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BEHAVIOR MANAGEMENT SYSTEMS, INC.

Community/Behavioral Health·RAPID CITY, SD·NPI: 1295878122Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.8M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$19.8M

$19,812,401

Total Claims

234K

Beneficiaries

79K

3.0 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-5%
2019
$3.0M
-31%
2020
$2.0M
+38%
2021
$2.8M
+4%
2022
$2.9M
-12%
2023
$2.6M
+33%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2021 (Community-based wrap-around services, per 15 min)) accounts for 39% of total spending.

H2021Normal range

Community-based wrap-around services, per 15 min

$7.7M

76K claims · 39.1%

Your Cost: $101.83/claim|Median: $169.11
0.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$5.8M

74K claims · 29.0%

Your Cost: $77.47/claim|Median: $321.53
0.2× median
H0039Normal range

Assertive community treatment, per diem

$3.2M

39K claims · 16.0%

Your Cost: $81.09/claim|Median: $132.62
0.6× median
90863Top 25%

$1.1M

16K claims · 5.4%

Your Cost: $67.79/claim|Median: $29.71
2.3× median
90832Top 25%

Psychotherapy, 30 minutes

$652K

7,854 claims · 3.3%

Your Cost: $83.05/claim|Median: $41.28
2.0× median
H0015Normal range

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

$407K

4,740 claims · 2.1%

Your Cost: $85.88/claim|Median: $129.75
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$384K

4,033 claims · 1.9%

Your Cost: $95.20/claim|Median: $99.21
1.0× median
H2012Top 25%

Behavioral health day treatment, per hour

$310K

1,415 claims · 1.6%

Your Cost: $219.20/claim|Median: $137.86
1.6× median
W0037Top 10%

$121K

1,842 claims · 0.6%

Your Cost: $65.58/claim|Median: $3.00
21.9× median
99214Normal range

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

$99K

4,267 claims · 0.5%

Your Cost: $23.13/claim|Median: $53.41
0.4× median
Q3014Normal range

Telehealth originating site facility fee

$26K

1,516 claims · 0.1%

Your Cost: $17.01/claim|Median: $15.37
1.1× median
99213Normal range

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

$25K

1,110 claims · 0.1%

Your Cost: $22.20/claim|Median: $37.81
0.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$24K

307 claims · 0.1%

Your Cost: $79.26/claim|Median: $77.33
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$16K

1,489 claims · 0.1%

Your Cost: $10.83/claim|Median: $25.06
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$912

110 claims · 0.0%

Your Cost: $8.29/claim|Median: $85.66
0.1× median
999

$0

25 claims · 0.0%

CARE

$0

290 claims · 0.0%

NO BI

$0

13 claims · 0.0%

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