Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

OPEN HEARTS

Community/Behavioral Health·PHOENIX, AZ·NPI: 1265544324Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.0M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$20.0M

$20,011,781

Total Claims

499K

Beneficiaries

148K

3.4 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$755K
+301%
2019
$3.0M
+14%
2020
$3.4M
+0%
2021
$3.4M
-2%
2022
$3.4M
+10%
2023
$3.7M
-38%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 35% of total spending.

T1016Normal range

Case management, each 15 min

$7.0M

313K claims · 35.1%

Your Cost: $22.42/claim|Median: $49.62
0.5× median
H2014Normal range

Skills training & development, per 15 min

$5.8M

69K claims · 29.2%

Your Cost: $84.18/claim|Median: $83.88
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$3.1M

44K claims · 15.4%

Your Cost: $69.62/claim|Median: $74.63
0.9× median
S5110Normal range

Home care training, family; per 15 min

$1.9M

28K claims · 9.3%

Your Cost: $66.46/claim|Median: $74.36
0.9× median
H0031Normal range

Mental health assessment by non-physician

$1.2M

11K claims · 5.8%

Your Cost: $107.30/claim|Median: $96.18
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$480K

3,142 claims · 2.4%

Your Cost: $152.67/claim|Median: $108.91
1.4× median
99214Normal range

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

$352K

8,758 claims · 1.8%

Your Cost: $40.23/claim|Median: $53.41
0.8× median
S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$73K

8,466 claims · 0.4%

Your Cost: $8.57/claim|Median: $21.33
0.4× median
99213Normal range

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

$42K

1,332 claims · 0.2%

Your Cost: $31.26/claim|Median: $37.81
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$37K

387 claims · 0.2%

Your Cost: $94.60/claim|Median: $74.09
1.3× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$19K

3,883 claims · 0.1%

Your Cost: $4.87/claim|Median: $17.67
0.3× median
A0120Normal range

Non-emergency mini-bus transport

$13K

6,015 claims · 0.1%

Your Cost: $2.20/claim|Median: $16.09
0.1× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$6K

433 claims · 0.0%

Your Cost: $14.46/claim|Median: $53.97
0.3× median
H0002Normal range

Behavioral health screening

$6K

307 claims · 0.0%

Your Cost: $18.57/claim|Median: $38.77
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$2K

127 claims · 0.0%

Your Cost: $16.93/claim|Median: $25.06
0.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$2K

91 claims · 0.0%

Your Cost: $22.81/claim|Median: $91.63
0.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$123

14 claims · 0.0%

Your Cost: $8.78/claim|Median: $12.93
0.7× median
H0015Normal range

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

$0

334 claims · 0.0%

Your Cost: $0.00/claim|Median: $129.75