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MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE

Counselor, Mental Health·BOLIVAR, TN·NPI: 1255442794Share

Compared to Counselor, Mental Health Peers

Total spending distribution among 27 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.5M is at the 75th percentile among 27 Counselor, Mental Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$24.5M

$24,491,545

Total Claims

360K

Beneficiaries

267K

1.4 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$4.4M
-15%
2019
$3.8M
-1%
2020
$3.7M
-14%
2021
$3.2M
+11%
2022
$3.5M
+4%
2023
$3.7M
-39%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (S0280 (Medical home program, comprehensive care management)) accounts for 52% of total spending.

S0280Normal range

Medical home program, comprehensive care management

$12.8M

83K claims · 52.5%

Your Cost: $154.60/claim|Median: $48.38
3.2× median
H0043Top 10%

Supported housing, per diem

$5.0M

3,961 claims · 20.5%

Your Cost: $1,265.75/claim|Median: $164.87
7.7× median
90834Normal range

Psychotherapy, 45 minutes

$2.4M

55K claims · 9.8%

Your Cost: $43.64/claim|Median: $63.65
0.7× median
99213Normal range

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

$1.5M

43K claims · 6.1%

Your Cost: $34.70/claim|Median: $37.81
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$665K

20K claims · 2.7%

Your Cost: $32.80/claim|Median: $41.28
0.8× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$555K

6,251 claims · 2.3%

Your Cost: $88.78/claim|Median: $76.05
1.2× median
99214Normal range

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

$483K

10K claims · 2.0%

Your Cost: $47.52/claim|Median: $53.41
0.9× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$474K

3,705 claims · 1.9%

Your Cost: $127.82/claim|Median: $225.50
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$311K

4,625 claims · 1.3%

Your Cost: $67.28/claim|Median: $99.21
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$118K

1,959 claims · 0.5%

Your Cost: $60.25/claim|Median: $108.91
0.6× median
A0110Normal range

Non-emergency taxi transport

$52K

6,744 claims · 0.2%

Your Cost: $7.70/claim|Median: $9.27
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$39K

544 claims · 0.2%

Your Cost: $71.09/claim|Median: $85.66
0.8× median
90853Normal range

Group psychotherapy

$26K

1,319 claims · 0.1%

Your Cost: $19.80/claim|Median: $25.02
0.8× median
A0425Normal range

Ground mileage, per statute mile

$7K

4,608 claims · 0.0%

Your Cost: $1.42/claim|Median: $23.36
0.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$4K

55 claims · 0.0%

Your Cost: $65.86/claim|Median: $77.33
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$3K

64 claims · 0.0%

Your Cost: $42.55/claim|Median: $74.09
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

269 claims · 0.0%

Your Cost: $6.44/claim|Median: $9.56
0.7× median
3008FNormal range

$750

1,119 claims · 0.0%

Your Cost: $0.67/claim|Median: $0.06
11.2× median
G9004Normal range

$178

17K claims · 0.0%

Your Cost: $0.01/claim|Median: $55.49
0.0× median
S9485Normal range

Crisis intervention mental health services, per diem

$106

1,152 claims · 0.0%

Your Cost: $0.09/claim|Median: $501.33
0.0× median
G9010Normal range

$2

44K claims · 0.0%

Your Cost: $0.00/claim|Median: $1,009.60
0.0× median
G9006Normal range

Coordination of long-term care services, per hour

$1

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $204.93
0.0× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$1

26K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.08
0.0× median
A0120Normal range

Non-emergency mini-bus transport

$0

4,610 claims · 0.0%

Your Cost: $0.00/claim|Median: $16.09
G9007Normal range

$0

3,434 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$0

620 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.33
G9011Normal range

$0

6,370 claims · 0.0%

Your Cost: $0.00/claim|Median: $39.92

Other Top Providers in Tennessee

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Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

Similar Providers

Other top providers in Counselor, Mental Health

Mountain Comprehensive Care Center, Inc.

Prestonsburg, KY

$243.1M

The Providence Center INC

Providence, RI

$170.8M

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