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Wesley Family Services

Clinic/Center Mental Health (Including Community Mental Health Center)·Wilkinsburg, PA·NPI: 1316450638Share

Compared to Clinic/Center Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 28 providers in this specialty

P25MedianP75P90

This provider's total spending of $123.4M is at the 25th percentile among 28 Clinic/Center Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-112024-12(72 months)

Total Paid

$123.4M

$123,403,612

Total Claims

652K

Beneficiaries

140K

4.7 claims/patient

Avg Cost/Claim

$189

#966 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Wesley Family Services is a Clinic/Center Mental Health (Including Community Mental Health Center) provider based in Wilkinsburg, PA. From the 2018–2024 period, this provider received $123.4M in Medicaid payments across 652K claims.

Why This Matters

This provider received $123.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,425 Medicaid beneficiaries for a full year at average per-enrollee costs.

1394523% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$2K
+232453%
2019
$5.0M
+144%
2020
$12.2M
+78%
2021
$21.8M
+15%
2022
$25.1M
+16%
2023
$29.1M
+3%
2024
$30.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (W9045) accounts for 18% of total spending.

W9045Normal range

$22.3M

45K claims · 18.1%

Your Cost: $500.67/claim|Median: $477.91
1.1× median
W9047Top 1%

$20.5M

58K claims · 16.6%

Your Cost: $355.00/claim|Median: $337.41
1.1× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$16.5M

51K claims · 13.4%

Your Cost: $321.89/claim|Median: $74.63
4.3× median
H0039Normal range

Assertive community treatment, per diem

$9.2M

47K claims · 7.4%

Your Cost: $197.28/claim|Median: $132.62
1.5× median
W7226Top 1%

$7.2M

68K claims · 5.8%

Your Cost: $106.24/claim|Median: $104.70
1.0× median
H0046Top 25%

Mental health services, not otherwise specified

$6.3M

28K claims · 5.1%

Your Cost: $226.00/claim|Median: $85.02
2.7× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$5.8M

42K claims · 4.7%

Your Cost: $137.58/claim|Median: $148.53
0.9× median
W9029Normal range

$4.9M

7K claims · 4.0%

Your Cost: $673.33/claim|Median: $1,506.36
0.5× median
H2021Normal range

Community-based wrap-around services, per 15 min

$4.5M

63K claims · 3.6%

Your Cost: $70.97/claim|Median: $169.11
0.4× median
90834Top 25%

Psychotherapy, 45 minutes

$3.8M

40K claims · 3.1%

Your Cost: $94.35/claim|Median: $63.65
1.5× median
W7224Normal range

$3.1M

20K claims · 2.5%

Your Cost: $149.89/claim|Median: $149.89
1.0× median
H0032Normal range

Mental health service plan development

$2.9M

27K claims · 2.3%

Your Cost: $109.21/claim|Median: $80.64
1.4× median
T1017Normal range

Targeted case management, per 15 min

$2.8M

22K claims · 2.3%

Your Cost: $124.58/claim|Median: $69.56
1.8× median
H0036Top 25%

Community psychiatric supportive treatment, per 15 min

$2.8M

13K claims · 2.3%

Your Cost: $216.48/claim|Median: $76.05
2.9× median
90837Top 25%

Psychotherapy, 60 minutes

$1.7M

14K claims · 1.4%

Your Cost: $122.87/claim|Median: $85.66
1.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.4M

5K claims · 1.1%

Your Cost: $289.78/claim|Median: $215.80
1.3× median
H0034Top 25%

Medication training and management, per 15 min

$1.3M

7K claims · 1.1%

Your Cost: $196.39/claim|Median: $56.90
3.5× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$1.1M

17K claims · 0.9%

Your Cost: $62.67/claim|Median: $84.12
0.8× median
90853Top 25%

Group psychotherapy

$925K

22K claims · 0.7%

Your Cost: $41.80/claim|Median: $25.02
1.7× median
90832Normal range

Psychotherapy, 30 minutes

$681K

14K claims · 0.6%

Your Cost: $47.02/claim|Median: $41.28
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$603K

7K claims · 0.5%

Your Cost: $88.72/claim|Median: $77.33
1.1× median
99211Top 5%

Office/outpatient visit, minimal complexity

$496K

6K claims · 0.4%

Your Cost: $87.60/claim|Median: $12.93
6.8× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$403K

4K claims · 0.3%

Your Cost: $92.74/claim|Median: $146.45
0.6× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$327K

4K claims · 0.3%

Your Cost: $82.21/claim|Median: $167.38
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$303K

2K claims · 0.2%

Your Cost: $134.51/claim|Median: $108.91
1.2× median
99214Top 5%

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

$262K

2K claims · 0.2%

Your Cost: $149.88/claim|Median: $53.41
2.8× median
97156Normal range

$256K

2K claims · 0.2%

Your Cost: $108.69/claim|Median: $88.65
1.2× median
W7095Normal range

$212K

2K claims · 0.2%

Your Cost: $98.88/claim|Median: $139.68
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$208K

4K claims · 0.2%

Your Cost: $57.93/claim|Median: $96.24
0.6× median
W9351Top 1%

$164K

2K claims · 0.1%

Your Cost: $103.37/claim|Median: $91.48
1.1× median