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Glass Mental Health Foundation INC

Clinic/Center·Timonium, MD·NPI: 1255302774SharePrint ReportML Risk: 85%

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $263K is at the 25th percentile among 13 Clinic/Center providers.

Total Paid

$263K

$263,364

Total Claims

4,137

Beneficiaries

1,358

3.0 claims/patient

Avg Cost/Claim

$64

🔍 Analysis

Provider Overview

Glass Mental Health Foundation INC is a Clinic/Center provider based in Timonium, MD. From 2018-01 through 2019-08, this provider received $263K in Medicaid payments across 4K claims serving 1K beneficiaries, billing 2 distinct procedure codes.

Key Findings

  • 📊Bills 3.5× the national median for H0020 (H0020), at $66 per claim vs. the median of $19. This places them well above the 99th percentile nationally.
  • 📊75% of billing is concentrated in H0020 (H0020), indicating significant specialization in this service.
  • 📊Billing stopped in 2019-08, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2018
$175K
-49%
2019
$89K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 75% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$199K

3,014 claims · 75.4%

Your Cost: $65.88/claim|Median: $18.95
3.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$65K

1,123 claims · 24.6%

Your Cost: $57.71/claim|Median: $74.63
0.8× median