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BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·WATERLOO, IA·NPI: 1316944598Share

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

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.7M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$20.7M

$20,693,055

Total Claims

278K

Beneficiaries

230K

1.2 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+14%
2019
$3.1M
+6%
2020
$3.3M
+6%
2021
$3.5M
-3%
2022
$3.4M
-17%
2023
$2.8M
-33%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99490 (Chronic care management services, 20 minutes per month)) accounts for 36% of total spending.

99490Top 1%

Chronic care management services, 20 minutes per month

$7.5M

50K claims · 36.0%

Your Cost: $147.91/claim|Median: $6.31
23.4× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$3.4M

11K claims · 16.3%

Your Cost: $299.35/claim|Median: $225.50
1.3× median
90834Top 25%

Psychotherapy, 45 minutes

$3.2M

34K claims · 15.7%

Your Cost: $95.53/claim|Median: $63.65
1.5× median
99214Normal range

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

$2.4M

32K claims · 11.5%

Your Cost: $74.00/claim|Median: $53.41
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$1.1M

20K claims · 5.3%

Your Cost: $53.14/claim|Median: $41.28
1.3× median
99213Top 25%

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

$938K

16K claims · 4.5%

Your Cost: $58.83/claim|Median: $37.81
1.6× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$635K

3,120 claims · 3.1%

Your Cost: $203.57/claim|Median: $108.91
1.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$450K

3,356 claims · 2.2%

Your Cost: $134.00/claim|Median: $99.21
1.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$342K

30K claims · 1.7%

Your Cost: $11.26/claim|Median: $55.04
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$179K

1,884 claims · 0.9%

Your Cost: $94.76/claim|Median: $74.09
1.3× median
Q3014Normal range

Telehealth originating site facility fee

$160K

7,823 claims · 0.8%

Your Cost: $20.51/claim|Median: $15.37
1.3× median
90837Top 25%

Psychotherapy, 60 minutes

$159K

1,500 claims · 0.8%

Your Cost: $106.22/claim|Median: $85.66
1.2× median
T1016Normal range

Case management, each 15 min

$112K

4,588 claims · 0.5%

Your Cost: $24.39/claim|Median: $49.62
0.5× median
99212Top 25%

Office/outpatient visit, low complexity

$80K

1,972 claims · 0.4%

Your Cost: $40.80/claim|Median: $25.06
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$41K

15K claims · 0.2%

Your Cost: $2.75/claim|Median: $9.56
0.3× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$17K

160 claims · 0.1%

Your Cost: $107.12/claim|Median: $84.03
1.3× median
G0506Normal range

Comprehensive assessment of chronic care management

$9K

2,642 claims · 0.0%

Your Cost: $3.28/claim|Median: $7.41
0.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$7K

550 claims · 0.0%

Your Cost: $12.29/claim|Median: $32.55
0.4× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$4K

96 claims · 0.0%

Your Cost: $39.26/claim|Median: $3.67
10.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

585 claims · 0.0%

Your Cost: $5.97/claim|Median: $22.44
0.3× median
H2016Normal range

Comprehensive community support services, per 15 min

$2K

20 claims · 0.0%

Your Cost: $108.85/claim|Median: $321.53
0.3× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$892

26 claims · 0.0%

Your Cost: $34.33/claim|Median: $72.96
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$651

46 claims · 0.0%

Your Cost: $14.14/claim|Median: $12.93
1.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$97

13 claims · 0.0%

Your Cost: $7.49/claim|Median: $13.30
0.6× median
99426Normal range

$0

1,338 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
G2065Normal range

$0

687 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.39
G9008Normal range

Coordination of long-term care services, per month

$0

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $66.78
G2058Normal range

$0

1,646 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.40
99439Normal range

$0

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $5.83
S0281Normal range

$0

448 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.97