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PHYSICIAN ALLIANCE FOR MENTAL HEALTH, LLC

Community/Behavioral Health·WILMINGTON, NC·NPI: 1285882928Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.0M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$28.0M

$27,983,471

Total Claims

167K

Beneficiaries

36K

4.6 claims/patient

Avg Cost/Claim

$167

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+54%
2019
$3.3M
+17%
2020
$3.9M
-5%
2021
$3.7M
+9%
2022
$4.1M
+14%
2023
$4.6M
+33%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 82% of total spending.

H0040Normal range

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

$23.0M

105K claims · 82.2%

Your Cost: $219.89/claim|Median: $266.41
0.8× median
H2023Normal range

Supported employment, per 15 min

$2.0M

14K claims · 7.3%

Your Cost: $146.41/claim|Median: $103.94
1.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.7M

19K claims · 6.0%

Your Cost: $86.70/claim|Median: $96.24
0.9× median
H0038Normal range

Self-help/peer services, per 15 minutes

$569K

11K claims · 2.0%

Your Cost: $53.74/claim|Median: $55.04
1.0× median
99214Normal range

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

$333K

5,495 claims · 1.2%

Your Cost: $60.60/claim|Median: $53.41
1.1× median
99213Normal range

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

$144K

3,244 claims · 0.5%

Your Cost: $44.51/claim|Median: $37.81
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$127K

3,408 claims · 0.5%

Your Cost: $37.41/claim|Median: $85.66
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$43K

1,317 claims · 0.2%

Your Cost: $32.71/claim|Median: $41.28
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$32K

4,520 claims · 0.1%

Your Cost: $7.16/claim|Median: $9.56
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$10K

157 claims · 0.0%

Your Cost: $66.40/claim|Median: $108.91
0.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$7K

180 claims · 0.0%

Your Cost: $37.20/claim|Median: $32.55
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$11

36 claims · 0.0%

Your Cost: $0.30/claim|Median: $22.44
0.0× median
H0020Normal range

Alcohol/drug services; methadone administration

$0

159 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.95
T2021Normal range

Day habilitation, waiver; per 15 min

$0

86 claims · 0.0%

Your Cost: $0.00/claim|Median: $150.51