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

WHEELER CLINIC INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·PLAINVILLE, CT·NPI: 1396750840Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $102.7M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$102.7M

$102,746,650

Total Claims

1.3M

Beneficiaries

707K

1.8 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$10.3M
-5%
2019
$9.8M
+32%
2020
$12.9M
+15%
2021
$14.8M
+9%
2022
$16.2M
+22%
2023
$19.8M
-5%
2024
$18.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 81% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$82.8M

578K claims · 80.6%

Your Cost: $143.14/claim|Median: $121.16
1.2× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$9.3M

60K claims · 9.0%

Your Cost: $153.67/claim|Median: $84.12
1.8× median
T1017Normal range

Targeted case management, per 15 min

$2.0M

33K claims · 1.9%

Your Cost: $60.25/claim|Median: $69.56
0.9× median
S9485Normal range

Crisis intervention mental health services, per diem

$1.5M

9,711 claims · 1.5%

Your Cost: $153.57/claim|Median: $501.33
0.3× median
H2012Normal range

Behavioral health day treatment, per hour

$1.5M

21K claims · 1.4%

Your Cost: $70.05/claim|Median: $137.86
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$1.4M

39K claims · 1.4%

Your Cost: $35.35/claim|Median: $99.21
0.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$733K

29K claims · 0.7%

Your Cost: $25.04/claim|Median: $77.33
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$686K

165K claims · 0.7%

Your Cost: $4.15/claim|Median: $41.28
0.1× median
90834Normal range

Psychotherapy, 45 minutes

$661K

59K claims · 0.6%

Your Cost: $11.30/claim|Median: $63.65
0.2× median
H0015Normal range

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

$573K

37K claims · 0.6%

Your Cost: $15.66/claim|Median: $129.75
0.1× median
99213Normal range

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

$532K

56K claims · 0.5%

Your Cost: $9.48/claim|Median: $37.81
0.3× median
99214Normal range

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

$291K

22K claims · 0.3%

Your Cost: $13.08/claim|Median: $53.41
0.2× median
90853Normal range

Group psychotherapy

$274K

67K claims · 0.3%

Your Cost: $4.07/claim|Median: $25.02
0.2× median
S9484Normal range

Crisis intervention mental health services, per hour

$157K

2,480 claims · 0.2%

Your Cost: $63.15/claim|Median: $249.51
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$131K

26K claims · 0.1%

Your Cost: $4.98/claim|Median: $85.66
0.1× median
98968Normal range

$58K

3,492 claims · 0.1%

Your Cost: $16.56/claim|Median: $28.39
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$51K

8,777 claims · 0.0%

Your Cost: $5.85/claim|Median: $108.91
0.1× median
0359TTop 5%

$49K

60 claims · 0.0%

Your Cost: $822.27/claim|Median: $444.44
1.9× median
98967Normal range

$46K

2,589 claims · 0.0%

Your Cost: $17.58/claim|Median: $18.97
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$38K

7,254 claims · 0.0%

Your Cost: $5.20/claim|Median: $25.06
0.2× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$30K

4,830 claims · 0.0%

Your Cost: $6.23/claim|Median: $135.70
0.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$18K

641 claims · 0.0%

Your Cost: $27.34/claim|Median: $76.61
0.4× median
G0470Normal range

Chronic care management services, FQHC/RHC

$5K

2,635 claims · 0.0%

Your Cost: $1.86/claim|Median: $45.95
0.0× median
G2025Normal range

$4K

2,323 claims · 0.0%

Your Cost: $1.68/claim|Median: $15.63
0.1× median
G0467Normal range

Federally qualified health center visit, mental health

$1K

1,337 claims · 0.0%

Your Cost: $1.00/claim|Median: $21.91
0.0× median
90849Normal range

Multiple-family group psychotherapy

$256

14 claims · 0.0%

Your Cost: $18.28/claim|Median: $40.78
0.4× median
80305Normal range

$227

229 claims · 0.0%

Your Cost: $0.99/claim|Median: $7.44
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$0

77 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.18
90715Normal range

Tdap vaccine

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
D1120Normal range

Prophylaxis, adult

$0

1,957 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.86
90670Normal range

$0

152 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
90723Normal range

DTaP-HepB-IPV vaccine

$0

96 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.78
D0330Normal range

Panoramic radiographic image

$0

1,526 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.36
D1206Normal range

Topical application of fluoride varnish

$0

1,486 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12
D2392Normal range

Resin-based composite, two surfaces, posterior

$0

161 claims · 0.0%

Your Cost: $0.00/claim|Median: $71.00
90700Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.56
D0120Normal range

Periodic oral evaluation, established patient

$0

3,008 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.34
D0140Normal range

Limited oral evaluation, problem focused

$0

845 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.07
H0049Normal range

$0

237 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.27
D0601Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
D1351Normal range

Sealant, per tooth

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $26.10
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$0

303 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67
99211Normal range

Office/outpatient visit, minimal complexity

$0

264 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93
90716Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.18
99406Normal range

$0

234 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.53
D0602Normal range

$0

52 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95
D1110Normal range

Prophylaxis, adult cleaning

$0

2,497 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.38
99204Normal range

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

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.03
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$0

48 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.46
90696Normal range

DTaP-IPV vaccine

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.95