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HILLCREST FAMILY SERVICES

Psychiatry & Neurology, Child & Adolescent Psychiatry·DUBUQUE, IA·NPI: 1326096116Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$32.5M

$32,524,608

Total Claims

369K

Beneficiaries

151K

2.4 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+20%
2019
$4.8M
-1%
2020
$4.8M
+10%
2021
$5.2M
-5%
2022
$5.0M
+2%
2023
$5.1M
-31%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 56% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$18.2M

146K claims · 56.0%

Your Cost: $125.03/claim|Median: $321.53
0.4× median
99490Top 1%

Chronic care management services, 20 minutes per month

$3.5M

26K claims · 10.6%

Your Cost: $135.17/claim|Median: $6.31
21.4× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$2.5M

45K claims · 7.7%

Your Cost: $55.01/claim|Median: $266.41
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$2.0M

33K claims · 6.2%

Your Cost: $61.24/claim|Median: $63.65
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$1.8M

19K claims · 5.5%

Your Cost: $93.02/claim|Median: $85.66
1.1× median
99214Normal range

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

$1.1M

26K claims · 3.4%

Your Cost: $42.25/claim|Median: $53.41
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$718K

6,898 claims · 2.2%

Your Cost: $104.13/claim|Median: $99.21
1.0× median
99213Normal range

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

$554K

16K claims · 1.7%

Your Cost: $34.54/claim|Median: $37.81
0.9× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$490K

4,549 claims · 1.5%

Your Cost: $107.76/claim|Median: $91.63
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$349K

10K claims · 1.1%

Your Cost: $34.27/claim|Median: $41.28
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$333K

2,732 claims · 1.0%

Your Cost: $122.00/claim|Median: $108.91
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$228K

4,778 claims · 0.7%

Your Cost: $47.70/claim|Median: $55.04
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$216K

3,347 claims · 0.7%

Your Cost: $64.61/claim|Median: $74.09
0.9× median
Q3014Normal range

Telehealth originating site facility fee

$191K

11K claims · 0.6%

Your Cost: $17.36/claim|Median: $15.37
1.1× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$165K

2,466 claims · 0.5%

Your Cost: $66.83/claim|Median: $124.86
0.5× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$57K

420 claims · 0.2%

Your Cost: $134.99/claim|Median: $84.12
1.6× median
T1016Normal range

Case management, each 15 min

$45K

2,034 claims · 0.1%

Your Cost: $22.09/claim|Median: $49.62
0.4× median
T2021Normal range

Day habilitation, waiver; per 15 min

$33K

2,108 claims · 0.1%

Your Cost: $15.57/claim|Median: $150.51
0.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$31K

450 claims · 0.1%

Your Cost: $69.49/claim|Median: $215.80
0.3× median
90853Normal range

Group psychotherapy

$13K

332 claims · 0.0%

Your Cost: $39.86/claim|Median: $25.02
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$12K

884 claims · 0.0%

Your Cost: $13.74/claim|Median: $25.06
0.5× median
99510Normal range

$7K

385 claims · 0.0%

Your Cost: $18.39/claim|Median: $44.79
0.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$6K

92 claims · 0.0%

Your Cost: $65.01/claim|Median: $77.33
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

1,677 claims · 0.0%

Your Cost: $3.36/claim|Median: $9.56
0.4× median
H0037Normal range

Community psychiatric supportive treatment program, per diem

$5K

24 claims · 0.0%

Your Cost: $211.25/claim|Median: $225.50
0.9× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$3K

46 claims · 0.0%

Your Cost: $70.87/claim|Median: $3.67
19.3× median
99335Normal range

$3K

161 claims · 0.0%

Your Cost: $19.28/claim|Median: $14.90
1.3× median
90839Normal range

Psychotherapy for crisis, first 60 min

$3K

55 claims · 0.0%

Your Cost: $55.99/claim|Median: $83.98
0.7× median
H0046Normal range

Mental health services, not otherwise specified

$1K

54 claims · 0.0%

Your Cost: $21.31/claim|Median: $85.02
0.3× median
H1003Top 10%

$1K

27 claims · 0.0%

Your Cost: $38.80/claim|Median: $10.04
3.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$512

44 claims · 0.0%

Your Cost: $11.64/claim|Median: $12.93
0.9× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$234

12 claims · 0.0%

Your Cost: $19.51/claim|Median: $9.79
2.0× median
86580Normal range

Tuberculosis (TB) skin test

$55

18 claims · 0.0%

Your Cost: $3.04/claim|Median: $4.46
0.7× median
G0506Normal range

Comprehensive assessment of chronic care management

$0

358 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.41
99439Normal range

$0

17 claims · 0.0%

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

$0

46 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.97
G9008Normal range

Coordination of long-term care services, per month

$0

3,129 claims · 0.0%

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

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.40

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