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PATHFINDERS RECOVERY CENTER, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder·SCOTTSDALE, AZ·NPI: 1275079279Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.6M is at the 50th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2020-022023-09(44 months)
Billing appears to have stoppedLast active: 2023-09

Total Paid

$20.6M

$20,600,209

Total Claims

91K

Beneficiaries

8,371

10.8 claims/patient

Avg Cost/Claim

$227

Monthly Spending Trend

Yearly Spending

2020
$7.0M
-25%
2021
$5.3M
+17%
2022
$6.1M
-65%
2023
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 70% of total spending.

H0015Top 5%

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

$14.3M

24K claims · 69.7%

Your Cost: $588.35/claim|Median: $129.75
4.5× median
T1016Top 25%

Case management, each 15 min

$2.6M

24K claims · 12.5%

Your Cost: $106.47/claim|Median: $49.62
2.1× median
H2014Normal range

Skills training & development, per 15 min

$1.8M

22K claims · 8.9%

Your Cost: $81.84/claim|Median: $83.88
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.5M

15K claims · 7.4%

Your Cost: $98.98/claim|Median: $74.63
1.3× median
90834Top 25%

Psychotherapy, 45 minutes

$176K

1,850 claims · 0.9%

Your Cost: $95.34/claim|Median: $63.65
1.5× median
H0031Top 25%

Mental health assessment by non-physician

$65K

421 claims · 0.3%

Your Cost: $155.33/claim|Median: $96.18
1.6× median
96167Top 25%

$42K

638 claims · 0.2%

Your Cost: $66.23/claim|Median: $43.84
1.5× median
H0001Normal range

Alcohol and/or drug assessment

$14K

448 claims · 0.1%

Your Cost: $31.04/claim|Median: $94.22
0.3× median
H0002Normal range

Behavioral health screening

$7K

341 claims · 0.0%

Your Cost: $21.59/claim|Median: $38.77
0.6× median
H0034Normal range

Medication training and management, per 15 min

$1K

152 claims · 0.0%

Your Cost: $8.38/claim|Median: $56.90
0.1× median
T1003Normal range

LPN/LVN services, per 15 minutes

$107

450 claims · 0.0%

Your Cost: $0.24/claim|Median: $24.24
0.0× median

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