%

Your Cost: $64.87/claim|Median: $91.63
0.7× median
H0010Top 25%

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

$3.5M

3,178 claims · 3.5%

Your Cost: $1,107.30/claim|Median: $369.55
3.0× median
T2003Normal range

Non-emergency transport; encounter/trip

$2.0M

139K claims · 2.0%

Your Cost: $14.35/claim|Median: $21.70
0.7× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$1.7M

2,050 claims · 1.7%

Your Cost: $846.62/claim|Median: $215.80
3.9× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$1.5M

5,471 claims · 1.5%

Your Cost: $271.11/claim|Median: $84.12
3.2× median
H0006Top 5%

Alcohol and/or drug services, case management

$1.4M

6,052 claims · 1.3%

Your Cost: $223.61/claim|Median: $43.10
5.2× median
T2022Normal range

Case management, per month

$1.0M

7,663 claims · 1.0%

Your Cost: $133.96/claim|Median: $202.77
0.7× median
99213Normal range

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

$865K

20K claims · 0.9%

Your Cost: $42.79/claim|Median: $37.81
1.1× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$814K

8,559 claims · 0.8%

Your Cost: $95.08/claim|Median: $148.53
0.6× median
H0046Normal range

Mental health services, not otherwise specified

$776K

6,055 claims · 0.8%

Your Cost: $128.13/claim|Median: $85.02
1.5× median
90837Top 25%

Psychotherapy, 60 minutes

$763K

6,857 claims · 0.8%

Your Cost: $111.26/claim|Median: $85.66
1.3× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$442K

2,288 claims · 0.4%

Your Cost: $193.33/claim|Median: $76.05
2.5× median
G0151Top 25%

Physical therapy services, home health, per visit

$435K

3,587 claims · 0.4%

Your Cost: $121.19/claim|Median: $67.94
1.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$378K

4,364 claims · 0.4%

Your Cost: $86.67/claim|Median: $77.33
1.1× median
T2023Normal range

Community transition, waiver; per service

$366K

1,068 claims · 0.4%

Your Cost: $342.27/claim|Median: $300.13
1.1× median
99214Normal range

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

$329K

5,642 claims · 0.3%

Your Cost: $58.24/claim|Median: $53.41
1.1× median
G0153Top 25%

Services of SLP in home health, per 15 min

$285K

2,101 claims · 0.3%

Your Cost: $135.60/claim|Median: $101.43
1.3× median
90791Top 25%

Psychiatric diagnostic evaluation

$263K

1,956 claims · 0.3%

Your Cost: $134.22/claim|Median: $99.21
1.4× median
T1019Top 25%

Personal care services, per 15 min

$227K

724 claims · 0.2%

Your Cost: $313.18/claim|Median: $82.47
3.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$187K

1,726 claims · 0.2%

Your Cost: $108.55/claim|Median: $108.91
1.0× median
A0100Normal range

Non-emergency transportation; per trip

$159K

13K claims · 0.2%

Your Cost: $12.23/claim|Median: $24.72
0.5× median
80305Normal range

$144K

16K claims · 0.1%

Your Cost: $8.77/claim|Median: $7.44
1.2× median
G0152Top 10%

Occupational therapy services, home health, per visit

$100K

689 claims · 0.1%

Your Cost: $145.29/claim|Median: $68.93
2.1× median
S9482Normal range

Family stabilization services, per 15 minutes

$98K

160 claims · 0.1%

Your Cost: $611.86/claim|Median: $625.59
1.0× median
90853Normal range

Group psychotherapy

$94K

4,597 claims · 0.1%

Your Cost: $20.43/claim|Median: $25.02
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$88K

7,598 claims · 0.1%

Your Cost: $11.55/claim|Median: $12.93
0.9× median
H2036Top 25%

Alcohol/drug treatment, per hour

$84K

130 claims · 0.1%

Your Cost: $645.19/claim|Median: $253.79
2.5× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$82K

667 claims · 0.1%

Your Cost: $123.18/claim|Median: $106.70
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$76K

1,008 claims · 0.1%

Your Cost: $75.56/claim|Median: $63.65
1.2× median
Q3014Normal range

Telehealth originating site facility fee

$71K

4,266 claims · 0.1%

Your Cost: $16.58/claim|Median: $15.37
1.1× median
H0032Normal range

Mental health service plan development

$61K

1,361 claims · 0.1%

Your Cost: $44.87/claim|Median: $80.64
0.6× median
A0120Normal range

Non-emergency mini-bus transport

$57K

6,652 claims · 0.1%

Your Cost: $8.61/claim|Median: $16.09
0.5× median
T2021Normal range

Day habilitation, waiver; per 15 min

$49K

341 claims · 0.0%

Your Cost: $143.13/claim|Median: $150.51
1.0× median
90832Top 25%

Psychotherapy, 30 minutes

$47K

845 claims · 0.0%

Your Cost: $55.51/claim|Median: $41.28
1.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$29K

931 claims · 0.0%

Your Cost: $31.02/claim|Median: $47.35
0.7× median
82075Normal range

Alcohol (ethanol) breath test

$27K

6,387 claims · 0.0%

Your Cost: $4.16/claim|Median: $16.59
0.3× median
T1012Normal range

Alcohol/drug services, skills development

$16K

765 claims · 0.0%

Your Cost: $20.72/claim|Median: $40.78
0.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$9K

520 claims · 0.0%

Your Cost: $16.91/claim|Median: $30.04
0.6× median
H0014Normal range

$6K

44 claims · 0.0%

Your Cost: $140.25/claim|Median: $137.81
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$5K

195 claims · 0.0%

Your Cost: $24.47/claim|Median: $25.06
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$2K

15 claims · 0.0%

Your Cost: $132.84/claim|Median: $74.09
1.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$395

43 claims · 0.0%

Your Cost: $9.20/claim|Median: $9.56
1.0× median
S0220Normal range

$300

12 claims · 0.0%

Your Cost: $25.00/claim|Median: $62.26
0.4× median
81025Normal range

Urine pregnancy test

$161

30 claims · 0.0%

Your Cost: $5.35/claim|Median: $4.81
1.1× median

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