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Nys Office of Mental Health

Clinic/Center, Adolescent and Children Mental Health·Orangeburg, NY·NPI: 1275697195Share

Compared to Clinic/Center, Adolescent and Children Mental Health Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $133.7M is at the 99th percentile among 5 Clinic/Center, Adolescent and Children Mental Health providers.

Above 99th percentile for this specialty — higher spending than 4 of 5 peers

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$133.7M

$133,691,588

Total Claims

575K

Beneficiaries

428K

1.3 claims/patient

Avg Cost/Claim

$232

#851 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Nys Office of Mental Health is a Clinic/Center, Adolescent and Children Mental Health provider based in Orangeburg, NY. From the 2018–2024 period, this provider received $133.7M in Medicaid payments across 575K claims.

Why This Matters

This provider received $133.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,711 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 280% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$4.8M
+258%
2019
$17.2M
+40%
2020
$24.1M
+9%
2021
$26.2M
-20%
2022
$21.1M
+6%
2023
$22.3M
-18%
2024
$18.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 22% of total spending.

90834Top 1%

Psychotherapy, 45 minutes

$29.0M

97K claims · 21.7%

Your Cost: $299.84/claim|Median: $63.65
4.7× median
99214Top 1%

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

$26.0M

124K claims · 19.5%

Your Cost: $210.15/claim|Median: $53.41
3.9× median
90832Top 5%

Psychotherapy, 30 minutes

$20.3M

92K claims · 15.2%

Your Cost: $220.64/claim|Median: $41.28
5.3× median
99213Top 1%

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

$9.9M

41K claims · 7.4%

Your Cost: $242.26/claim|Median: $37.81
6.4× median
90847Top 1%

Family psychotherapy with patient, 50 min

$8.1M

17K claims · 6.1%

Your Cost: $467.13/claim|Median: $77.33
6.0× median
H0040Top 25%

Assertive community treatment, face-to-face, per 15 minutes

$7.8M

6K claims · 5.8%

Your Cost: $1,235.01/claim|Median: $266.41
4.6× median
99215Top 5%

Office/outpatient visit, high complexity

$6.3M

29K claims · 4.7%

Your Cost: $218.09/claim|Median: $74.09
2.9× median
90833Top 5%

Psychotherapy, 30 min, add-on to E/M service

$5.1M

40K claims · 3.8%

Your Cost: $128.30/claim|Median: $38.83
3.3× median
90837Top 1%

Psychotherapy, 60 minutes

$3.5M

11K claims · 2.6%

Your Cost: $316.61/claim|Median: $85.66
3.7× median
H2010Normal range

Comprehensive medication services, per 15 min

$3.3M

22K claims · 2.5%

Your Cost: $150.34/claim|Median: $62.69
2.4× median
90836Top 5%

Psychotherapy, 45 min, add-on to E/M

$2.8M

15K claims · 2.1%

Your Cost: $190.43/claim|Median: $56.18
3.4× median
90791Top 1%

Psychiatric diagnostic evaluation

$2.6M

7K claims · 2.0%

Your Cost: $401.61/claim|Median: $99.21
4.0× median
99401Top 1%

$1.4M

16K claims · 1.1%

Your Cost: $88.56/claim|Median: $16.53
5.4× median
99402Top 5%

$939K

9K claims · 0.7%

Your Cost: $109.22/claim|Median: $31.79
3.4× median
90882Top 25%

Environmental intervention

$936K

12K claims · 0.7%

Your Cost: $78.66/claim|Median: $45.05
1.8× median
90846Top 5%

Family psychotherapy without patient, 50 min

$806K

3K claims · 0.6%

Your Cost: $236.09/claim|Median: $76.61
3.1× median
90792Top 1%

Psychiatric diagnostic evaluation with medical services

$800K

2K claims · 0.6%

Your Cost: $499.66/claim|Median: $108.91
4.6× median
90853Top 5%

Group psychotherapy

$724K

7K claims · 0.5%

Your Cost: $102.85/claim|Median: $25.02
4.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$616K

2K claims · 0.5%

Your Cost: $316.58/claim|Median: $215.80
1.5× median
99204Top 1%

Office/outpatient visit, new patient, mod-high complexity

$516K

2K claims · 0.4%

Your Cost: $254.27/claim|Median: $84.03
3.0× median
99212Top 1%

Office/outpatient visit, low complexity

$493K

2K claims · 0.4%

Your Cost: $229.19/claim|Median: $25.06
9.2× median
S9484Top 25%

Crisis intervention mental health services, per hour

$489K

555 claims · 0.4%

Your Cost: $880.55/claim|Median: $249.51
3.5× median
99203Top 1%

Office/outpatient visit, new patient, low-mod complexity

$313K

1K claims · 0.2%

Your Cost: $260.54/claim|Median: $57.85
4.5× median
99404Top 5%

$171K

759 claims · 0.1%

Your Cost: $225.11/claim|Median: $104.92
2.1× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$159K

642 claims · 0.1%

Your Cost: $247.89/claim|Median: $111.09
2.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$152K

12K claims · 0.1%

Your Cost: $12.58/claim|Median: $9.56
1.3× median
99403Top 5%

$134K

834 claims · 0.1%

Your Cost: $160.47/claim|Median: $47.11
3.4× median
99051Top 10%

$95K

4K claims · 0.1%

Your Cost: $27.20/claim|Median: $7.89
3.5× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$16K

57 claims · 0.0%

Your Cost: $272.40/claim|Median: $40.11
6.8× median
90849Top 25%

Multiple-family group psychotherapy

$2K

28 claims · 0.0%

Your Cost: $81.32/claim|Median: $40.78
2.0× median

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