Is COMPASS YOUTH SERVICES flagged for Medicaid fraud?

COMPASS YOUTH SERVICES (NPI: 1285992743) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COMPASS YOUTH SERVICES bill Medicaid?

COMPASS YOUTH SERVICES received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in CHARLOTTESVILLE, VA.

What is NPI 1285992743?

NPI 1285992743 is the National Provider Identifier for COMPASS YOUTH SERVICES. They are a Community/Behavioral Health provider based in CHARLOTTESVILLE, VA. This NPI is registered with the CMS NPI Registry.

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COMPASS YOUTH SERVICES

Community/Behavioral Health·CHARLOTTESVILLE, VA·NPI: 1285992743Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $63.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$63.4M

$63,449,469

Total Claims

222K

Beneficiaries

37K

6.0 claims/patient

Avg Cost/Claim

$285

Monthly Spending Trend

Yearly Spending

2018

$7.1M

+18%

2019

$8.4M

+7%

2020

$9.0M

-7%

2021

$8.4M

+20%

2022

$10.2M

-7%

2023

$9.4M

+15%

2024

$10.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2033 (Multisystemic therapy for juveniles, per 15 minutes)) accounts for 50% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2033Multisystemic therapy for juveniles, per 15 minutesSee all providers →

$31.5M

101K claims

$311.04

$227.82

1.4×

Normal range

H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$31.5M

101K claims · 49.7%

Your Cost: $311.04/claim|Median: $227.82

1.4× median

97153Adaptive behavior treatment by protocol, per 15 minSee all providers →

$15.0M

56K claims

$265.74

$167.38

1.6×

Top 25%

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$15.0M

56K claims · 23.6%

Your Cost: $265.74/claim|Median: $167.38

1.6× median

97155Adaptive behavior treatment with protocol modification, per 15 minutesSee all providers →

$12.3M

44K claims

$281.68

$146.45

1.9×

Top 10%

97155Top 10%

Adaptive behavior treatment with protocol modification, per 15 minutes

$12.3M

44K claims · 19.4%

Your Cost: $281.68/claim|Median: $146.45

1.9× median

97151Behavior identification assessmentSee all providers →

$1.8M

4,231 claims

$416.28

$161.10

2.6×

Top 10%

97151Top 10%

Behavior identification assessment

$1.8M

4,231 claims · 2.8%

Your Cost: $416.28/claim|Median: $161.10

2.6× median

97156 See all providers →

$1.2M

6,591 claims

$177.48

$88.65

2.0×

Top 5%

97156Top 5%

$1.2M

6,591 claims · 1.8%

Your Cost: $177.48/claim|Median: $88.65

2.0× median

H2012Behavioral health day treatment, per hourSee all providers →

$631K

2,231 claims

$282.92

$137.86

2.1×

Top 25%

H2012Top 25%

Behavioral health day treatment, per hour

$631K

2,231 claims · 1.0%

Your Cost: $282.92/claim|Median: $137.86

2.1× median

97152 See all providers →

$365K

1,733 claims

$210.61

$155.16

1.4×

Normal range

97152Normal range

$365K

1,733 claims · 0.6%

Your Cost: $210.61/claim|Median: $155.16

1.4× median

90837Psychotherapy, 60 minutesSee all providers →

$276K

3,017 claims

$91.47

$85.66

1.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$276K

3,017 claims · 0.4%

Your Cost: $91.47/claim|Median: $85.66

1.1× median

H0032Mental health service plan developmentSee all providers →

$236K

1,667 claims

$141.56

$80.64

1.8×

Top 25%

H0032Top 25%

Mental health service plan development

$236K

1,667 claims · 0.4%

Your Cost: $141.56/claim|Median: $80.64

1.8× median

96137Psychological/neuropsychological testing, each additional 30 minSee all providers →

$44K

228 claims

$193.32

$92.96

2.1×

Top 25%

96137Top 25%

Psychological/neuropsychological testing, each additional 30 min

$44K

228 claims · 0.1%

Your Cost: $193.32/claim|Median: $92.96

2.1× median

96131Psychological testing evaluation, each additional hourSee all providers →

$30K

194 claims

$152.54

$133.38

1.1×

Normal range

96131Normal range

Psychological testing evaluation, each additional hour

$30K

194 claims · 0.0%

Your Cost: $152.54/claim|Median: $133.38

1.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$28K

254 claims

$110.72

$99.21

1.1×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$28K

254 claims · 0.0%

Your Cost: $110.72/claim|Median: $99.21

1.1× median

H0046Mental health services, not otherwise specifiedSee all providers →

$27K

75 claims

$359.01

$85.02

4.2×

Top 10%

H0046Top 10%

Mental health services, not otherwise specified

$27K

75 claims · 0.0%

Your Cost: $359.01/claim|Median: $85.02

4.2× median

96130Psychological testing evaluation by professional, first hourSee all providers →

$19K

207 claims

$93.27

$79.21

1.2×

Normal range

96130Normal range

Psychological testing evaluation by professional, first hour

$19K

207 claims · 0.0%

Your Cost: $93.27/claim|Median: $79.21

1.2× median

96136Psychological/neuropsychological testing, first 30 minSee all providers →

$9K

226 claims

$38.68

$30.49

1.3×

Normal range

96136Normal range

Psychological/neuropsychological testing, first 30 min

$9K

226 claims · 0.0%

Your Cost: $38.68/claim|Median: $30.49

1.3× median

96139 See all providers →

$5K

69 claims

$69.39

$97.14

0.7×

Normal range

96139Normal range

$5K

69 claims · 0.0%

Your Cost: $69.39/claim|Median: $97.14

0.7× median

96101 See all providers →

$4K

12 claims

$317.25

$196.08

1.6×

Top 25%

96101Top 25%

$4K

12 claims · 0.0%

Your Cost: $317.25/claim|Median: $196.08

1.6× median

96138 See all providers →

$349

13 claims

$26.85

$19.87

1.4×

Normal range

96138Normal range

$349

13 claims · 0.0%

Your Cost: $26.85/claim|Median: $19.87

1.4× median

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