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

PIKE COUNTY RECOVERY COUNCIL INC

Public Health or Welfare·WAVERLY, OH·NPI: 1275589178Share

Compared to Public Health or Welfare Peers

Total spending distribution among 17 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.4M is at the 25th percentile among 17 Public Health or Welfare providers.

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

Total Paid

$49.4M

$49,440,575

Total Claims

587K

Beneficiaries

147K

4.0 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$9.5M
-16%
2019
$8.0M
-21%
2020
$6.3M
-4%
2021
$6.0M
+21%
2022
$7.2M
-0%
2023
$7.2M
-27%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 39% of total spending.

H0015Normal range

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

$19.3M

135K claims · 39.0%

Your Cost: $142.64/claim|Median: $129.75
1.1× median
H2036Normal range

Alcohol/drug treatment, per hour

$17.6M

85K claims · 35.5%

Your Cost: $205.95/claim|Median: $253.79
0.8× median
H0006Normal range

Alcohol and/or drug services, case management

$4.7M

157K claims · 9.5%

Your Cost: $29.84/claim|Median: $43.10
0.7× median
H0005Normal range

Alcohol and/or drug services, group counseling

$4.2M

104K claims · 8.6%

Your Cost: $40.52/claim|Median: $47.35
0.9× median
T1003Normal range

LPN/LVN services, per 15 minutes

$1.2M

42K claims · 2.4%

Your Cost: $27.64/claim|Median: $24.24
1.1× median
T1002Normal range

RN services, per 15 minutes

$927K

23K claims · 1.9%

Your Cost: $39.75/claim|Median: $37.42
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$623K

6,960 claims · 1.3%

Your Cost: $89.48/claim|Median: $85.66
1.0× median
H0048Normal range

$294K

21K claims · 0.6%

Your Cost: $14.06/claim|Median: $13.25
1.1× median
H0010Normal range

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

$227K

886 claims · 0.5%

Your Cost: $255.71/claim|Median: $369.55
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$203K

2,605 claims · 0.4%

Your Cost: $77.92/claim|Median: $74.63
1.0× median
90853Normal range

Group psychotherapy

$87K

4,612 claims · 0.2%

Your Cost: $18.87/claim|Median: $25.02
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$48K

844 claims · 0.1%

Your Cost: $57.00/claim|Median: $63.65
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$38K

1,374 claims · 0.1%

Your Cost: $27.32/claim|Median: $55.04
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$33K

774 claims · 0.1%

Your Cost: $42.47/claim|Median: $41.28
1.0× median
99355Top 25%

$12K

137 claims · 0.0%

Your Cost: $84.46/claim|Median: $55.81
1.5× median
99354Normal range

$9K

149 claims · 0.0%

Your Cost: $63.44/claim|Median: $54.96
1.2× median
90785Normal range

$3K

265 claims · 0.0%

Your Cost: $9.66/claim|Median: $6.43
1.5× median
99214Top 10%

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

$2K

15 claims · 0.0%

Your Cost: $111.04/claim|Median: $53.41
2.1× median
99213Top 10%

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

$1K

18 claims · 0.0%

Your Cost: $82.85/claim|Median: $37.81
2.2× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $144.05