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PRESTERA CENTER FOR MENTAL HEALTH SERVICES INC

Community/Behavioral Health·BARBOURSVILLE, WV·NPI: 1356336903Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $75.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$75.4M

$75,380,777

Total Claims

878K

Beneficiaries

358K

2.5 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$8.4M
+3%
2019
$8.7M
+45%
2020
$12.6M
-9%
2021
$11.5M
+24%
2022
$14.2M
-18%
2023
$11.7M
-28%
2024
$8.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 30% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$22.5M

123K claims · 29.9%

Your Cost: $182.86/claim|Median: $253.79
0.7× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$15.2M

178K claims · 20.1%

Your Cost: $85.52/claim|Median: $74.63
1.1× median
H0040Normal range

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

$15.1M

187K claims · 20.0%

Your Cost: $80.93/claim|Median: $266.41
0.3× median
H0036Top 10%

Community psychiatric supportive treatment, per 15 min

$4.3M

16K claims · 5.7%

Your Cost: $275.63/claim|Median: $76.05
3.6× median
Q3014Top 25%

Telehealth originating site facility fee

$2.9M

125K claims · 3.8%

Your Cost: $23.25/claim|Median: $15.37
1.5× median
99213Normal range

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

$2.7M

50K claims · 3.6%

Your Cost: $53.45/claim|Median: $37.81
1.4× median
H0031Normal range

Mental health assessment by non-physician

$2.5M

17K claims · 3.4%

Your Cost: $153.57/claim|Median: $96.18
1.6× median
S0281Normal range

$2.2M

36K claims · 2.9%

Your Cost: $61.23/claim|Median: $92.97
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$1.8M

53K claims · 2.3%

Your Cost: $33.11/claim|Median: $25.06
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.4M

12K claims · 1.9%

Your Cost: $121.87/claim|Median: $108.91
1.1× median
99214Top 25%

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

$1.4M

18K claims · 1.8%

Your Cost: $76.89/claim|Median: $53.41
1.4× median
T1040Top 5%

Medicaid certified CCBHC services

$852K

2,719 claims · 1.1%

Your Cost: $313.45/claim|Median: $130.29
2.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$778K

14K claims · 1.0%

Your Cost: $55.71/claim|Median: $35.43
1.6× median
H0032Normal range

Mental health service plan development

$639K

7,864 claims · 0.8%

Your Cost: $81.23/claim|Median: $80.64
1.0× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$249K

2,182 claims · 0.3%

Your Cost: $114.31/claim|Median: $129.75
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$182K

1,804 claims · 0.2%

Your Cost: $101.01/claim|Median: $74.09
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$168K

4,597 claims · 0.2%

Your Cost: $36.53/claim|Median: $85.66
0.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$124K

2,573 claims · 0.2%

Your Cost: $48.25/claim|Median: $55.04
0.9× median
T1017Normal range

Targeted case management, per 15 min

$92K

2,706 claims · 0.1%

Your Cost: $34.04/claim|Median: $69.56
0.5× median
A0120Normal range

Non-emergency mini-bus transport

$70K

9,427 claims · 0.1%

Your Cost: $7.39/claim|Median: $16.09
0.5× median
81025Top 25%

Urine pregnancy test

$47K

6,030 claims · 0.1%

Your Cost: $7.78/claim|Median: $4.81
1.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$45K

3,254 claims · 0.1%

Your Cost: $13.92/claim|Median: $12.93
1.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$40K

422 claims · 0.1%

Your Cost: $95.87/claim|Median: $215.80
0.4× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$40K

971 claims · 0.1%

Your Cost: $41.09/claim|Median: $34.62
1.2× median
99204Normal range

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

$21K

337 claims · 0.0%

Your Cost: $62.19/claim|Median: $84.03
0.7× median
A0160Normal range

$18K

2,158 claims · 0.0%

Your Cost: $8.15/claim|Median: $12.60
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$15K

3,785 claims · 0.0%

Your Cost: $3.93/claim|Median: $9.56
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$8K

93 claims · 0.0%

Your Cost: $82.57/claim|Median: $111.09
0.7× median
90853Normal range

Group psychotherapy

$8K

377 claims · 0.0%

Your Cost: $20.37/claim|Median: $25.02
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$7K

134 claims · 0.0%

Your Cost: $55.14/claim|Median: $63.65
0.9× median
T1016Normal range

Case management, each 15 min

$4K

72 claims · 0.0%

Your Cost: $55.26/claim|Median: $49.62
1.1× median
G9008Normal range

Coordination of long-term care services, per month

$2K

53 claims · 0.0%

Your Cost: $28.92/claim|Median: $66.78
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$1K

26 claims · 0.0%

Your Cost: $41.97/claim|Median: $99.21
0.4× median
99203Normal range

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

$657

18 claims · 0.0%

Your Cost: $36.49/claim|Median: $57.85
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

121 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11

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