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YOUTH OPPORTUNITIES UPHELD, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·WORCESTER, MA·NPI: 1245317205Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.2M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$44.2M

$44,182,345

Total Claims

521K

Beneficiaries

154K

3.4 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$7.2M
-5%
2019
$6.8M
-2%
2020
$6.7M
+0%
2021
$6.7M
-14%
2022
$5.8M
+16%
2023
$6.7M
-37%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 26% of total spending.

90834Top 25%

Psychotherapy, 45 minutes

$11.5M

139K claims · 26.1%

Your Cost: $82.71/claim|Median: $63.65
1.3× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$10.7M

73K claims · 24.3%

Your Cost: $147.41/claim|Median: $84.12
1.8× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$7.0M

135K claims · 15.9%

Your Cost: $52.07/claim|Median: $53.97
1.0× median
T1027Top 10%

Family training and counseling, per 15 minutes

$5.4M

47K claims · 12.3%

Your Cost: $114.55/claim|Median: $53.00
2.2× median
90887Normal range

Interpretation/explanation of results

$1.8M

32K claims · 4.0%

Your Cost: $54.41/claim|Median: $47.55
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$1.2M

15K claims · 2.8%

Your Cost: $83.29/claim|Median: $77.33
1.1× median
99214Top 10%

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

$961K

9,563 claims · 2.2%

Your Cost: $100.54/claim|Median: $53.41
1.9× median
90882Normal range

Environmental intervention

$961K

19K claims · 2.2%

Your Cost: $50.83/claim|Median: $45.05
1.1× median
90837Top 25%

Psychotherapy, 60 minutes

$864K

7,745 claims · 2.0%

Your Cost: $111.54/claim|Median: $85.66
1.3× median
H0037Top 5%

Community psychiatric supportive treatment program, per diem

$735K

209 claims · 1.7%

Your Cost: $3,514.97/claim|Median: $225.50
15.6× median
90791Normal range

Psychiatric diagnostic evaluation

$701K

5,608 claims · 1.6%

Your Cost: $125.06/claim|Median: $99.21
1.3× median
T1017Normal range

Targeted case management, per 15 min

$545K

4,528 claims · 1.2%

Your Cost: $120.39/claim|Median: $69.56
1.7× median
H0046Normal range

Mental health services, not otherwise specified

$492K

11K claims · 1.1%

Your Cost: $46.76/claim|Median: $85.02
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$406K

9,316 claims · 0.9%

Your Cost: $43.53/claim|Median: $41.28
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$351K

4,422 claims · 0.8%

Your Cost: $79.45/claim|Median: $55.04
1.4× median
90853Normal range

Group psychotherapy

$130K

4,604 claims · 0.3%

Your Cost: $28.29/claim|Median: $25.02
1.1× median
H2014Normal range

Skills training & development, per 15 min

$106K

756 claims · 0.2%

Your Cost: $140.23/claim|Median: $83.88
1.7× median
90846Normal range

Family psychotherapy without patient, 50 min

$83K

939 claims · 0.2%

Your Cost: $88.74/claim|Median: $76.61
1.2× median
99404Top 5%

$55K

312 claims · 0.1%

Your Cost: $177.83/claim|Median: $104.92
1.7× median
99215Top 25%

Office/outpatient visit, high complexity

$55K

430 claims · 0.1%

Your Cost: $126.87/claim|Median: $74.09
1.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$30K

555 claims · 0.1%

Your Cost: $54.34/claim|Median: $96.24
0.6× median
99213Normal range

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

$23K

865 claims · 0.1%

Your Cost: $26.44/claim|Median: $37.81
0.7× median
H0031Normal range

Mental health assessment by non-physician

$2K

141 claims · 0.0%

Your Cost: $15.00/claim|Median: $96.18
0.2× median