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HIGHLANDS COMMUNITY SERVICES

Community/Behavioral Health·ABINGDON, VA·NPI: 1396774147Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $106.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$106.6M

$106,555,701

Total Claims

686K

Beneficiaries

291K

2.4 claims/patient

Avg Cost/Claim

$155

Monthly Spending Trend

Yearly Spending

2018
$16.0M
-1%
2019
$15.9M
-14%
2020
$13.7M
+8%
2021
$14.7M
+6%
2022
$15.6M
+5%
2023
$16.4M
-13%
2024
$14.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 37% of total spending.

H0023Top 25%

Behavioral health outreach service, per 15 minutes

$39.7M

133K claims · 37.3%

Your Cost: $298.37/claim|Median: $53.97
5.5× median
T2033Normal range

Residential care, NOS; per diem

$20.7M

73K claims · 19.4%

Your Cost: $283.40/claim|Median: $1,051.57
0.3× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$8.3M

92K claims · 7.8%

Your Cost: $90.20/claim|Median: $148.53
0.6× median
T1017Top 5%

Targeted case management, per 15 min

$5.4M

16K claims · 5.1%

Your Cost: $330.16/claim|Median: $69.56
4.7× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$3.9M

68K claims · 3.7%

Your Cost: $58.12/claim|Median: $91.63
0.6× median
T2021Normal range

Day habilitation, waiver; per 15 min

$3.8M

39K claims · 3.5%

Your Cost: $96.15/claim|Median: $150.51
0.6× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$3.3M

6,028 claims · 3.1%

Your Cost: $546.27/claim|Median: $84.12
6.5× median
99214Normal range

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

$2.3M

40K claims · 2.2%

Your Cost: $57.21/claim|Median: $53.41
1.1× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$2.1M

2,001 claims · 2.0%

Your Cost: $1,047.96/claim|Median: $215.80
4.9× median
H2012Normal range

Behavioral health day treatment, per hour

$1.9M

22K claims · 1.8%

Your Cost: $84.62/claim|Median: $137.86
0.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.8M

22K claims · 1.7%

Your Cost: $83.18/claim|Median: $321.53
0.3× median
H0006Top 5%

Alcohol and/or drug services, case management

$1.6M

8,510 claims · 1.5%

Your Cost: $193.14/claim|Median: $43.10
4.5× median
90837Normal range

Psychotherapy, 60 minutes

$1.6M

18K claims · 1.5%

Your Cost: $85.36/claim|Median: $85.66
1.0× median
H0015Top 25%

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

$1.3M

7,607 claims · 1.2%

Your Cost: $166.80/claim|Median: $129.75
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$1.1M

17K claims · 1.0%

Your Cost: $64.10/claim|Median: $63.65
1.0× median
T2022Normal range

Case management, per month

$981K

8,371 claims · 0.9%

Your Cost: $117.18/claim|Median: $202.77
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$893K

18K claims · 0.8%

Your Cost: $49.57/claim|Median: $41.28
1.2× median
T2023Normal range

Community transition, waiver; per service

$806K

2,445 claims · 0.8%

Your Cost: $329.63/claim|Median: $300.13
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$764K

7,934 claims · 0.7%

Your Cost: $96.24/claim|Median: $99.21
1.0× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$711K

2,399 claims · 0.7%

Your Cost: $296.56/claim|Median: $76.05
3.9× median
T1027Top 25%

Family training and counseling, per 15 minutes

$667K

6,926 claims · 0.6%

Your Cost: $96.29/claim|Median: $53.00
1.8× median
99213Normal range

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

$392K

9,261 claims · 0.4%

Your Cost: $42.38/claim|Median: $37.81
1.1× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$334K

3,369 claims · 0.3%

Your Cost: $99.08/claim|Median: $119.08
0.8× median
90853Normal range

Group psychotherapy

$328K

18K claims · 0.3%

Your Cost: $18.62/claim|Median: $25.02
0.7× median
H0046Normal range

Mental health services, not otherwise specified

$272K

2,571 claims · 0.3%

Your Cost: $105.86/claim|Median: $85.02
1.2× median
97150Top 10%

Therapeutic procedure, group (2+ patients)

$261K

4,172 claims · 0.2%

Your Cost: $62.49/claim|Median: $12.12
5.2× median
99215Normal range

Office/outpatient visit, high complexity

$257K

3,581 claims · 0.2%

Your Cost: $71.65/claim|Median: $74.09
1.0× median
G0153Normal range

Services of SLP in home health, per 15 min

$188K

1,671 claims · 0.2%

Your Cost: $112.38/claim|Median: $101.43
1.1× median
S9485Normal range

Crisis intervention mental health services, per diem

$145K

224 claims · 0.1%

Your Cost: $646.92/claim|Median: $501.33
1.3× median
Q3014Normal range

Telehealth originating site facility fee

$92K

6,186 claims · 0.1%

Your Cost: $14.95/claim|Median: $15.37
1.0× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$92K

703 claims · 0.1%

Your Cost: $130.86/claim|Median: $106.70
1.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$70K

2,624 claims · 0.1%

Your Cost: $26.73/claim|Median: $22.44
1.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$68K

1,802 claims · 0.1%

Your Cost: $37.72/claim|Median: $32.55
1.2× median
G0495Top 25%

Skilled services of LPN in home health

$52K

567 claims · 0.0%

Your Cost: $91.94/claim|Median: $42.60
2.2× median
80306Normal range

$46K

5,975 claims · 0.0%

Your Cost: $7.78/claim|Median: $10.29
0.8× median
S9482Normal range

Family stabilization services, per 15 minutes

$32K

254 claims · 0.0%

Your Cost: $127.71/claim|Median: $625.59
0.2× median
G0152Top 10%

Occupational therapy services, home health, per visit

$29K

182 claims · 0.0%

Your Cost: $158.47/claim|Median: $68.93
2.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$26K

3,932 claims · 0.0%

Your Cost: $6.73/claim|Median: $9.56
0.7× median
H0032Normal range

Mental health service plan development

$26K

772 claims · 0.0%

Your Cost: $33.87/claim|Median: $80.64
0.4× median
S0221Normal range

$24K

498 claims · 0.0%

Your Cost: $48.19/claim|Median: $86.82
0.6× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$20K

905 claims · 0.0%

Your Cost: $21.96/claim|Median: $124.86
0.2× median
A0120Normal range

Non-emergency mini-bus transport

$20K

4,163 claims · 0.0%

Your Cost: $4.76/claim|Median: $16.09
0.3× median
A0100Normal range

Non-emergency transportation; per trip

$19K

2,104 claims · 0.0%

Your Cost: $9.12/claim|Median: $24.72
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$15K

225 claims · 0.0%

Your Cost: $64.75/claim|Median: $111.09
0.6× median
99204Normal range

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

$14K

318 claims · 0.0%

Your Cost: $43.43/claim|Median: $84.03
0.5× median
99441Normal range

Telephone E/M by physician, 5-10 min

$3K

129 claims · 0.0%

Your Cost: $25.11/claim|Median: $13.30
1.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$1K

177 claims · 0.0%

Your Cost: $7.92/claim|Median: $12.93
0.6× median
90847Normal range

Family psychotherapy with patient, 50 min

$1K

12 claims · 0.0%

Your Cost: $94.11/claim|Median: $77.33
1.2× median
80305Top 25%

$758

72 claims · 0.0%

Your Cost: $10.52/claim|Median: $7.44
1.4× median
82075Normal range

Alcohol (ethanol) breath test

$111

23 claims · 0.0%

Your Cost: $4.82/claim|Median: $16.59
0.3× median

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Virginia Commonwealth University Health System Authority

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Rector & Visitors of the University of Virginia

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$481.6M

Home Care Delivered, Inc.

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$309.5M

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$288.2M

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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

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