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

Rediscover

Community/Behavioral Health·Lees Summit, MO·NPI: 1376085100Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $213.7M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$213.7M

$213,711,242

Total Claims

2.0M

Beneficiaries

537K

3.7 claims/patient

Avg Cost/Claim

$108

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

🔍 Analysis

Provider Overview

Rediscover is a Community/Behavioral Health provider based in Lees Summit, MO. From the 2018–2024 period, this provider received $213.7M in Medicaid payments across 2.0M claims.

Why This Matters

This provider received $213.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 26,713 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 110% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$21.3M
+6%
2019
$22.4M
+12%
2020
$25.1M
-3%
2021
$24.3M
+22%
2022
$29.7M
+56%
2023
$46.4M
-4%
2024
$44.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 100% of total spending.

T1040Top 5%

Medicaid certified CCBHC services

$213.1M

738K claims · 99.7%

Your Cost: $288.75/claim|Median: $130.29
2.2× median
99214Normal range

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

$287K

72K claims · 0.1%

Your Cost: $3.99/claim|Median: $53.41
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$196K

35K claims · 0.1%

Your Cost: $5.63/claim|Median: $63.65
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$40K

2K claims · 0.0%

Your Cost: $18.65/claim|Median: $99.21
0.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$18K

2K claims · 0.0%

Your Cost: $10.41/claim|Median: $108.91
0.1× median
99213Normal range

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

$14K

1K claims · 0.0%

Your Cost: $9.96/claim|Median: $37.81
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$8K

3K claims · 0.0%

Your Cost: $2.65/claim|Median: $25.06
0.1× median
99204Normal range

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

$3K

399 claims · 0.0%

Your Cost: $7.18/claim|Median: $84.03
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$1K

130 claims · 0.0%

Your Cost: $11.52/claim|Median: $74.09
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$1K

3K claims · 0.0%

Your Cost: $0.42/claim|Median: $41.28
0.0× median
90839Normal range

Psychotherapy for crisis, first 60 min

$770

58 claims · 0.0%

Your Cost: $13.28/claim|Median: $83.98
0.2× median
90853Normal range

Group psychotherapy

$41

2K claims · 0.0%

Your Cost: $0.02/claim|Median: $25.02
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$0

271 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$0

160K claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63
T1003Normal range

LPN/LVN services, per 15 minutes

$0

4K claims · 0.0%

Your Cost: $0.00/claim|Median: $24.24
H0038Normal range

Self-help/peer services, per 15 minutes

$0

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04
H2019Normal range

Therapeutic behavioral services, per 15 min

$0

2K claims · 0.0%

Your Cost: $0.00/claim|Median: $84.12
H2010Normal range

Comprehensive medication services, per 15 min

$0

105K claims · 0.0%

Your Cost: $0.00/claim|Median: $62.69
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$0

48K claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63
H0015Normal range

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

$0

2K claims · 0.0%

Your Cost: $0.00/claim|Median: $129.75
H0005Normal range

Alcohol and/or drug services, group counseling

$0

30K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35
H2015Normal range

Comprehensive community support services, per 15 min

$0

23K claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$0

475K claims · 0.0%

Your Cost: $0.00/claim|Median: $76.05
H0032Normal range

Mental health service plan development

$0

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64
H0037Normal range

Community psychiatric supportive treatment program, per diem

$0

114K claims · 0.0%

Your Cost: $0.00/claim|Median: $225.50
T1017Normal range

Targeted case management, per 15 min

$0

12K claims · 0.0%

Your Cost: $0.00/claim|Median: $69.56
H0031Normal range

Mental health assessment by non-physician

$0

92 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.18
H2036Normal range

Alcohol/drug treatment, per hour

$0

66 claims · 0.0%

Your Cost: $0.00/claim|Median: $253.79
99406Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.53
T1002Normal range

RN services, per 15 minutes

$0

8K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.42

Other Top Providers in Missouri

View all →

Compass Health Inc.

Community/Behavioral Health

$1.28B

Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providersAll providers in Missouri →How we detect fraud →