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COUNTY OF TUOLUMNE

Community/Behavioral Health·SONORA, CA·NPI: 1366618035Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.9M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-08(80 months)

Total Paid

$23.9M

$23,922,943

Total Claims

87K

Beneficiaries

45K

1.9 claims/patient

Avg Cost/Claim

$276

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-2%
2019
$2.9M
+25%
2020
$3.7M
-1%
2021
$3.7M
+27%
2022
$4.6M
-12%
2023
$4.1M
-53%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 22% of total spending.

H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$5.3M

16K claims · 22.3%

Your Cost: $325.88/claim|Median: $91.63
3.6× median
H2015Top 25%

Comprehensive community support services, per 15 min

$5.0M

16K claims · 20.9%

Your Cost: $306.03/claim|Median: $96.24
3.2× median
H2010Normal range

Comprehensive medication services, per 15 min

$4.7M

22K claims · 19.8%

Your Cost: $211.10/claim|Median: $62.69
3.4× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$3.7M

4,834 claims · 15.6%

Your Cost: $772.30/claim|Median: $215.80
3.6× median
T1017Top 25%

Targeted case management, per 15 min

$1.6M

8,201 claims · 6.7%

Your Cost: $195.25/claim|Median: $69.56
2.8× median
H0032Top 25%

Mental health service plan development

$1.1M

6,705 claims · 4.6%

Your Cost: $165.16/claim|Median: $80.64
2.0× median
99214Top 1%

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

$618K

831 claims · 2.6%

Your Cost: $744.00/claim|Median: $53.41
13.9× median
90837Top 1%

Psychotherapy, 60 minutes

$431K

1,248 claims · 1.8%

Your Cost: $345.67/claim|Median: $85.66
4.0× median
G2212Top 25%

Prolonged office/outpatient E/M, each additional 15 min

$389K

971 claims · 1.6%

Your Cost: $400.23/claim|Median: $72.96
5.5× median
90834Top 5%

Psychotherapy, 45 minutes

$243K

928 claims · 1.0%

Your Cost: $261.63/claim|Median: $63.65
4.1× median
H0034Normal range

Medication training and management, per 15 min

$215K

2,035 claims · 0.9%

Your Cost: $105.41/claim|Median: $56.90
1.9× median
90839Top 5%

Psychotherapy for crisis, first 60 min

$121K

415 claims · 0.5%

Your Cost: $291.04/claim|Median: $83.98
3.5× median
99215Top 1%

Office/outpatient visit, high complexity

$88K

85 claims · 0.4%

Your Cost: $1,030.19/claim|Median: $74.09
13.9× median
T2024Top 5%

Supported employment, waiver, per diem

$68K

72 claims · 0.3%

Your Cost: $948.92/claim|Median: $259.38
3.7× median
90791Normal range

Psychiatric diagnostic evaluation

$65K

545 claims · 0.3%

Your Cost: $119.40/claim|Median: $99.21
1.2× median
90832Top 5%

Psychotherapy, 30 minutes

$50K

279 claims · 0.2%

Your Cost: $180.15/claim|Median: $41.28
4.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$31K

2,349 claims · 0.1%

Your Cost: $13.30/claim|Median: $47.35
0.3× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$31K

100 claims · 0.1%

Your Cost: $311.72/claim|Median: $108.91
2.9× median
90840Top 5%

Psychotherapy for crisis, each additional 30 min

$29K

109 claims · 0.1%

Your Cost: $262.01/claim|Median: $50.71
5.2× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$11K

20 claims · 0.0%

Your Cost: $573.63/claim|Median: $150.51
3.8× median
99213Top 1%

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

$8K

14 claims · 0.0%

Your Cost: $549.06/claim|Median: $37.81
14.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$6K

370 claims · 0.0%

Your Cost: $15.36/claim|Median: $74.63
0.2× median
G2011Top 25%

$3K

255 claims · 0.0%

Your Cost: $13.65/claim|Median: $2.36
5.8× median
T1007Normal range

Alcohol/drug services, treatment plan review

$2K

164 claims · 0.0%

Your Cost: $12.58/claim|Median: $64.10
0.2× median
H0033Normal range

Oral medication administration, direct observation

$2K

16 claims · 0.0%

Your Cost: $122.28/claim|Median: $31.37
3.9× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.58
H0020Normal range

Alcohol/drug services; methadone administration

$0

802 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.95
G0397Normal range

$0

46 claims · 0.0%

Your Cost: $0.00/claim|Median: $142.31