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Washington County Health Department-central

Clinic/Center, Public Health, State or Local·Hagerstown, MD·NPI: 1235536137Share

Total Paid

$173K

$172,662

Total Claims

2,365

Beneficiaries

942

2.5 claims/patient

Avg Cost/Claim

$73

🔍 Analysis

Provider Overview

Washington County Health Department-central is a Clinic/Center, Public Health, State or Local provider based in Hagerstown, MD. From 2018-01 through 2018-05, this provider received $173K in Medicaid payments across 2K claims serving 942 beneficiaries, billing 4 distinct procedure codes.

Key Findings

  • 📊Billing stopped in 2018-05, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 60% of total spending.

H0015Normal range

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

$103K

794 claims · 59.7%

Your Cost: $129.79/claim|Median: $129.75
1.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$40K

986 claims · 23.2%

Your Cost: $40.56/claim|Median: $47.35
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$19K

513 claims · 11.0%

Your Cost: $37.13/claim|Median: $74.63
0.5× median
H0001Normal range

Alcohol and/or drug assessment

$11K

72 claims · 6.1%

Your Cost: $146.80/claim|Median: $94.22
1.6× median