Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

COMMUNITY AND FAMILY RESOURCES

Substance Abuse Rehabilitation Facility·FORT DODGE, IA·NPI: 1366507790Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.0M is at the 25th percentile among 20 Substance Abuse Rehabilitation Facility providers.

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

Total Paid

$21.0M

$20,961,926

Total Claims

177K

Beneficiaries

51K

3.5 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$796K
+47%
2019
$1.2M
+29%
2020
$1.5M
+12%
2021
$1.7M
+58%
2022
$2.7M
+133%
2023
$6.2M
+10%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 59% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$12.5M

58K claims · 59.4%

Your Cost: $212.98/claim|Median: $467.51
0.5× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$2.8M

24K claims · 13.5%

Your Cost: $118.81/claim|Median: $164.03
0.7× median
90853Top 25%

Group psychotherapy

$1.6M

29K claims · 7.5%

Your Cost: $54.16/claim|Median: $25.02
2.2× median
H0015Normal range

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

$1.1M

17K claims · 5.4%

Your Cost: $68.50/claim|Median: $129.75
0.5× median
H0017Normal range

$799K

2,936 claims · 3.8%

Your Cost: $272.13/claim|Median: $470.95
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$672K

8,061 claims · 3.2%

Your Cost: $83.41/claim|Median: $85.66
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$623K

5,935 claims · 3.0%

Your Cost: $104.92/claim|Median: $99.21
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$326K

3,981 claims · 1.6%

Your Cost: $81.99/claim|Median: $63.65
1.3× median
80305Top 10%

$231K

18K claims · 1.1%

Your Cost: $12.91/claim|Median: $7.44
1.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$121K

4,049 claims · 0.6%

Your Cost: $29.91/claim|Median: $55.04
0.5× median
99203Normal range

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

$79K

1,448 claims · 0.4%

Your Cost: $54.34/claim|Median: $57.85
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$51K

1,271 claims · 0.2%

Your Cost: $40.21/claim|Median: $41.28
1.0× median
99214Normal range

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

$32K

535 claims · 0.2%

Your Cost: $59.46/claim|Median: $53.41
1.1× median
H0003Normal range

$14K

1,771 claims · 0.1%

Your Cost: $7.74/claim|Median: $13.38
0.6× median
80306Normal range

$13K

1,078 claims · 0.1%

Your Cost: $11.90/claim|Median: $10.29
1.2× median
99204Normal range

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

$4K

67 claims · 0.0%

Your Cost: $54.88/claim|Median: $84.03
0.7× median
Q3014Normal range

Telehealth originating site facility fee

$2K

86 claims · 0.0%

Your Cost: $20.48/claim|Median: $15.37
1.3× median
99213Normal range

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

$1K

36 claims · 0.0%

Your Cost: $33.51/claim|Median: $37.81
0.9× median