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BLUE RIDGE BEHAVIORAL HEALTHCARE

Clinic/Center, Mental Health (Including Community Mental Health Center)·ROANOKE, VA·NPI: 1437137734Share

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 $75.7M 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

$75.7M

$75,658,039

Total Claims

324K

Beneficiaries

225K

1.4 claims/patient

Avg Cost/Claim

$233

Monthly Spending Trend

Yearly Spending

2018
$10.7M
+10%
2019
$11.8M
-1%
2020
$11.7M
-12%
2021
$10.2M
+7%
2022
$10.9M
-0%
2023
$10.9M
-14%
2024
$9.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 44 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 26% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$19.6M

60K claims · 25.9%

Your Cost: $325.99/claim|Median: $53.97
6.0× median
T1017Top 5%

Targeted case management, per 15 min

$12.6M

37K claims · 16.7%

Your Cost: $342.89/claim|Median: $69.56
4.9× median
T2033Top 5%

Residential care, NOS; per diem

$12.1M

1,652 claims · 16.0%

Your Cost: $7,321.90/claim|Median: $1,051.57
7.0× median
H0015Top 10%

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

$7.4M

31K claims · 9.7%

Your Cost: $236.73/claim|Median: $129.75
1.8× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$3.2M

7,087 claims · 4.2%

Your Cost: $448.31/claim|Median: $369.55
1.2× median
T2023Normal range

Community transition, waiver; per service

$2.7M

8,979 claims · 3.6%

Your Cost: $303.68/claim|Median: $300.13
1.0× median
H0035Top 10%

Mental health partial hospitalization, treatment, per hour

$2.2M

6,561 claims · 2.9%

Your Cost: $339.63/claim|Median: $148.53
2.3× median
H0046Normal range

Mental health services, not otherwise specified

$2.2M

19K claims · 2.9%

Your Cost: $114.86/claim|Median: $85.02
1.4× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$1.7M

2,542 claims · 2.3%

Your Cost: $678.33/claim|Median: $215.80
3.1× median
H0040Normal range

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

$1.4M

8,024 claims · 1.9%

Your Cost: $177.58/claim|Median: $266.41
0.7× median
99213Normal range

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

$1.2M

33K claims · 1.6%

Your Cost: $36.80/claim|Median: $37.81
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$1.2M

11K claims · 1.6%

Your Cost: $114.28/claim|Median: $99.21
1.2× median
H0036Top 5%

Community psychiatric supportive treatment, per 15 min

$1.2M

4,050 claims · 1.6%

Your Cost: $290.55/claim|Median: $76.05
3.8× median
90834Normal range

Psychotherapy, 45 minutes

$1.1M

14K claims · 1.4%

Your Cost: $75.89/claim|Median: $63.65
1.2× median
H0039Top 10%

Assertive community treatment, per diem

$1.0M

1,212 claims · 1.3%

Your Cost: $826.85/claim|Median: $132.62
6.2× median
H0006Top 5%

Alcohol and/or drug services, case management

$867K

3,725 claims · 1.1%

Your Cost: $232.87/claim|Median: $43.10
5.4× median
S0201Normal range

Partial hospitalization services, per diem

$751K

1,686 claims · 1.0%

Your Cost: $445.43/claim|Median: $445.16
1.0× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$653K

5,786 claims · 0.9%

Your Cost: $112.84/claim|Median: $91.63
1.2× median
90837Top 25%

Psychotherapy, 60 minutes

$550K

4,759 claims · 0.7%

Your Cost: $115.57/claim|Median: $85.66
1.3× median
99214Normal range

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

$424K

7,221 claims · 0.6%

Your Cost: $58.69/claim|Median: $53.41
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$257K

2,689 claims · 0.3%

Your Cost: $95.44/claim|Median: $74.09
1.3× median
90853Normal range

Group psychotherapy

$201K

9,628 claims · 0.3%

Your Cost: $20.90/claim|Median: $25.02
0.8× median
Q3014Normal range

Telehealth originating site facility fee

$175K

9,480 claims · 0.2%

Your Cost: $18.43/claim|Median: $15.37
1.2× median
80305Top 25%

$146K

13K claims · 0.2%

Your Cost: $10.80/claim|Median: $7.44
1.5× median
90889Top 10%

$137K

684 claims · 0.2%

Your Cost: $200.09/claim|Median: $56.63
3.5× median
H2018Top 25%

Psychosocial rehabilitation services, per diem

$134K

159 claims · 0.2%

Your Cost: $841.71/claim|Median: $392.63
2.1× median
99490Top 5%

Chronic care management services, 20 minutes per month

$99K

1,867 claims · 0.1%

Your Cost: $53.27/claim|Median: $6.31
8.4× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$80K

246 claims · 0.1%

Your Cost: $326.39/claim|Median: $84.12
3.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$70K

9,619 claims · 0.1%

Your Cost: $7.25/claim|Median: $9.56
0.8× median
90832Top 25%

Psychotherapy, 30 minutes

$50K

788 claims · 0.1%

Your Cost: $63.42/claim|Median: $41.28
1.5× median
H0032Normal range

Mental health service plan development

$47K

751 claims · 0.1%

Your Cost: $62.06/claim|Median: $80.64
0.8× median
90785Top 10%

$37K

3,003 claims · 0.0%

Your Cost: $12.29/claim|Median: $6.43
1.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$33K

318 claims · 0.0%

Your Cost: $105.07/claim|Median: $111.09
0.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$10K

361 claims · 0.0%

Your Cost: $26.73/claim|Median: $47.35
0.6× median
H2036Normal range

Alcohol/drug treatment, per hour

$9K

46 claims · 0.0%

Your Cost: $189.05/claim|Median: $253.79
0.7× median
99204Normal range

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

$8K

86 claims · 0.0%

Your Cost: $91.75/claim|Median: $84.03
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$6K

183 claims · 0.0%

Your Cost: $30.66/claim|Median: $25.06
1.2× median
82075Normal range

Alcohol (ethanol) breath test

$5K

1,548 claims · 0.0%

Your Cost: $3.49/claim|Median: $16.59
0.2× median
99203Normal range

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

$5K

82 claims · 0.0%

Your Cost: $60.82/claim|Median: $57.85
1.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2K

182 claims · 0.0%

Your Cost: $9.22/claim|Median: $30.04
0.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$1K

160 claims · 0.0%

Your Cost: $9.30/claim|Median: $12.93
0.7× median
80061Normal range

Lipid panel

$750

97 claims · 0.0%

Your Cost: $7.74/claim|Median: $8.41
0.9× median
82948Normal range

$203

107 claims · 0.0%

Your Cost: $1.89/claim|Median: $1.78
1.1× median
36416Normal range

$31

111 claims · 0.0%

Your Cost: $0.28/claim|Median: $1.31
0.2× median