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FORA HEALTH INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·PORTLAND, OR·NPI: 1245378546Share

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 $54.4M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$54.4M

$54,414,933

Total Claims

196K

Beneficiaries

41K

4.8 claims/patient

Avg Cost/Claim

$278

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+19%
2019
$6.7M
+7%
2020
$7.2M
-18%
2021
$5.9M
+43%
2022
$8.4M
+29%
2023
$10.8M
-8%
2024
$9.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 49% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$26.4M

125K claims · 48.6%

Your Cost: $211.26/claim|Median: $357.16
0.6× median
H0010Top 25%

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

$25.0M

25K claims · 46.0%

Your Cost: $1,003.49/claim|Median: $369.55
2.7× median
H0005Normal range

Alcohol and/or drug services, group counseling

$557K

13K claims · 1.0%

Your Cost: $42.95/claim|Median: $47.35
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$492K

12K claims · 0.9%

Your Cost: $39.34/claim|Median: $55.04
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$483K

5,351 claims · 0.9%

Your Cost: $90.21/claim|Median: $74.63
1.2× median
99213Top 25%

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

$387K

6,116 claims · 0.7%

Your Cost: $63.20/claim|Median: $37.81
1.7× median
H0001Normal range

Alcohol and/or drug assessment

$279K

2,205 claims · 0.5%

Your Cost: $126.75/claim|Median: $94.22
1.3× median
99214Top 25%

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

$262K

2,981 claims · 0.5%

Your Cost: $87.86/claim|Median: $53.41
1.6× median
T1006Normal range

Alcohol/drug services, family/couple counseling

$111K

1,148 claims · 0.2%

Your Cost: $96.72/claim|Median: $109.04
0.9× median
H0013Top 10%

$111K

100 claims · 0.2%

Your Cost: $1,110.00/claim|Median: $397.82
2.8× median
90837Normal range

Psychotherapy, 60 minutes

$76K

768 claims · 0.1%

Your Cost: $99.12/claim|Median: $85.66
1.2× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$60K

522 claims · 0.1%

Your Cost: $114.07/claim|Median: $57.85
2.0× median
J2315Top 5%

$37K

25 claims · 0.1%

Your Cost: $1,466.83/claim|Median: $1,045.36
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$31K

241 claims · 0.1%

Your Cost: $127.91/claim|Median: $111.09
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$28K

183 claims · 0.1%

Your Cost: $155.47/claim|Median: $108.91
1.4× median
90853Top 25%

Group psychotherapy

$13K

281 claims · 0.0%

Your Cost: $46.98/claim|Median: $25.02
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$7K

93 claims · 0.0%

Your Cost: $77.03/claim|Median: $74.09
1.0× median
90849Normal range

Multiple-family group psychotherapy

$7K

114 claims · 0.0%

Your Cost: $59.45/claim|Median: $40.78
1.5× median
90832Normal range

Psychotherapy, 30 minutes

$4K

70 claims · 0.0%

Your Cost: $52.21/claim|Median: $41.28
1.3× median
90834Top 25%

Psychotherapy, 45 minutes

$3K

27 claims · 0.0%

Your Cost: $99.97/claim|Median: $63.65
1.6× median
H0006Normal range

Alcohol and/or drug services, case management

$2K

52 claims · 0.0%

Your Cost: $34.44/claim|Median: $43.10
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$1K

14 claims · 0.0%

Your Cost: $71.80/claim|Median: $99.21
0.7× median