Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

BEAR RIVER HEALTH

Substance Abuse Rehabilitation Facility·BOYNE FALLS, MI·NPI: 1235478363Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.3M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$38.3M

$38,309,481

Total Claims

95K

Beneficiaries

28K

3.3 claims/patient

Avg Cost/Claim

$405

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+101%
2019
$3.3M
+19%
2020
$3.9M
-2%
2021
$3.8M
+86%
2022
$7.1M
+44%
2023
$10.1M
-15%
2024
$8.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 59% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$22.8M

33K claims · 59.4%

Your Cost: $699.67/claim|Median: $357.16
2.0× median
H0018Normal range

Behavioral health; short-term residential, per diem

$5.7M

7,896 claims · 14.9%

Your Cost: $722.36/claim|Median: $467.51
1.5× median
S9976Normal range

$4.6M

44K claims · 12.1%

Your Cost: $105.52/claim|Median: $64.43
1.6× median
H0010Top 25%

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

$4.5M

6,176 claims · 11.7%

Your Cost: $724.61/claim|Median: $369.55
2.0× median
H0012Top 25%

$497K

912 claims · 1.3%

Your Cost: $544.90/claim|Median: $295.95
1.8× median
S0215Top 25%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$92K

1,718 claims · 0.2%

Your Cost: $53.59/claim|Median: $21.33
2.5× median
90837Top 25%

Psychotherapy, 60 minutes

$48K

401 claims · 0.1%

Your Cost: $118.64/claim|Median: $85.66
1.4× median
H0002Normal range

Behavioral health screening

$28K

594 claims · 0.1%

Your Cost: $47.96/claim|Median: $38.77
1.2× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$28K

284 claims · 0.1%

Your Cost: $99.31/claim|Median: $74.63
1.3× median
H0015Normal range

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

$15K

91 claims · 0.0%

Your Cost: $164.84/claim|Median: $129.75
1.3× median
T2003Top 5%

Non-emergency transport; encounter/trip

$8K

42 claims · 0.0%

Your Cost: $179.02/claim|Median: $21.70
8.2× median
A0100Normal range

Non-emergency transportation; per trip

$560

18 claims · 0.0%

Your Cost: $31.11/claim|Median: $24.72
1.3× median