OIG EXCLUDED — This provider appears on the federal exclusion list
Go With the Flow Behavioral Health
Compared to Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers
Total spending distribution among 15 providers in this specialty
This provider's total spending of $286K is at the below 25th percentile among 15 Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.
Total Paid
$286K
$286,392
Total Claims
1,920
Beneficiaries
551
3.5 claims/patient
Avg Cost/Claim
$149
🔍 Analysis
Provider Overview
Go With the Flow Behavioral Health is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider based in Las Vegas, NV. From 2018-01 through 2018-07, this provider received $286K in Medicaid payments across 2K claims serving 551 beneficiaries, billing 7 distinct procedure codes.
Key Findings
- 📊Bills 2.4× the national median for H0034 (H0034), at $138 per claim vs. the median of $57, placing them above the 75th percentile.
- 📊Billing stopped in 2018-07, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (H0034 (Medication training and management, per 15 min)) accounts for 53% of total spending.
$152K
1,106 claims
$137.81
$56.90
Medication training and management, per 15 min
$152K
1,106 claims · 53.2%
$109K
330 claims
$329.42
$135.70
Intensive outpatient psychiatric services, per diem
$109K
330 claims · 38.0%
$15K
293 claims · 5.4%
Psychotherapy, 45 minutes
$6K
143 claims · 2.2%
$3K
19 claims
$172.98
$96.18
Mental health assessment by non-physician
$3K
19 claims · 1.1%
Behavioral health screening
$338
13 claims · 0.1%
Group psychotherapy
$0
16 claims · 0.0%
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