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CAROLINA OUTREACH, LLC

Community/Behavioral Health·RALEIGH, NC·NPI: 1407284524Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$38.0M

$37,993,452

Total Claims

189K

Beneficiaries

38K

5.0 claims/patient

Avg Cost/Claim

$201

Monthly Spending Trend

Yearly Spending

2018
$3.7M
+2%
2019
$3.8M
+16%
2020
$4.4M
+7%
2021
$4.7M
+13%
2022
$5.3M
+70%
2023
$9.1M
-21%
2024
$7.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 34% of total spending.

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$12.8M

58K claims · 33.7%

Your Cost: $221.57/claim|Median: $266.41
0.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$11.0M

62K claims · 29.0%

Your Cost: $176.74/claim|Median: $96.24
1.8× median
H2022Normal range

Community-based wrap-around services, per diem

$10.0M

34K claims · 26.3%

Your Cost: $291.33/claim|Median: $336.31
0.9× median
90837Top 25%

Psychotherapy, 60 minutes

$1.7M

16K claims · 4.4%

Your Cost: $103.98/claim|Median: $85.66
1.2× median
H0038Top 25%

Self-help/peer services, per 15 minutes

$891K

4,954 claims · 2.3%

Your Cost: $179.80/claim|Median: $55.04
3.3× median
99214Top 25%

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

$751K

9,487 claims · 2.0%

Your Cost: $79.18/claim|Median: $53.41
1.5× median
T1017Top 10%

Targeted case management, per 15 min

$711K

2,619 claims · 1.9%

Your Cost: $271.61/claim|Median: $69.56
3.9× median
T1023Top 25%

Screening to determine appropriateness of consideration for program

$134K

580 claims · 0.4%

Your Cost: $231.30/claim|Median: $106.70
2.2× median
90791Normal range

Psychiatric diagnostic evaluation

$13K

107 claims · 0.0%

Your Cost: $121.96/claim|Median: $99.21
1.2× median
99204Top 25%

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

$8K

72 claims · 0.0%

Your Cost: $113.58/claim|Median: $84.03
1.4× median
90847Normal range

Family psychotherapy with patient, 50 min

$3K

42 claims · 0.0%

Your Cost: $80.74/claim|Median: $77.33
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$3K

63 claims · 0.0%

Your Cost: $43.41/claim|Median: $63.65
0.7× median
99213Normal range

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

$2K

51 claims · 0.0%

Your Cost: $47.93/claim|Median: $37.81
1.3× median
90853Top 25%

Group psychotherapy

$2K

30 claims · 0.0%

Your Cost: $54.11/claim|Median: $25.02
2.2× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$5

540 claims · 0.0%

Your Cost: $0.01/claim|Median: $76.05
0.0× median

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