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THE UNITY HOSPITAL OF ROCHESTER

Clinic/Center, Mental Health (Including Community Mental Health Center)·ROCHESTER, NY·NPI: 1336366822Share

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 $36.8M 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

$36.8M

$36,766,729

Total Claims

193K

Beneficiaries

150K

1.3 claims/patient

Avg Cost/Claim

$191

Monthly Spending Trend

Yearly Spending

2018
$672K
+269%
2019
$2.5M
+163%
2020
$6.5M
+6%
2021
$6.9M
+30%
2022
$9.1M
-23%
2023
$6.9M
-40%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 23% of total spending.

90834Top 10%

Psychotherapy, 45 minutes

$8.6M

64K claims · 23.4%

Your Cost: $134.59/claim|Median: $63.65
2.1× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$6.7M

9,459 claims · 18.4%

Your Cost: $713.29/claim|Median: $84.12
8.5× median
90832Top 10%

Psychotherapy, 30 minutes

$5.0M

49K claims · 13.7%

Your Cost: $102.20/claim|Median: $41.28
2.5× median
H0040Top 25%

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

$3.7M

2,211 claims · 10.2%

Your Cost: $1,695.79/claim|Median: $266.41
6.4× median
J2426Top 10%

$2.4M

1,053 claims · 6.6%

Your Cost: $2,320.22/claim|Median: $625.59
3.7× median
90791Top 10%

Psychiatric diagnostic evaluation

$2.4M

14K claims · 6.5%

Your Cost: $174.54/claim|Median: $99.21
1.8× median
T1015Top 10%

Clinic visit/encounter, all-inclusive

$1.6M

5,777 claims · 4.5%

Your Cost: $284.45/claim|Median: $121.16
2.3× median
99214Top 5%

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

$1.4M

12K claims · 3.9%

Your Cost: $124.32/claim|Median: $53.41
2.3× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.2M

7,667 claims · 3.4%

Your Cost: $162.16/claim|Median: $215.80
0.8× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$914K

1,977 claims · 2.5%

Your Cost: $462.39/claim|Median: $392.63
1.2× median
99213Top 5%

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

$820K

7,641 claims · 2.2%

Your Cost: $107.30/claim|Median: $37.81
2.8× median
90853Top 10%

Group psychotherapy

$625K

8,548 claims · 1.7%

Your Cost: $73.08/claim|Median: $25.02
2.9× median
J0401Top 5%

$344K

159 claims · 0.9%

Your Cost: $2,165.73/claim|Median: $714.38
3.0× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$324K

1,391 claims · 0.9%

Your Cost: $233.14/claim|Median: $108.91
2.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$127K

4,562 claims · 0.3%

Your Cost: $27.86/claim|Median: $9.56
2.9× median
G0463Top 25%

Hospital outpatient clinic visit

$103K

1,431 claims · 0.3%

Your Cost: $72.32/claim|Median: $26.41
2.7× median
H0002Top 10%

Behavioral health screening

$76K

467 claims · 0.2%

Your Cost: $163.62/claim|Median: $38.77
4.2× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$57K

936 claims · 0.2%

Your Cost: $61.14/claim|Median: $47.35
1.3× median
H2025Top 25%

Ongoing support to maintain employment, per 15 min

$40K

114 claims · 0.1%

Your Cost: $347.28/claim|Median: $100.49
3.5× median
99051Top 5%

$36K

870 claims · 0.1%

Your Cost: $41.02/claim|Median: $7.89
5.2× median
99215Top 25%

Office/outpatient visit, high complexity

$12K

99 claims · 0.0%

Your Cost: $119.05/claim|Median: $74.09
1.6× median
90847Top 10%

Family psychotherapy with patient, 50 min

$11K

59 claims · 0.0%

Your Cost: $188.94/claim|Median: $77.33
2.4× median
H0001Normal range

Alcohol and/or drug assessment

$4K

29 claims · 0.0%

Your Cost: $149.09/claim|Median: $94.22
1.6× median
90882Normal range

Environmental intervention

$3K

71 claims · 0.0%

Your Cost: $36.32/claim|Median: $45.05
0.8× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$2K

47 claims · 0.0%

Your Cost: $51.04/claim|Median: $38.83
1.3× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$2K

30 claims · 0.0%

Your Cost: $64.26/claim|Median: $23.99
2.7× median
99406Top 5%

$486

15 claims · 0.0%

Your Cost: $32.42/claim|Median: $6.53
5.0× median