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Wasatch Behavioral Health Special Service District

Community/Behavioral Health·Provo, UT·NPI: 1356357115Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $178.2M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$178.2M

$178,229,847

Total Claims

1.9M

Beneficiaries

707K

2.7 claims/patient

Avg Cost/Claim

$94

#537 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Wasatch Behavioral Health Special Service District is a Community/Behavioral Health provider based in Provo, UT. From the 2018–2024 period, this provider received $178.2M in Medicaid payments across 1.9M claims.

Why This Matters

This provider received $178.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,278 Medicaid beneficiaries for a full year at average per-enrollee costs.

15% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.3M
+4%
2019
$21.2M
+17%
2020
$24.7M
+21%
2021
$29.8M
-10%
2022
$26.9M
+19%
2023
$31.9M
-27%
2024
$23.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 19% of total spending.

90837Top 10%

Psychotherapy, 60 minutes

$33.9M

269K claims · 19.0%

Your Cost: $125.78/claim|Median: $85.66
1.5× median
T1017Normal range

Targeted case management, per 15 min

$17.0M

256K claims · 9.5%

Your Cost: $66.29/claim|Median: $69.56
0.9× median
H0046Normal range

Mental health services, not otherwise specified

$12.7M

136K claims · 7.1%

Your Cost: $93.34/claim|Median: $85.02
1.1× median
H2014Normal range

Skills training & development, per 15 min

$9.3M

65K claims · 5.2%

Your Cost: $142.31/claim|Median: $83.88
1.7× median
H2027Normal range

Psychoeducational service, per 15 minutes

$8.9M

75K claims · 5.0%

Your Cost: $117.83/claim|Median: $82.72
1.4× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$8.1M

113K claims · 4.5%

Your Cost: $71.48/claim|Median: $91.63
0.8× median
99214Top 10%

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

$7.9M

76K claims · 4.5%

Your Cost: $105.04/claim|Median: $53.41
2.0× median
T1001Normal range

Nursing assessment/evaluation, per visit

$7.6M

127K claims · 4.3%

Your Cost: $59.77/claim|Median: $49.05
1.2× median
90791Top 10%

Psychiatric diagnostic evaluation

$7.4M

37K claims · 4.2%

Your Cost: $200.40/claim|Median: $99.21
2.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$7.3M

91K claims · 4.1%

Your Cost: $80.37/claim|Median: $84.12
1.0× median
H2013Normal range

Psychiatric health facility service, per diem

$6.3M

14K claims · 3.6%

Your Cost: $443.10/claim|Median: $841.93
0.5× median
90853Top 25%

Group psychotherapy

$6.3M

117K claims · 3.5%

Your Cost: $53.40/claim|Median: $25.02
2.1× median
H2016Normal range

Comprehensive community support services, per 15 min

$5.4M

86K claims · 3.0%

Your Cost: $62.50/claim|Median: $321.53
0.2× median
90834Top 25%

Psychotherapy, 45 minutes

$5.0M

49K claims · 2.8%

Your Cost: $102.83/claim|Median: $63.65
1.6× median
H0018Normal range

Behavioral health; short-term residential, per diem

$4.5M

28K claims · 2.5%

Your Cost: $163.33/claim|Median: $467.51
0.3× median
S5150Normal range

Unskilled respite care, per 15 min

$4.5M

62K claims · 2.5%

Your Cost: $72.30/claim|Median: $84.46
0.9× median
90847Top 25%

Family psychotherapy with patient, 50 min

$3.1M

24K claims · 1.7%

Your Cost: $131.04/claim|Median: $77.33
1.7× median
S9485Normal range

Crisis intervention mental health services, per diem

$2.4M

4K claims · 1.3%

Your Cost: $541.86/claim|Median: $501.33
1.1× median
99213Top 5%

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

$2.1M

24K claims · 1.2%

Your Cost: $88.28/claim|Median: $37.81
2.3× median
96131Top 10%

Psychological testing evaluation, each additional hour

$2.0M

6K claims · 1.1%

Your Cost: $316.78/claim|Median: $133.38
2.4× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$2.0M

9K claims · 1.1%

Your Cost: $211.63/claim|Median: $108.91
1.9× median
90832Top 25%

Psychotherapy, 30 minutes

$2.0M

32K claims · 1.1%

Your Cost: $60.68/claim|Median: $41.28
1.5× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$1.7M

13K claims · 0.9%

Your Cost: $128.36/claim|Median: $79.21
1.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$1.4M

21K claims · 0.8%

Your Cost: $64.67/claim|Median: $55.04
1.2× median
90846Top 25%

Family psychotherapy without patient, 50 min

$1.4M

11K claims · 0.8%

Your Cost: $120.76/claim|Median: $76.61
1.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.2M

44K claims · 0.7%

Your Cost: $26.55/claim|Median: $35.43
0.8× median
99354Top 1%

$1.0M

7K claims · 0.6%

Your Cost: $151.36/claim|Median: $54.96
2.8× median
H0031Top 25%

Mental health assessment by non-physician

$977K

6K claims · 0.5%

Your Cost: $170.12/claim|Median: $96.18
1.8× median
H0006Normal range

Alcohol and/or drug services, case management

$783K

20K claims · 0.4%

Your Cost: $39.84/claim|Median: $43.10
0.9× median
96101Top 25%

$663K

3K claims · 0.4%

Your Cost: $260.70/claim|Median: $196.08
1.3× median